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HomeMy WebLinkAboutApplication for Zoning Complianceoi" Imf ONLY. y0 SL - ?", � O0Y• O M DATE FILED: . RECEffT N06L1 _ J.--F—� PERMIT NUMBER. PLAN REVIEW PEE: RFC mT NO-: CERT. CAP. NO.: CONCURRENCY FEE: T BE COMPLETE & FILLED IN TO BE St. Lucie County Building and Zoning 230D VirVala AVeaae FL Pierce• FL 34992-5652 772.462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONINGCOMPLIANCE PROJECT INFORMATION / 1 �✓Y Cc+ y� 1, LOCATION/SITE ADDRESS: • A X� � 2. SID NAME: STTEP PLAN NAME: lap_ 00/0 —UOO shears if w�ess�wy): —s V 3. PROPERTY TAXID#: ,L e y o N 3.5�• a. LEGAL D ryCR P4j(jj.5 YL/extraL✓� 1 Hi P- Oe5nf s4 CDR f A) 31CSg'of S 13: 6. PAGE 7= BLOCK & LOT 5. PLAT � g Q � NO ' NO. - NO. BOOK PARCEL SOB: ACRESISQ. FT_ LOT DIMENSIONSVol 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: rslSTa�� %yl /� RIGHT - 15.4Z 5 15• � ` It. SETBACKS (ACTUAL) FRONT:1Q yt/BACK: /S / SIDE �S1 It SID : 18 / 12- TYPE OF CONSTRUCTION (Check all appropriate boxes) _ [ j NEW CONSTRUCTION (/)Q EIIPANSIONIADDITION (J INDUSTRIAL ORR R NOVATION () RESIDENTIAL `nKII N.S2�Z COMMERCIAL( 7 OTHER (SPECIFY) 13. DESCRIPTION or PROPOSED IiSE ,Qefi Grl / R 14. Sq. FUCONSTRUCTION: ` s* • Liz> 15. Sq. Ft IstFloor. & 7 a 16. VALUE OF CONSTRUCTION: $ 00 7be value aE ewsemctivn is used to dc[etmive the amaws of permit fete bbe $25tf assessed..Lucie Cowry rzserves die riaw gvsrim avd/ornm 25 the iadi�ated valve o£cdivtrucriw if it is demovgaated Orel the avbednr�fig.¢e5 am nvtemsistme wiltlb similar types vfewsFmeriw actimvities. the .aloe is 00 or vusa,a RECORDED Narita of C�rmustbe submitted with tbis 9011426M SLCCDV Form Na-: 00I-02 (p-f 4V u. OWNER INFOR AT10N NAME: Ei'me 4�,4x Corp ' Colii olx dc% Mae ADDRESS: ,� ¢v,Ql �, Ill• t45 (iu I y/ CITY: E+' Q, 6rCQ . STATE: F I ZIP PHONE (DAYTIME): SQ�!�71-7ira0�1- emvl: yeuo•r� �Colo.+yGI H6 n� .coy-n IF TIRE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFMMIT FROM THE OWNER LISTED ABOVE, PLEASE FILL INNAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: STATE: ZIP PHONE (DAYTIME):. (._) V CONTRACTOR INFORMATION ST.dFLREG.ICERT 19000$79 BUSINESS NAME: roue 13 a- g QUALIFIERS NAME: To f%'I- n life ADDRESS: �SD> GC'.✓! f ST. LUCIE COUNTY CERT #: 19 a erv,L e CTTx:. 1= 4- 9, erc e STAVE: FI ZIP PHONE (DAYTIME): %17600 FAx.No. MY61YAy7ia-emait:%owe.