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HomeMy WebLinkAboutApplication for Zoning ComplianceDATE FILED: PLAN REVIEW FEE: ii lib- RECEIPT NO.: CONCURRENCY FEE: ZS _ RECEIPT NO.: 1. 2. 3. 4. PERMIT NUMBE I D ' I �a ALL INFO MUST BE COMPLETE 8L FILLED IN TO BE ACCEPTED A *' '*J�o e cGy� ST. LUCIE COIJtftY PUBLIC WORKS BUILDING & ZONING DEPARTMENT 2300 VIRGINIA AVENUE 20R10P FORT PIERCE, FL 34982-5652 t\pep� 5,i�h bra 772-462-1553 zz APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE 3a&0 S+ L,tic,e 61vd i7t Qre/cc PROJECT INFORMATION LOCATION/SITE ADDRESSWC'Corne_r� o .ZntiuSfi /Ce .33rdf1(Jp �T, LieC/G i3�r . S/D NAME: �Q / 1 LUC/e '01a 2a- SITE PLAN NAME: 4muays-End 04>mmerm C"7'P-r PROPERTY TAX ID #: P129-702- /ji92 - 0001* /42$-702-7537-DOa/2 81r,&Lj T31K6S_'. LEGAL DESCRIPTION (attach extra sheets if necessary): -- % ch a, y Deed — Q� � �a ed G(Jct rr 5. PLAT 6. PAGE r� 7. BLOCK �/ 8. LOT BOOK :? NO. �/ NO. 6T - NO. /-9/ zr-36 9. PARCEL SIZE: ACRES/SO FT. LOT DIMENSIONS 4z(,�X/45"0' f, 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: AlezJ COPtS'fr/itGf/on _ 20,000 S, f7`ndusfria / cc9arehb.ccSP �"��iforerroh r 11. SETBACKS (ACTUAL) FRONT: / BACK: RIGHT s LEFT 9�/ 6© f SIDE SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION (j EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL I ] COMMERCIAL INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED ��// E: ZAd ubfrf pL l ajQrehou-Se 14. �q. Ft./CONSTRUCTION: --T� i1 Sq. Ft. 1st Floor:T�''� u� f 16. VALUE OF CONSTRUCTION: $ 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 the indicated due of construction if it is demonstrated that�'.� the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 OWNER INFORMATION: NAME: / i IL�IjI� �/ r.S/��/'1�� ADDRESS: / Z7 /1/' Z -' ?21 '1ye nLLe CITY: v STATE: ' ZIP 334�83 PHONE (DAYTIME): (6766 / 1 o'- 76,3 IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. ry� FEE SIMPLE TITLEHOLDER: �SAM F A'S A4940 Ve — ADDRESS: CITY: _ STATE:. ZIP PHONE (DAYTIME): 1 ) CONTRACTOR INFORMATION ST. of FL REG.ICERT #: C.GCQSBf! 2. ST. LUCIE COUNTY CERT #: Q. 6 BUSINESS NAME: 7!'"t MnCrcvc,f-, p/bne''D QUALIFIERS NAME: /�O172Y/ R7. lXb�r14 ADDRESS: ��/335 /�!W�/ i O✓ ,ems. CITY: /&U'n br1 . �.�'-C.-!') STATE: /—� ZIP PHONE (DAYTIME): < (. 0/1 266-7 FAX NO.6^"46/'738"c'a93o ARCHIT/ENGINEER: 90,Na / ArcAti echere. W 4DesiC4 ADDRESS:®�" C it �G//�tZ. �6 Mry72/'C i2. /Q�•,}-� CITY: �/SOUa�-y//y. ppy). i//.7�e STATE: f-.�- ZIP !7Qc33Yis�/ PHONE (DAYTIME): ISM d / OF BONDING COMPANY: _ Al ADDRESS: CITY: STATE: ZIP MORTGAGE LENDER: 4/� ADDRESS: CITY: STATE: 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, AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS PERMIT YOU 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 AFFIDAV T: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. OWNER/COVRACTOR SIGNATURE 6Q4TRACTOR SIG' NATURE STATE OF FL IDQR A STATE OF FL ID¢ A n COUNTY OF tv� ca COUNTY OF The foregoing instrument yvas acknowledged The foregoing instrument was acknowledged before me this AL day of , 201L, by _ before me thiso day o f , 20Qi_ , by who is personally known to me or who who is personaiiv known to me ha produced as identification. or vyhho has produced as identification. Sign ure of No a Ignatu of Notary Type or Print Name of Notary Type foPnnt Name of Notary Notary Public Title Notary Public Title Commission Number 4ly%yP``k KATHRYN I. LEONARD (seal) y MY COMMISSION # DO 217183 seal """1° ,� (sea]) � '� KATHRYN-L LEONARD tol it°. EXPIRES: July :12, 2007 > MY COMMISSION # DD 217183 { 14800.4NDiARv FL "my DISo N A m Co. �Or 1�oe EXPIRES: July 12, 2007 - NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUS DumoN 0.taGG:co IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. BP #: 1,9v51cV - C)�f�ICE USA vw. SECTION: I TOWNSHIP: RANGE: va I MAP NO.., ZONING: LAND USE: LOT TAZ NO.: FLOOD ZONE: FIRM MAP #: 1 ST FLR ELV: MAX HGT: CST TYPE: OCCP TYPE: MAX. OCCP: # OF FLRS: WATER: r SEWER:n ^ SPRINKLERS STORMWATE R LOT OF REG (befr 1190) LOT OF REG (aft 1/90) LOT SPLIT LOT SPLIT REUD APPRV`D DECAL LIBRARY PARKS PERMIT NUMBER IMPACT FEE IMPACT FEE FEE REPORT CODE ;"o, PUBLIC BLD(- IMPACT FEE HAB4TABALE AREA RADON FEE -� r (RADON) ROAD GROSS ROAD CREDIT TOTAL ROAD IMPACT ZONE IMPACT FEE DUE Xg IMPACT FEE . .. ......... SCHOOL CREDIT TOTAL IMPACT FEE SCHOOL IMPACT FEE PeHeE-FEE FIRE FEE MISC FEES: TOTAL POLICE/FIRE/ MISC. FEES ADDITIONAL SPECIFY: TOTAL ALL PERMITS FEES REVIEWS ZONING ZONING REVIEWED BY PLANS EXAMINING DATE COMPLETE Al INITIALS VEGETATION I SEA TURTLE MANGROVE