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Application for Zoning Compliance
ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT P BUILDING PEPWIT SUB -CON TRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): S1 have agreed to be the (Company Name/Individual Nam sub -contractor for (Type of Trade) (Primary Contractor) for the project located at (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES AIZE REQUIRED SIGNATURE Business Name: Address: City/State/Zip: Phone: / OFFICE USE ONLY: PRINT NAME DATE email: PERMIT 0 - ISSUE DATE r a'I'. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR SUMMARY will be using the (wmpany�ndividual name) following sub -contractors for the project located at (street address or property tax ID #) It is understood that if there'is any change of status regarding the participation of any of 1 ' the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. ��tf �M�N7ffffHfM�ffffftrft�Rt�ff •tf tf fffff�f lff Mtff ff> Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Plumbing Electrical HVAC/Mechanical Roofing Gas OFFICE USE ONLY: SLCCDV FORM NO.: 003-00 J Property Appraiser - St.Lucie County, FL Page 1 of 1 St Lucie County Record: 1 of 3 Property Identification Site Address: 2300 VIRGINIA AV Sec/Town/Range: 16 :35S :40E Map ID: 24/16S Zoning: PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Pa rc e I I D: 2416-504-0770-000-8 Account #: 25850 Land Use: COUNTIES City/Cnty: FORT PIERCE Exemptions Permits Map Ownership and Mailing Legal Description Owner: St Lucie County LAWNWOOD ADDN ALL THAT PART OF VACATED BLKS 110, 133, Address: 2300 Virginia Ave 134 AND 159 BOUNDED ON N BY SLY R/W RHODE ISLA Fort Pierce FL 34982-5632 More... Sales Information Assessment Final Value Total Land and Building Date Price Code Deed Book/Page 2004 Val: 23127400 Land Value: 3714000 Acres: 24.36 6/1/1988 100 01 CV 0598 / 1832 Assessed: 23127400- Building Value: 19413400 Ag.Credit: 0 Finished Area: 168087 SgFt Exempt: .23127,400 Taxable: 0 TotalTax: 0 BUILDING INFORMATION Exterior Features View: RoofCover: GY - Gypsum RoofStruct: TP - Steel Conc ExtType: HROF - OFFICE YearBlt: 1977 Frame: Grade: S+ - S+ EffYrBlt: 1977 PrimeWall: BR - 8in Brick StoryHght: 0020 - 2 Story No.Units: SecWall: Interior Features Bed Rooms: 0 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: HeatType: FHA - FrcdHotAir AvgHt/FI: STD 1/213ath: HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure ELEV - ELEVATOR S 1 2220 AV AV 1977 1 8600-COUNTIES 320 -Sq Feet 530561 CNC1 - CONCRET HIGH Y 1 72000 AV AV 1989 2 8600-COUNTIES 320 -Sq Feet 530561 ASP1 - ASP1 HIGH Y 1 100300 ' AV AV 1977 CURB - CEMENT CURB Y 1 733 AV AV 1977 LGT1 -SINGLE LIGHT Y 1 5 AV AV 1989 LGT2 - DOUBLE LIGHT Y 1 4 AV AV 1989 LGT4 - QUAD LIGHT Y 1 2 AV AV 1989 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED Depth http://www.paslc.org/PRC.asp?prclid=241650407700008 3/23/2005 �ir�icf�;vort Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1168 BUILDING PERMIT Issued: 03/23/2005 Conf #: 501 Permit #: SLC- 0503-1489 Job Location: 2300 VIRGINIA AVE City: FORT PIERCE Permit Type: . Commercial Renovation Job Description: RENOVATION ON 2ND FLOOR FOR NEW PERMITTING DEPARMENT TO INCLUDE INSTALLATION OF PARTITION WALLS & ELECTRICAL WORK. Subdiv: Lawnwood Addition Lot: Block: Parcel: 2416-504-0770-000/8 Property Owner St Lucie County ( ) - 2300 Virginia Ave Fort Pierce, FL 34982-5632 Setbacks Left: Number of Units: 1 Minimum Floor Elevation: Right: Front: Floors: 1 Flood Map: Roof Type: Roof Pitch: Additional Info: Job Value: $12,000.00 Rear: Zoning: N/A Buildings: 1 Square Footage: 0.00 Flood Zone: N/A Elev: Total Roof Area: Page 1 Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Standard Building Code including those for all electric, plumbing, mechanical, roofing, and structural work. Further, he/she acknowledges responsibility to to comply with all requirements of the 2001 Florida Building Code. NOTICE: In addition to the requirements in 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 BUILDING IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s.713.135, F.S. Building Official Date For Automated Inspections, Call (772) 462-1261 For Questions, Call (772) 462-2172 Building Code Compliance Division Fee Receipt 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1168 i Date: 23 March 2005 Address: 2300 VIRGIMA AVF Received By: grimd Paid With: FW Paid By: Sign: Receipt #: 0000011412 PermitNumber: SLC- 0503-1489 Amount: $373.00 Credit Card Number. Check Number: CERTIFICATION: OWNER INFORMATION NAME: � C— ADDRESS: CITY: l STATE: V—' L ZIP :3 4q � off- " Cj 63 --)- PHONE (DAYTIME): (_, email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW__ .rr FEE SIMPLE TITLEHOLDER: lV A ADDRESS: CITY: PHONE (DAYTIME): STATE: ZIP CONTRACTOR INFORMATION ST. of FL REG./CERT #: ST. LUCIE COUNTY CERT #: BUSINESS NAME: _ QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP PHONE (DAYTIME): FAX NO. email: ARCHIT/ENGINEER: ADDRESS: CITY: STATE: ZIP PHONE (DAYTIME): ( ) BONDING'COMPANY: C� ADDRESS: CITY: MORTGAGE LENDER: 5 (� ADDRESS: CITY: STATE: 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. 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: STATE OF FLORIDA COUNTY OF 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 zoning: X SIGNATURE CONTRACTOR SIGNATURE The foregoing instrument was acknowledged before me this _ day of , 20 • , by who is personally known to me or who has produced as identification. Signature of Notary Type or Print Name of Notary Commission No. STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of , 20_Lj by who is personally known to me or who has produced as identification. Signature of Notary Type or Print Name of Notary (Seal). Conirnission No. (Seal) 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. OFFICE USE ONLY BP #: SECTION I ' TOWNSHIP 36 RANGE ' r o MAP NO. 2 ZONING LAND USE N'A LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # Is" FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER WER SPRINKLERS STORMWATER LOT OF REC (before 1/90) LOT OF REC (after 1190) LOT SPLIT REQUIRED LOT SPLIT APPROVED OFFICE USE. ONLY: DATE FILED: 3 - oZ 1 - (� PLAN REVIEW FEE: RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: 1. 2. 3. 4. 4 9. 10. 13 PERMIT NUMBER: o 50 3 - M1 CERT. CAP. NO.: ALL INFO MUST BE COMPLETE..& FILLED IN TO BE ACCEPTED J(,\E CpG St. Lucie County Building and Zoning. FP • 2300 Virginia Avenue ORI� Ft. Pierce, FL 34982-5652 772-462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION LOCATION/SITE ADDRESS: Z 3C0 '6-5q 1 Yl ICE } YG S/D NAME: SITE PLAN NAME. PROPERTY TAX ID (y (� D4 0 1-7 O O LEGAL DESCRIPTION (attach extra sheets if necessary): PLAT 6. PAGE 7. BLOCK BOOK NO. NO. PARCEL SIZE: ACRES/SQ FT. N A LOT DIMENSIONS _ DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: \one_\u A-;AQ MSA0,V\aA-(13'-A c)-F ORV-Vi 01 8. LOT NO -a) -A e_.\e SETBACKS (ACTUAL) FRONT: BACK: RIGHT: LEFT: SIDE SIDE_ TYPE OF CONSTRUCTION (Check all appropriate boxes) . [ ] NEW CONSTRUCTION [ J EXPANSION/ADDITION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] OTHER (SPECIFY) DESCRIPTION OF PROPOSED USE: [ ] INTERIOR RENOVATION [ ] INDUSTRIAL 14. Sq. FtJCONSTRUCTION: 2 `l'©d S F� 15. Sq. Ft. Ist Floor: 16. VALUE OF CONSTRUCTION: $ /41 O-L�) 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