HomeMy WebLinkAboutApplication for Zoning Compliancer
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OFFICE USE ONLY:
DATE FILED: C&!- `Q
PLAN REVIEW FEE: rU RECEIPT NO.: �(�� PERMIT NUMBER V
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE �COMPLETB .FILLED IN TO BE ACCEPTED
G i
ti St. Lucie County Building and Zoning
2300 Virginia Avenue
.'clORIOp . Ft. Pierce, FL 34982-5652
772462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 2653 N US 11, Ft. Pierce (lot 23)
2. PROJECT NAME:Co 10 t w Club 1/1'1 It '1'� SITE PLAN NAME:
3. PROPERTY TAX ID #: 143341 0-0010-000-5
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 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.
FT.: 714 LOT DIMENSIONS: 52 X 62
9. PARCEL SIZE (ACRES/SQ )
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACnvrrY: Used mobile home install
11. SETBACKS (ACTUAL) FRONT: 12'0° BACK: 15' RIGHT SIDE: 21' LEFT SIDE: 30
12. TYPE OF CONSTRUCTION (Check'i all appropriate boxes)
[I NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ 1 COMMERCIAL [ ] INDUSTRIAL
[X] OTHER (SPECIFY) used mobile home
13. DESCRIPTION OF PROPOSED USE: single family residential
14. SQ. FT OF CONSTRUCTION: 840 15. SF. FT 1st FLOOR: 640
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 submitted with this application.
SLCCDV Form No.: 001-02
OWNER INFORMATION
NAME: Fine Realty Corp dba. Colony Club MHP
ADDRESS: 2601 N. US 1
CITY: Ft. Pierce STATE: F1 ZIP: 34946
PHONE (DAYTIME): (954) 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: 23P:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: 1H0000877 ST. LUCIE COUNTY CERT #: 24068
BUSINESS NAME: Vaporlock Tight
QUALIFIERS NAME: Robert Barrett
ADDRESS: 7551 SW 40th Ter
CITY: Palm City STATE: F1 ZIP: 34990
PHONE(DAYTlmE): (K!2) 215-3830 FAX No. 954-478-7602 Email:
ARCHIT/ENGlNEER: Steve Wood, P.E.
ADDRESS: 950 Sultan Dr
CITY: Port St. Lucie STATE: Fl 21P:
PHONE (DAYTIME): L772) 878-7324
BONDING COMPANY:
ADDRESS:
CITY: STATE: 21P:
MORTGAGE LENDER:
ADDRESS:
CITY: STATE: 21P:
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, fence's, 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.
2-
4ORZ5.
R CONTRACTOR SIGNATURE ACOCCdT_0R G A
STATE OF FLORIDA
COUNTY OF
The foregoing instruml
s acknowledged before
me this 5 day of�'/ " 20P o F<
byUCI� �1� �� UM
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before
me this day of 20 � U .
by
who is personally own or has produced s = C- who is personally known or has produced
ZPUS TO
as identification. w T as identification.
Signature of Wqtwy Signature of Notary
Commission No. (Seal) Commission No. YEAfI�®AR�
IN COMMISSICM # 1b dim
EXPIRE®: Fbbft Mfy 118, 06
i 1�O�ts'OTARV Fi.kst�A�B&�&
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUII.DER, 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 speciSc instructions see appropriate permit checklist.
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OFFICE USE ONLY BP #: or?
SECTION
TOWNSHIP
[�
RANGE
MAP NO.
ZONING
rJ
LAND USE
t'M
LOT CVG %
n�
TAZ NO.
FLOOD ZONE
FIRM MAP #k
I sT FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPITT
APPROVED
REPORT
CODE
J r7
(/
HABITABLE
AREA
(RADON)
RADON
FEE
PERMIT
FEE
13�
a75,
LIBRARY
IMPACT
FEE
.
PUBLIC BID
IMPACT FEE
CORRECTION
PUBIC BID
IMPACT
FEE
RAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
DRIVEWAY
REQUIRED
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
410
DATE
COMPLETED
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INITIALS