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HomeMy WebLinkAboutZoning Compliance�F fLC,DATEF s o, PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: TST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 772462-1553 . 5,,n APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: J I Q� • , 1 �� L✓G, , �L-��� 2. PROJECT NAME: CL e-0— �--.A PB J��STTE PLAN NAME: %A- 3. PROPERTY TAX ID #: -&y -CDCO 1 - vo% 4. LEGAL DESCRIPTION (attach extra sheets if necessary).: L yi N!y i r4 �o,T- R,&r��c. 3 g 5; . s l_t��; ,✓ c.��rJ +y . �L is Bo t,9 � -ralo sjP_V . i 5. PLAT BOOK 6. PAGE NO. 22-523 -Z 0, 7. BLOCK NO. _ 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): 16,13 AcR�� LOT DIMENSIONS: _&O rt 014eY �-m-y 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: i r Jzrz vp_ )z—a-No vXi ; e 14 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: N ,A LEFT SIDE: hi al- 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION INTERIOR RENOVATION [ ] RESIDENTIAL D4 .COMMERCIAL [ ] .INDUSTRIAL [ ] OTHER (SPECIFY) / 13. DESCRIPTION OF PROPOSED USE: r1A!=Z _AP��6 14. SQ. FT OF CONSTRUCTION: g900 ✓F L�W 15. SF. FT 1st FLOOR: RBac� � G� 16. VALUE OF CONSTRUCTION: $ 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 coti'struction activities. if the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 ; UPDATED 6/25/09 1 OWNER INFORMATION NAME: 104 A. ADDRESS: IR l(, 70 (mow CtP7fi 'I TYl94 CI: � e- 4J el . Li F � STATE: L ZIP: PHONE (DAYTIME): 02?) 3 ao Email: J i 1-1 P-PV Pe I+�l . 0o r'I 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: PHONE (DAYTIME): CONTRACTOR INFORMATION STATE: ZIP: RT �✓�p0e --,ED w4e-00 cg(o — 033 ST. of FL REG.CERT #: .CA C a -51 q 6133 ST. LUCIE COUNTY CERT #: �L .BUSINESS NAME: /-A QUALIFIERS NAME: o PO L�7o .i (��r r- a JET `I7� - /S( � CELL ADDRESS: 1 to `✓' 2 "`� S'r . CITY: 4:0 t2 i r I F-12G4-- STATE: r-L ZIP: PHONE (DAYTIME): L4!4 .42q FAX NO. Email: Leo O-D LAC WZ . 9137 Pa 12.i s J©rlJ%sS CPU m A i L. cvr7 ARCHIVENGINEER: 3�.�A A- M LUGS 5 5)£4; a --! 4 Qo o ? i rJ c- ADDRESS: 44 4-,g 4,K F_ Pwrzy-- o'k-S 201 CITY: J,AG K 5o j-11i i L F- STATE: r-Lo ZIP: PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: STATE: MORTGAGE LENDER: ADDRESS: CITY: STATE: ZIP: 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. t a f 4 i 1 1 i 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 concu rency 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. .TURF TE OF FLORIDA JNTY OF ST WC-1 E The foregoing instrument was acknowledged before me this a &- day of M ;�Y_Ck� 20 14 , by who is personall own ✓ or has produced as identification. Signature of Notary STATE OF "T I COUNTY OF i("( l— The foregoing instrument was acknowledged before me this day 'of C(. ail. f 20 14 , by who is personally known or has produced +V ANNA E Commission No. -'✓ $t4 -7 � �'1W COMMISS9762A C mission No. EXPIRES: January 7, 2017 BoMW TMu Notoy Nbic UndeAN&M as identification. �pFif o Notary Public State of -Florida I? Kaylin io J May y._ e� My Gonlmissn BE123$1,1 NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE r rr THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST O APPEAR .TO THIS APPLICATION IN THE OFFICE LISTED ONTHr. FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERBUILDER APPLICANTS. For specific instructions see appropriate permit checklist. i I i I OFFICE USE ONLY SECTION TOWNSHIP RANGE MAP NO. ZONING a e LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # IFLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORM WATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 111990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE AREA FEE FEE (RADON) LIBRARY PUBLIC BLD PUBIC BLD PARKS .IMPACT IMPACT FEE IMPACT IMPACT PEE CORRECTION FEE FEE GENERAL SCHOOL ROAD CREDIT Y N LAW ENF IMPACT IMPACT IMPACT FEE FEE FEE FIRE/EMS DRIVEWAY 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 — /� RECEIVED t • 1 DATE COMPLETED INITIALS t I I 4 1 } I