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Home My WebLink AboutApplication for Zoning Compliance OFFICE USE ONLY BP DATE FILED PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: SECTION J ) TOWNSHIP RANGE MAP NO. CONCURRENCY FEE: RECEIPT NO.: CERT.CAP. NO.: ZONING / LAND USE LOT CVG% TAZ NO. . ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED �E C1 N FLOOD ZONE FIRM MAP# 1sT FLR ELV _ St. Lucie County Building and Zoning . . ". 2300 Virginia Avenue / �� 1flRlQp Ft.Pierce,FL 34982-5652 CONSTTYPE 7 OCCUP TYPE �/�, MAX #OF FLRS 772-462-1553 WATER C�,�� SEWER SPRINKLERS STORMWATER APPI,ICATIO for �LDING PERMIT LOTOFREC CERTIFICATE of CAPACIT Y/ZONING COMPLIANCE LOT OF REC LOT SPLIT LOT SPLIT Befog 1/1990 After 1/1990 REQUIRED APPROVED j PROJECT INFORMATIO/N�' 1. LOCATION/SITE ADDRESS: Cr/ 2. PROJECT NAME• SITE ,PLAN NAME: CODE RT AREA RADON FEE 3. PROPERTY TAX ID#: _pZ I •Sl/7 (� 7�!✓�ND (RADON) 4. LEGAL DESCRIPTION(attach extra sheets if necessary): S.Ie l""i1111 LIBRARY PUBLIC BLD PUBIC BLD ARKS IMPACT IMPACT FEE IMPACT IMPACT FEE CORRECTION FEE FEE 5. PLAT BOOK 6.-PAGE NO. 7. BLOCK NO./ J 8. LOT NO._�`S SCHOOL ROAD CREDIT Y N LAW ENF 9. PARCEL SIZE(ACRES/SQ FT.): ' & fitltI OT DIMENSIONS: IMPACT IMPACT IMPACT FEE FEE FEE i FIRE/BMS 10. Cg MPLET DESCRIP ION OF C NSTRUCTIO PROJECTOR WORK ACTIVITY: � �filL i E//1 DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE IL Y 2 1! ,( FEE _ SPECIFY MECHANIC ROOF NON-CONFORMING MISCELLANEOUS i- f/J 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: SUBS ELECTRIC C LEFT SIDE: GAS LOT OF RECORD FEES J REQUIRED PLUMBING FEES z5//J' 1 12. TYPE OF CONSTRUCTION(Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL DATE SENT TO ADDRESSING: / / [ ] OTHER(SPECIFY) 13. DESCRIPTION OF PROPOSED USE: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER._.. xEyzl w REVIEW REVIEW REVIEW REVIEW REVIEW 14. SQ.FT OF CONSTRUCTION: �V� DATE" t 15. SF.FT 1st FLOOR: RECEIVED 'V 2 �- .,...�.�..� ._. . .._.�..�,< <.� DATE COMPLETED ` 16. VALUE OF CONSTRUCTION: $ INITIALS 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 CERTIFICATION: This application is hereby made to obtain a permit to do the.work and installations as indicated, and to obtain a certificate of capacitj if applicable,for the permitted work. I certify that no work or installation has commenced prior to the issuance of a pemnt and that a' work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permI OWNER INFORMATION may be required for ELECTRICAL,_PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS �I J AND AIR CONDITIONERS,ETC.,not otherwise included with this building permit application. NAME:��C/� L�G'�►T�J ADDRESS ! • /�I/ 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) CITY: STATE: �� ZIP: T7 structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. PHONE(DAYTIME): ( 1, Email: The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory IF THE FEE SIMPLE TITLEHOLDER(PROPERTY OWNER)IS DIFFERENT--`YI THE OWNER LISTED ABOVE,PLEASE structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- FILL IN NAME AND ADDRESS BELOW. residential use. FEE SIMPLE TITLEHOLDER: ` NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR ADDRESS: l �� q PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 1 OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE CITY: ZIP: RECORDING YOUR NOTICE OF COMMENCEMENT. PHONE(DAYTIME): ( ) I 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 CONTRACTOR INFORMATION' TO ATTACHMENT. ST.of FL-REG.CERT#: ST LUCIE COUNTY ERT#: OWNER'S AFFIDAVIT: I certify that aV1,as g information is accurate and that all work will.be done in compliance BUSINESS NAME:~ bt Ca fi '��!