HomeMy WebLinkAboutApplication for Zoning ComplianceOFFICE USE ONLY:
DATE FII.ED: 1 a. S- Q T
PLAN REVIEW FEE: jSn - G-D RECEIPT NO.: LP 10145 PERmrr NUMBER: 09 K a - C O R O
CONCURRENCY FEE: �QS - nD RECEIPT NO.: LLLL-Lq-S CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
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_ St. Lucie County Building and Zoning
2300 Virginia Avenue
.'c�OR10 Ft. Pierce, FL 34982-5652
772462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATEII of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 2699 N US 1, Ft. Pierce (lot 41)
2. PROJECT NAME: l..o b M 14f9srrE PLAN NAME:
3. PROPERTY TAX ID #: 14 3.1120-0010-000-5
4. LEGAL DESCRIPTION (attach extra sheets if necessary): 33 34 40 N 358.8ft of'S 1735.9ft of NE 1/4 LYG W of
US-1 and begat SW Cor of N 365.8 of S 1377A 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.43 X 83
10. COMPLETE DESCRIPTION OF CONSTRUCTION PIbJECT OR WORK ACTIVITY: Used mobile home install
11. SETBACKS (ACTUAL) FRONT: 11'0" BACK: 281511 RIGHT SIDE: 16' LEFT SIDE: 15'
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[I NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL (] INDUSTRIAL
[X] OTHER (SPECIFY) used mobile home
13. DESCRIPTION OF PROPOSED USE: single family residential
14. SQ. FT OF CONSTRUCTION: 11248 15. SF. FT 1st FLOOR: 1248
16. VALUE OF CONSTRUCTION: $ $2000
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 submi6d with this application.
SLCCDV Form No.: 001-02
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OWNER INFORMATION
NAME: Fine Realty Corp dba. Colony Club MHP
ADDRESS: 2601 N. US 1
CITY: Ft. Pierce STATE: FI ZIP: 34946
PHONE (DAylTmE): (q§4) 478-7602 Email: howard@colonyclubmhp.com
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL N NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYT ME):
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: I H 0000877 ST. LUCIE COUNTY CERT #: 24068
BUSINESS NAME: Vaporlock Tight
QUALUI IERS NAME: Robert Barrett
ADDRESS: 7551 SW 40th Ter
CITY: Palm City STATE: FI Z[p: 34990
PHONE (DAYTIME): (772 1 215-3830 FAX NO. 954-478-7602 Email:
ARCHIT/BNGINEER: Steve Wood, R'E.
ADDRESS: 950 Sultan Dr
CITY. Port St. Lucie STATE: FI ZIP:
PHONE (DAYTnvm): 7( 72) 878-7324
BONDING COMPANY:
ADDRESS:
CITY: STATE: ZIP:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
"I
EMPORTANT 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 Homeov ner'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 IMPROVEMENTS 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
ATTACHMENT: 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.
I
Gc�--
O NER OR CONTRACTOR SIGNATURE NTRAC O SIGN
STATE OF FLORE
COUNTY OF • I�.t�I cil
i
The foregoing instrument was acknowledged before
me this S day of Drc, 20 W ,
by 10wQ2.d fCj0
who is personally known or has produced
60 - 33.3 • (O-P- nu (• identification.
CU
S' otary
STATE OF FLORIDA `
COUNTY OF
The foregoing instrument was acknowledged before
me this '�E day of 20 6 .
by -62� -it 11
who is personally known or has produced
as identification.
Of No
V$d% NOY SAFMM
Commission No. Commission No. ter 5t
osVov, BEATRIZGOYCOCHEA OF per: yg,gpl0
MY COMMISSION # DD 691439 t A.oea�ro oa
ASIGNA
�, �• EXPIRES: July 2, 2011
Bonded Thru Notary Public Underwriters
NOTE: TWO (2GNATURE 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.
- VI
OFFICE USE ONLY BP #: Q S G
SECTION
TOWNSHIP
RANGE
LIDC
MAP NO.
9 A /
ZONING
LAND USE
M
LOT CVG %
(j� Cj �J
TAZ NO.
FLOOD ZONE
FIRM MAP #
—y
`
Pr FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLIT
Before 1/1990
After 1/1990
REQUIRED
APPROVED
i
REPORT
HABITABLE
RADON
PERMIT
CODE
AREA
FEE
FEE
'1 Awl
1 /
(RADON)
LIBRARY
PUBLIC BID
PUBIC BID
PARKS
IMPACT
IMPACT FEE
IMPACT
IWACT
FEE
CORRECTION
FEE
FEE
G
SCHOOL
ROAD
CREDIT
Y.
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE
FEE
FIRFIEMS
EWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
REQUIRED
FEE
VARIANCE FEE
FEE
SPECIFY
MECHANIC ROOF
NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION'
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
' ai 4
/� a8
RECEIVED
D
.z�
DATE
I
/
COMPLETED
INITIALS
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