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Home My WebLink AboutApplication for Zoning ComplianceOFFICE USE ONLY: DATE FILED: D/ D3 e/ PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: RqPdub Lv,1t;ap,� qq / 00 '�QI �J��e c��y ST. LUCIE COUNTY PUBLIC WORKS y BUILDING & ZONING DEPARTMENT ® 2300 VIRGINIA AVENUE '20R10Q' FORT PIERCE, FL 34982-5652 561.462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: FLORIDA TvRn/P/KF 2. S/D NAME: 3. PROPERTYTAXID#: 1225-33/-OOoI- SITE PLAN NAME: 4. LEGAL DESCRIPTION (attach extra sheets if necessary): SEE A TTA C H E b Sy R V E Y 5. PLAT 6. PAGE 7. BLOCK 8. LOT BOOK NO. NO. NO. y,63$'x 1,325'x 4,636'>c 9. PARCELSIZE: ACRES/SQFT. Jg1.30 ACRES LOTDIMENSIONS 1,329r(SEE 10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: OFF PREMISE SIGN 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT LEFT 2.5' /,261/' SIDE 8SS) SIDE: 3171/2' 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [vr NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ j COMMERCIAL [ j INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: ADV ERT I S1n1G SI &AJ 2 SIGN )=4CES AT 7b7,4. 14. Sq. Ft./CONSTRUCTION: 3-72" SQ. F-r. EA. 15. Sq. FL 1st Floor. %5 F 16. VALUE OF CONSTRUCTION: $ _� 5 000. The value of construction is used to determine the amount of permit fees to be assessed. St Lucie County reserves the right to question and/or modify ttie indicated value of construction R it is demonstrated that the submitted figures are not consistent with simllar.types of construction activities. If the value Is $25010 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Forth No.: 001-02 THE AVERAGE PROCESSING TIME FOR MOST BUILDING PERMITS IS TEN (10) WORKING DAYS OWNER INFORMATION: NAME: OLC , //VC, ADDRESS: POST OFFI42E 8cox /L/(O/Q CITY: FT P/ERCE STATE: FL0R1bA ZIP 34974-4o/Q PHONE (DAYTIME): t56I)y 6 4 - 5977 IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: SAME AS A.BOVE ADDRESS: CITY: STATE: ZIP PHONE (DAYTIME): CONTRACTOR INFORMATION ST. of FL REGJCERT #: ES 000007 Q ST. LUCIE COUNTY CERT #: I g 6 Z Z BUSINESS NAME: EL L E/2 M ED /A C' D/l9 PAIV Sl QUALIFIERS NAME: M I G U EL M A RTI /J E Z ADDRESS: 5S0O N. W. 77 COu RT CITY: _ MIAMI STATE: FLORIDA Zip 33166 �'. PHONE (DAYTIME): (305i 542-625n FAXNO.(3o5) 65/02 ARCHITIENGINEER: CG R C Enl Cr/,AJ EE R I ti U /A/C . ADDRESS: 55li`'I W. I H-7 5-TREET- CITY: OAK FOREST- STATE: I L L I NO I S Zip 6 D)'l 5 2- PHONE (DAYTIME): 17og) L/gy-oL400 FAX : (-0$) y $q—Q3g0 BONDING COMPANY: I'J ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: E STATE: STATE: LP ZIP IMPORTANT NOTICE: When a permit is issued and it is not. picked up within 60 days after notification it will be voided and returned to you by mail. CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT TITLE ANC INT R T THAT IS SI BJE T TO ATTACHMENT AS A CONDITION OF THIS PERMIT YOL PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an oning. ONTRACTOR SIGN URE CO CTOR SIGNATU STATE OF FLORIDA COUNTY OFF An4/ DgoE The foregoing instrument was acknowledged before me this — day of p r e . 20c2l , by j'11&VFL MRR r�2JF-Iwho is personally known to me or who has produced F[. DR t, r? as identification. #M63s-6vo.-47)-0Y6--c, Signature of Notary DA'J I 4 X' Type or Print Name of Notary Notary Public Title STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this // U day of P Ec- , 20 O6 byMl fit. 114142 rwEZ who is personally known to me or whhas a re. DR. a cos identification. �/%�Signature of Notary Type of Print Name of Notary Notary Public Title ecg4??'01 Commission Number DAVID C41fMAK C4332-9e Commission Number NOTARY PVSUC-STATEOFROW DAVID CF10LAK (seal) COMMISSION FCC NOTARY PUBLIC - STATE OF F7ARIDA EXPIRES (seal) COMMISSIONy CC9B UQNRgRTR AAAII32y8 AXPIIO1#CC9pq BONOEO TNRU AEA r,WM,t NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY AF "E TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OFFICE ONLY' _USE SECTION: TOWNSHIP: I RANGE:g MAP NO.: ZONING: ��%� V LAND USE: _ LOT CVG %: TAZ NO.: FLOOD ZONE: FIRM MAP #: 1 ST FLR ELV: MAX HGT: CST TYPE: OCCP TYPE: MAX. OCCP: # OF FLRS: WATER: SEWER: SPRINKLERS STORMWATE R LOT OF REC (befr 1/90) LOT OF REC (aftr 1/90) LOT SPLIT LOT SPLIT RED D APPRV'D DECAL LIBRARY PARKS PERMIT NUMBER IMPACT FEE IMPACT FEE FEE REPORT PUBLIC BLDG HABITABALE RADON FEE CODE - IMPACTFEE AREA . (RADON) Y N ROAD GROSS ROAD _ CRED TOTAL ROAD IMPACT ZONE IMPACT FEE IMPACT FEE DUE Y N SCHOOL CREDIT '" , ,..,....::z.,._..... TOTAL IMPACT FEE / SCHOOL IMPACT FEE ,// POLICE FEE FIRE FEE MISC FEES: TOTAL POLICE/FIRE/ MISC. FEES ADDITIONAL Y N SPECIFY: �. TOTAL ALL PERMITS FEES REQ'D — REVIEWS 7 ZONING ZONING PLANS VEGETATION SEA MANGROVE REVIEWED BY EXAMINING TURTLE EDATE