HomeMy WebLinkAboutApplication for Zoning ComplianceOFFICE U_SE ONLY:
PLAN REVIEW FEE: RECEIPT NO.:.60VI PERMIT NUMBER:0 -
CONCURRENCY FEE: RECEIPT NO.: 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
F�OR1ap Ft. Pierce, FL 34982-5652
772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITYMONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 2695 N US 1, Ft. Pierce (lot 50A)
2. PROJECT NAME: en h) n)j 0, I u-6 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 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: 54 X 83
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: Used mobile home install
11. SETBACKS (ACTUAL) FRONT: 12'0" BACK: 22'4" RIGHT SIDE: 30' LEFT SIDE: 65Or
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[I NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL [ ] COMMERCIAL
[x] OTHER (SPECIFY) used mobile home
DESCRIPTION OF PROPOSED USE: single family residential
SQ. FT OF CONSTRUCTION:
1176
VALUE OF CONSTRUCTION: $
$2000
[I INTERIOR RENOVATION
[ ] INDUSTRIAL
15. SF. FT 1 st FLOOR: 1176
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: FI ap. 34946
PHONE (DAYTnVIE): (9§4) 478-7602 EmO: 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 (DAYT ME): (_)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: I H 0000877 ST. LUCIE COUNTY CERT #: 24068
BUSINESS NAME: Vaporlock Tight
QUALIFIERS NAME: Robert Barrett
ADDRESS: 7551 SW 40th Ter
CITY: Palm City STATE: FI Z[p: 34990
PHONE (DAYTIMm): 7( 72 l 215-3830 FAX NO. 954-478-7602 Ems:
ARCHIT/ENGINEER: Steve Wood, P. E.
ADDRESS: 950 Sultan Dr
CITY: Port St. Lucie
PHONE (DAYTIME): 7( 721 878-7324
STATE: FI
AP
BONDING COMPANY:
ADDRESS:
CITY: STATE: ZIP:
MORTGAGE LENDER:
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.
OFFICE USE ONLY BP #: •Cl
SECTION
3
TOWNSHIP
3 / S
RANGE
v E.
MAP NO.
ZONING
/II
LAND USE
-9m
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1s'r FLR ELV
MAX HGT
-3S
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FIRS
WATER
EWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 111990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
D 7
HABITABLE
AREA
mom
RADON
FEE
PERMIT
cZ175
LIBRARY
IMPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BID
HVVACT
FEE
G
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
EWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY,, -'MECHANIC
SUBS,, -'ELECTRIC
ROURED
ROOF
✓ GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING: !� /
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
) a
i� v�
% "-r/8
DATE
COMPLETED
13 I o Od
/ �S
INITIALS
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 concunency 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.
OWNER OR CONTRACTOR SIGNATURE d6NTRAdToR SIGNATURE
STATE OF FLO !V /- STATE OF FLORIDA.5
COUNTY OF COUNTY OF r,L�
The foregoing instrument was acknowledged befor ..dV1-`,, The foregoing instrument was acknowledged before
me this day of 20 P me this 0 day of 20
a ''~'+nitre,•
by 409W-D by
a
ii O Y
who is personall own or has produced o who is personally known or has produced
z se m
��L �(e3y 7(oSs?3o7 d
tificatio '�= as identification.
RPH
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SiSlkna Notary.
0yo1A AkOY BARRIOS
Commission No. (Seal) Commission No. ` spy r,�►0N # D 1"70W
EXPIRES: Februafy 13, 2010
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NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE 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.