HomeMy WebLinkAboutApplication for Zoning ComplianceOFFICE USE ONLY:
DATE FILED:
PLAN REVIEW FEE: RECEIPT NO.: _
CONCURRENCY FEE: RECEIPT NO.:
PERMIT NUMBER: 7 l O D
CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: Oboo VIrgtr)ic_ �12 Gr+ �jerm
2. PROJECT NAME:� TIOor SrCal% room SITE PLAN NAME:- Lucie CW Admi n i6*0 d4 on
3. PROPERTY TAX ID #: a-41 u - 5oA' O-4-4 0 - COO-8 l d i ng
4. LEGAL DESCRIPTION (attach extra sheets if necessary): 'Pte.,ckS>✓ Se--- Q'i Ched
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.):2-4•z)u aGre5 LOTDIMENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
dui Id_oLA::� of 2lO Row- old "�rr'nt"na sPacy
11. SETBACKS (ACTUAL) FRONT:N/) BACK: N /A RIGHT SIDE: U /A LEFT SIDE: NA
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [.J( INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE: P--">, 16 pl l} k6c ow, U SpnCt
SQ. FT OF CONSTRUCTION:
VALUE OF CONSTRUCTION: $ 101 OOP
15. SF. FT 1 st FLOOR:
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
UPDATED 6/25/09
OWNER INFORMATION
NAME: 5- LUGe C4:<.I�fTi1/
ADDRESS: 2 Vi(�11f110►.•
CITY: �-nr% i?' ierce_ STATE:
ZIP: 34982
PHONE (DAYTIME): 1� _4uu 1432— IDM' Pyr)1% Email:
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IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNE�FERENT FROM THE OWNER LISTED ABO , PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER: W/k
ADDRESS:
CITY: STATE:
ZIP:
PHONE (DAYTIME): �)
CONTRACTOR INFORMATION
ST. of FL REG.CERT ST. LUCIE COUNTY CERT #: _ NIA
BUSINESS NAME: 2A. Luce Gc rUnN
QUALIFIERS NAME: Dwr)er 10W 1610C
ADDRESS: Z)Op V iyocli rrli CJ�_ AV e
CITY:1-6r+ Piercc STATE: I.
ZIP: 54qS7
PHONE (DAYTIME):IM4(02-1432 FAXNO.4(o2.144-4
Email"r1�nr1gC5�lyc�ccp.c�rr�,
_ m. �nn, prg3cci =rpTr
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ARCHIVENGINEER: N/A
ADDRESS:
CITY: STATE:
ZIP:
PHONE (DAYTIME):
BONDING COMPANY: N/A.
ADDRESS:
CITY: STATE:
ZIP:
MORTGAGE LENDER: MA
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.