� G ARCInT�ENGrn�eR: -� p 09�.. ADDRESS pSU Sty 1 Tn r .D✓ ,I s L. F I =-: PS c- STATE: _ �' 1 ZIP PHONE (DAYTIME): d ?dj ff 7S -7.3 ;1''/ BONDING COMPANY: N//9 ADDRESS: CITY: ,A STATE: ZIP MORTOAGE.LENDER: ,A41y -ADDRESS: CITY: .. STATE: ZIP IWORTANT NOTICE: When a pern At is issued and it is not picked up within 60, days after notification it will he voided and returned to you by mail. I�P-n E CEkTMCATr4N: of ��. _ installations as indicated+ and to obtain a oeatifu:atet f c that an ymawork to do the work aon Apr orto die nderstc d le ate ts This Utabk, fo is hereby drat no work or installation hasthis rsdretioa I BEATERS TANKS, if apbjj able, for the permitted meet standards of all laws xegvlanug VURNACFS BOILERS, work wIlbeperformed pypWING,SIGNS,WELLS,POO ' tapplicadoo- may be regvired for ELECTIUCAU kd' iththis building p� A" AIR CONDITIONERS, FTC., not Odlerwisemclv oing a fall coucurrency review: room additions, accessory. applications t frol gscremrooms. utility. substations & accessory uses to. another non- ace exempt The following building Perna arg poi � '°ems' signs, structures Can type'), t BMisNT MAY RESULT IN YOUR residential use. NOTICE OF COMMEN TY IF YOU INTEND TO NOTICE TO OWNER: NOTICE TO APPLICANT: OWNER'S AFFIDAVIT: FAILURE TO RECORDA TO YOURPROFBR ATTORNEY BEFORE FAYINGTg1ICE FOR INIPROVF.M�TS YOUR OLENDER OR AN BTAIN FINAN�r'' CONSULT WTTII REt ORDIPIG YOUR NOTICE OF COMD1fiNCEMENT. IT is O YO RI HT AM ICANT FOR THIS BUILDING P er, � AS A CONDITION OF THIS AS THE TIvpT Is ci rFCr TO ATTACH] PfiRIwQT 40U PROMISE iN GOOD FAITHTO DELlvbtt R COPY OF THE ATTACHED LAW NOTICE TO THE AN pgRSON WHOSE PROPERTY IS SUBJECT CONSTRUCTION I' ---^_F --� TO ATTACIiD4ENT- that all the foregoing inforrut ouis aceorate and that all work will be done in complianrE I certify .construction and zomn&. wilt en applicable laws regulating � or wbohas produced commission No. _ f___._! (seal) NOTE: TWO (2) Slvru IU-- AS AN THIS APPLICATION OF ty gAfTOR SIGNATURE STATE OF F•a��'ytt��i COUNTYO� _ , ._ see appropriate pelmet cbecklist For speciiciDsGnlctans No. SPLYING FOR PEAR TO SIGN 6FFICE USE ONLY -.. nr rr, s az'wz= SECTION 3'3 TOWNSHIP. .�1 . C' "1 RANGE LO �i MAPNO- ZONING '(2 m�„ LAND USE LOT CVO 96 TAZ'NO: FLOOD ZONE FIRM MAP.# I FI:R ELV MAX 1iGT OCCUP TYPE MAX OCCUP # OF FLRS CONST TYPE SEWER C�yl�,.r SPRINKLERS STORMWATER WATER l', '� LOT OF REC LOT OF REC (after LOT '.. .LOT Spur FIEiIiRED LGT SPLIT APPROVID (before I/9G) ) " .r N. • : :. ADM LIBRARY PARKS IIMPACT.FEE PERMIT FEE VARIANCE VARIANCE IMPACT FEE PUBLIC BLD HABITABLE RADON FEE REPORT rj ©� I+IPACT:F&E AREA CODE "'"1 {RADON) SCHOOL GROSS ROAD'', GROSS CREDIT Y N TOTAL ROAD IMPACT FEE IMPACT FEE PEE .....,. N t -{ POLICE FEE FIRFsFEE MLSC FEE TOTAL POLICE/YTRE MISC FEES ADDITIONAL Y N SPECIFY V TOTAL of ALL PERMIT'S FEES REQUIRED r � REVIEWS ....ZONING .. ZONING REVIEWED BY ...PLANS EXAMNG MISC. VEGETATION SEATURTLE MANGROVE ,n�T