/J �/`� with all appliculating construction and zoning. QUALIFIERS NAME: ADDRESS: CITY: • STATE: ZIP: OWNER OR CONTRACTOR SIGNATURE CONTRACTOR SIGNATURE PHONE(DAYTIME): (� FAX NO. Email: STATE OF FL O A STATE OF FLOR tr' £ COUNTY OF s �^ COUNTY OF ARCHIT/ENGINEER: ADDRESS: The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before ki CITY: STATE: ZIP: me thi�Sday of 20 me this day of ,20 cfl PHONE(DAYTIME): (_) i by 1 �� Jy . C� -`CLc� by BONDING COMPANY: who is personally known or has produced who is personally known �"or has produced ADDRESS: __.k / as identification. s identification. CITY: STATE: ZIP: ` ignatur of Notary Signatu a of Notary �1 lv�I�� a' L"ET l..o NTZ MORTGAGE LENDER: Commission -, dA�' L.PEN1Z Co ssion No.I-J _ S a SyFt+ ��.+iu4404 ADDRESS: =*c �:U' '1?t93i0? 764410.4 - -� ,a �►� , "012 s+i if &).p r-s May.',zJ12 A, ;a"•-0 �x airu i,:a i'roy Fain Inswance BW395d9 CITY: STATE: ZIP: ` f„a` u :u Troy Fain I=ranid0-n`t7919 EVWORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification 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 it will be voided and returned to you by mail. 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. Code Compliance Division BUILDING PERMIT 2300 Virginia Avenue Ft.Pierce,FL 34982 Phone:(772)462-2172 Fax:(772)462-6443 http:l/www.stlucleco.org/public_works/permitting.htm Page 1 hftp://airs.sic.fl.vetr,ol.com/AIRSweb.php Issued: 10/07/2009 Conf#; 500 Permit#: SLC- 0909-0269 Job Location: 2300 VIRGINIA AVE City: FORT PIERCE Permit Type: County Permit Job bescription: INTERIOR RENOVATION FOR OFFICE SPACE FOR ERD-REMOVING 2 WALLS AND RECONSTUCTION OF MULTIPLE WALL W/ELECTRICAL FOR NEW OUTLETS Subdiv: Lawnwood Addition Lot: Block: Parcel: 2416-504-0770-000/8 Setbacks Left: Right: Front: Rear: Zoning: N/A Number of Units: 1.00 Floors: 1 Buildings: 1 Square Footage: 0.00 Minimum Floor Elevation: Flood Map: 189G Flood Zone: X Elev: Owner Builder ST LUCIE COUNTY CENTRAL SERVI (772)216-5681 2300 VIRGINA AVENUE FORT PIERCE , FL 34982 Property Owner ST LUCIE COUNTY (772)462-1400 2300 VIRGINIA AVE FORT PIERCE, FL 34982-5632 u Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those for all electric,plumbing, mechanical,roofing and structural work. Further, he/she acknowledges responsibility to comply with all requirements of the 2007 Florida Building Code and the St Lucie County Land Development Code. Issuance of this permit may be appealed to the St Lucie County Board of Adjustment by an aggrieved party by filing a notice of appeal with the St Lucie County Growth Management Director within thirty(30)days of the issuance of this permit in accordance with St Lucie County Land Development Code,Section 11.11.00.,Appeals. Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced,having called for and received a satisfactory inspection,within six(6)months from the date of issuance of the permit,or if the work is not completed within 18 months (permit by contractor)or 24 months(permit by owner)from the date of issuance of the Building Permit in accordance with St Lucie County Land Development Code Section 11.05.01(A)(2). NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the records of this county,and there may be additional permits required from other governmental entities such as water management districts, state agencies,or federal agencies. s:553.79(10), F.S. WARNING 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s:713.135 (1)(a), F.S. Christopher Lestrange Building Official Date