HomeMy WebLinkAboutZoning ComplianceDATE FILED:
PLAN REVIEW FEE: "1 J RECEIPT NO.: 56 f L' 3
CONCURRENCYFEE: RECEIPTNO.:
PERMIT NUMBER: 0-70A Q"6
CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BF, ACCEPTED
St. Lucie County Building and Zoning P ��b -0-n-1
2300 Virginia Avenue
.'2t7R Ft Pierce, FL 34982-5652
772462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
I, LOCATION/SITE ADDRESS:, U S Nu�Y
2. S/DNAME: "01].)&)) PLAZA t�SIITE',PLANNAME: .
3. PROPERTY TAX ID #: N I1 �-� i - " 11 a-- 45D� O
4. LEGAL DESCRIPTION (attach extra sheets if necessary): — 71 lil.( .l D i —g""S -
5.
PLAT 6. PAGE 7. BLOCK
8. LOT —
BOOK _ %� NO, NO,
�—
NO.
9. "
PARCEL SIZE: ACRES/SQ FP. LOT DIMENSIONS'
m
DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
kl(4P Or
DEN PX:n��� ✓'
Pet fior- . wbpx �4c,��
c .
12A0
11.
SETBACKS (ACTUAL) FRONT: BACK: RIGHT:
SIDE q1J
LEFT:
SIDE t\,f A
N,lpk: �f�
_
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL COMMERCIAL
] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. Sq. FLICONSTRUCTION:��
INTERIOR RENOVATION
] INDUSTRIAL
15. Sq. Ft. Ist Floor:
16. VALUE OF CONSTRUCTION: $ 30, Olt) �O 1
The vahte 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 ofeonstructiun 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'
III
v
Q1
NAME: CA ViYI bo , - U zg .—
ADDRESS:
CITY: t STATE: /JS 1 ZIP 2� 3
PHONE (DAYTIME): email:
IF THE FEE SIMPLE TITLEHOLDER (PROPEL OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW. iCS `fir 1
�>: C1A�PTFTS'r7 �.-.<,. rn. (a`Aln,�' ���'JS.I��>��� F✓ _
ADDRESS: �&6 3�r us
-
CITY: p'191+ 54-- W !A STATE: ZIP J�2
PHONE(DAYTIME):(5W) 33g 'i2 if
CONTRACTOR INFORMATION
ST- of FL REG.lCER T #: ` ST. LUCIE COUNTY CERT #:
BUSINESS NAME: Q,�fl IIJVI13h
QUALIFIERSNAME: F�5
ADDRESS: f-/} �" -A CAI YEA l /��1 c IV L(.CJ' f 1 te=� -
CITY: P n U1 1 "V STATE:
PHONE (DAYTIME):
ARCHITlENGINEER: Llell�O
ADDRESS: nn t �6i K5 - �iti
CITY: - Nl 1 CmW11 STATE:_:
PHONE (DAYTIME)- (1505) L{�%G9(.0
BONDING COMPANY:
AT A RFss.
CITY: STATE: r
MORTGAGE LENDER:
ADDRESS:
ZIP
email:
3'� 0
ZIP
�J.7�10 pZ
ZIP
CITY: STATE: ZIP
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notifi, ation
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, ETC., not otherwise included with this building permit application.
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: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF 1T IS NOT YOUR RIGHT, TITLE,
AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS
PERMIT YOU PROMISE IN I GOOD FAITH TO DELIVER A COPY OF THE ATTACHED
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO ATTACHMENT.
OWNER'S AFFID YJT: I certify that all the foregoing information is accurate and that all work will be done in compliance
with all applicable laws regulating construction and zo ing.
1(
E CONTRA R SIGNATURE TRA TO SIG TURF
COUNTY OF STATE OFF DA
�� f, STATE OF FLQat n
COUNTY OF jV
The foregoing instrument was acknowledged The foregoing instrument was acknowledged
befarem thisc`o -day of QVb. 2000" by before me this Z day ofT�Ik1_, 2043by
who is personally , k fflwho is personally
nown to me r who has produced mown to r who has produced
as identification: as identification.
Mature of Notary 91grAture of Notary
A.
Type or Print Name of Notary Type or Print Name of Notary
tRRv oo l GENEVIEVE A.
L�
GENEVEWADYIEVEFI rimrua
Commission No. Suet"GOMMISSIONJDDSIBOBS Commissi M 0
c� EXPIRES: December 4, 2010 *r5e'�"
Y.PIfiES: DGcerrt r 2010
"'t'orri BondedThN ButlgMAblety Servkea i?.r�,mkdThN BudgetNotuyServicesNOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BEIZED. IF APPLYING FOR
THIS BUILING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN:THE OFFICE LISTED ON THE FRONT OF THE APPLICATION.
Forspecific instructions see appropriate permit checklist.
SECTION
'Zlb
TOWNSHIP
RANGE
k( )L,
a
MAP NO -
j
ZONING
ZONING
F
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
/ \
FIRM MAP #
IST FLR ELV
MAX HGT
CONSTTYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
i . it - I
�4 w
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC (after
LOT SPLIT
LOT SPLIT
ADMINST
LIBRARY
- PARKS
PERMIT
VARIANCE
IMPACT FEE.
IMPACTFEE
FEE
REPORT
PUBLIC BLD -
..
HABITABLE.
RADON FEE
CODE{
IMPACTFEE
AREA
r
ON
SCHOOL
GROSS ROAD
C -
Y N-
TOTAL ROAD
IMPACTFEE
IMPACTFEE
IMPACT FEE
DUE:..
SCHOOL
CREDIT
Y
N
TOTAL
IMPACTFEE
SCHOOL
im
MOM �
... ..
IMPACTFEE
POLICE FEE
FIRE FEE
MISC FEE
TOTAL
POLICE/FIRE
MISCFEES...
C I G CII.
ADDITIONAL
Y
N
SPECIFY �+
TOTAL
PERMITS
of ALL
REQUIRED
FEES
REVIEWS ZONING ZONING PLANS MISC. VEGETATION SEATURTLE MANGROVE
2 REVIEWED BY EXA�Mj ING
DATE
COMPLETE
G
INITIALS