HomeMy WebLinkAboutTradition Development Company LLC - 23040188EOCEIL,SONLY: D
DATE FILED b
PLAN REVIEW FEE: RECEIPT NO.: ¢��3J PERMIT NUMBER:
CONCURRENCY FEE- ? RECEIPT NO.: CERT. CAP. NO.: s %3 llli�'i �lJ
ALL INIFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
St. Lucie County Building and Zoning
" 2300 Virginia Avenue
Ft. Pierce, FL 34982-5652 [
561462-1553 2 3 0 4 0 l 9 S
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1 QO S S�radlfi> on Pkwy ,:. ,
1. LOCATION/SITE ADDRESS. ---= -- --- - _- ,
2. S/D NAME: A ... Y - _ - SITE PLAN NAME.
3. PROPERTY TAX ID #: 4310 323 OOgt 0003
4. LEGAL DESCRIPTION (attach extra sheets if necessary): aee aftaChed
5. PLAT 6. PAGE
BOOK _..8.._ ..,.,, NO. ISM$.__.,,.,:..
7. BLOCK
NO. ,..:. ...,
8. LOT
NO.
9. PARCEL SIZE- ACRES/SQ FT O$9� AG
LOT DIMENSIONS
10
11. SETBACKS (ACTUAL) FRONT: ,BACK RIGHT 4 LEFT
r <:
I5`- SIDE 15 SIDE I5
i
�12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
j✓ NEW CONSTRUCTION [ EXPANSION/ADDITION j INTERIOR RENOVATION
j RESIDENTIAL -- .1✓ _,COMMERCIAL.... l: INDUSTRIAL_
1 OTHER (SPECIFY) .....
13' DESCRIPTION OF PROPOSED USE. Property/Boundary Marker
14. Sq. Ft./CONSTRUCTION: �02�4r _ „- _ 15. Sq. Ft. 1 st Floor
16. VALUE OF CONSTRUCTION: $ $25000 00
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
CONTRACTOR INFORMATION
ST. of FL REG./CERT #.-- --_ ..- ST. LUCIE COUNTY CERT #:
BUSINESS NAME: 5
r
QUALIFIERS NAME:c
ADDRESS:
CITY.-� STATE 5,:.. ._._..__ ZIP
PHONE (DAYTIME): (7?Z) Y.L ..._:i=._ FAX NO. email:
email:
ARCHIT/ENGINEER
ADDRESS: 800_Dotxglas fintxance------------
CITY. Coral Gales __ STATE: - ZIP
PHONE (DAYTIME).
BONDING COMPANY. N/A
ADDRESS: = s --- --- = --=Y
CITY:.
MORI
ADDR
CITY:
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, 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 IT IS NOT YOUR RIGHT, TITLE,
AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS
PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO ATTACHMENT.
OWNER'S AFFIDAVIT:
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 zonin .
OWNER/CONTRACTOR SIGNATURE CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this _ day of , 20_, by
who is personally
known to me or who has produced
as identification.
STATE OF FLO A
COUNTY OF U.t✓(.P
The foregoing instrument was a knowledged
f e me t SW day ofQ, 2
w s personally
known to me or who has urod
Signature of Notary Signature of Notary
V
identification.
+F�"''�N'� NIL
Type or Print Name of Notary Type or re6ft OtWION # DD 10e402
or IV EXO RES. June2.2008
Commission No. (Seal) Commi rbraav rm "'"`�`
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. 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.
For specific instructions see appropriate permit checklist.
SECTION
TOWNSHIP
ZONING
LAND USE
FLOOD ZONE
FIRM MAP #
CONST TYPE
OCCUP TYPE
SEWER
WATER
LOT OF REC
LOT OF REC (after
ADMINST
LIBRARY
VARIANCE
IMPACT FEE
PUBLIC BLD
REPORT
CODE
IMPACT FEE
SCHOOL
GROSS ROAD
IMPACT FEE
IMPACT FEE
DUE
SCHOOL
CREDIT
IMPACT FEE
POLICE FEE I I FIRE FEE
ADDITIONAL
PERMITS
REQUIRED
Y I N
N I SPECIFY
REVIEWS ZONING . ZONING
REVIEWED�l
DATE r:.*..*..
COMPLETE .
INITIALS
RANGE
MAP NO.
LOT CVG %
TAZ NO.
1ST FLR ELV
MAX HGT
MAX OCCUP
# OF FLRS
SPRINKLERS
STORMWATER
LOT SPLIT
LOT SPLIT
PARKS
PERMIT
IMPACT FEE
FEE
HABITABLE
RADON FEE
AREA
(RADON)
CREDIT
Y
N
TOTAL ROAD
IMPACTFEE
7 L
TOTAL
ssv
s{=
IMPACT FEE
MISC FEE
TOTAL
POLICE/FIRE
MISC FEES
TOTAL
of ALL
FEES
PLANS - i MISC. I VEGETATION I SEA TURTLE I MANGROVE
EXAMING