HomeMy WebLinkAboutApplication for Zoning ComplianceOFFICE USE ONLY:
SATE FILED: la • S ' d
PLAN REVIEW FEE: 190 • CO RECEIPT NO.: PERMIT NUMBER:
CONCURRENCY FEE: a S - GYM RECEIPT NO.: CERT. CAP. NO.: _
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ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
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St. Lucie County Building and Zoning
2300 Virginia Avenue
• F�ORI� Ft. Pierce, FL 34982-5652
772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: 2711 N US 1, Ft. Pierce (lot 37)
2. PROJECT NAME: SITE PLAN NAME:
3. PROPERTY TAX ID #: 1433-120-0010-000-5
4. LEGAL DESCRIPTION (attach extra sheets if necessary): 33 34 40 N 358.8ft of S 1735.9ft of NE 114 LYG W of
US-1 and begat SW Cor of N 365.8 of S 13771 of NE 1/4 LYG W of US 1 Run N365.8ft...
5. PLAT BOOK 2887 6. PAGE NO. 1212 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): 7.4 LOT DIMENSIONS: 54 X 65
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: Used mobile home install
11. SETBACKS (ACTUAL) FRONT: 507 BACK: 19RIGHT SIDE: 30' LEFT SIDE: 26�
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[I NEW CONSTRUCTION [ ] EXPANSION/ADDITION [I INTERIOR RENOVATION
[ ] RESIDENTIAL [ 1 COMMERCIAL [ ] INDUSTRIAL
[X] OTHER (SPECIFY) used mobile home
DESCRIPTION OF PROPOSED USE: single family residential
SQ. FT OF CONSTRUCTION:
1152
VALUE �OF CONSTRUCTION: $
$2000
15. SF. FT 1 st FLOOR;
1152
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
value 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
T
OWNER INFORMATION
NAME: Fine Realty Corp dba I Colony Club MHP
ADDRESS: 2601 N. US 1
CITY: Ft. Pierce STATE: FI ZIP: 34946
PHONE (DAYTIME): (9§4) 478-7602 Email: howard@colonyclubmhp.com
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): (_)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: I H0000877 ST. LUC1E COUNTY CERT #: 24068
BUSINESS NAME: Vaporlock Tight
QUAr WIERS NAME: Robert Barrett
ADDRESS: 7551 SW 40th Ter.
CITY: Palm City STATE: FI ZIP: 34990
PHONE (DAYTIME): J 1 215-3830' FAX NO. 954-478-7602 Ems:
ARCHIT/BNGINEER: Steve Wood, P.E.
ADDRESS: 950 Sultan Dr
CITY: Port St. Lucie
PHONE (DAYTIlvIE): 7( 72) 878-7324
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE: FI
STATE:
m.
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, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR RvIPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACEIIVIENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OW R OR CONTRACTOR SIGNATURE CONTRACTOR. SIGNA
STATE OF FLORID
COUNTY OF • LIAUe
The foregoing instrument was acknowledged before
me this a day of 20('n g
by I-L) CC 2p -i-�(
who is personally known or has produced
STATE'OF FLORIDA:5ij(,,,,COUNTY OFP/
The foregoing instrume was acknowledged before
me this day of , 20 &
by
who is personally known �: or has produced
'�3n \ 3 "CO��'�( 'identification. /
6 Cif
i of Notary Signature of
as identification.
s YEaAROYBARMIN
Commission No. , , Commission No. t64JRM)# Do €ti'v
BEATRIZGOYCD691439
®dt " EXP W-.FobfflQr01%R810
w� MY COMMISSION # 1 Gfli�TARY A: ouu AWA69,EXPIRES: ddi/ 2Dondod Thru Notary Public
NOTE: TWO (2) SIGNA IGNATURE MUST BE NOTARIZED. 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.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY BP #: - U
SECTION
2 2?
TOWNSHIP
U
RANGE
I(l) 8
MAP NO.
1
Tl,33AI
ZONING
n rye' 1
LAND USE
km
LOT CVG %
�. �
TAZ NO.
FLOOD ZONE
FIRM MAP #
I / 7 /
I s r FLR ELV
MAX HGT
�!
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
r
1
WATER
SEWER
SPRINKLERS
STORMWATER'
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
G�i1�
HABITABLE
AREA
(RADON)
RADON
FEE
PERMIT
FEE
�-75
LIBRARY
IMPACT
FEE
PUBLIC BID
IMPACT FEE
CORRECTION
PUBIC BID
IMPACT
FEE
GE
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IWACT
FEE
FIREIEMS
IMPACT
FEE
D AY
QUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ROOF
ELECTRIC ✓ GAS
PLUMBING ✓
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
i
REVIEWS
FRONT
COUNTER
ZONING
!REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
' a I D
DATE
COMPLETED
INITIALS