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HomeMy WebLinkAboutZoning Compliance Use PermitOFFICE USE_ ONLY_ : 1 DATE FILED: PLAN REVIEW FEE: CONCURRENCY FEE: 1. 2. 3. 4. 5. 9. 10. RECEIPT NO.: 7) o2z�-O PERMIT NUMBER: 430 RECEIPT NO.: CERT. CAP. NO.: ,. i: 4-- r =:, 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 Lcr�n �v ak d CERTIFICATE of CAPACITY/ZONING COMPL s gPROJECT INFORMATION LOCATION/SITE ADDRESS: / QU W,+t2S0 Nor fJ JA 34549 PROJECT NAME: D 6 V e, SITE PLAN NAME: PROPERTY TAX ID #: / cPl�3o2 - S-6 o - 0061 ` 000 - Z LEGAL DESCRIPTION (attach extra PLAT BOOK 6. PAGENO. 7. BLOCK NO. 8. LOT NO. 5 33 5yC PARCEL SIZE (ACRES/SQ FT.): �' Z LO jD, NSIONS:Y Z COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: C 0jA5Tt2 1 C.� A 1-Pi J 3 5 -x-on •1 S e ✓1 Ci-/il r /' A/Y7 liy 12 U1, 1/ ✓ l/ 11. SETBACKS (ACTUAL) FRONT: I 0 1 BACK: - --�- RIGHT SIDE: 6 LEFT SIDE: TYPE OF CONSTRUCTION (Check all appropriate boxes) [] NEW CONSTRUCTION RESIDENTIAL OTHER (SPECIFY) [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] COMMERCIAL [ ] INDUSTRIAL DESCRIPTION OF PROPOSED USE: S 1 0 CG(j ��4#Y7 i LLI SQ. FT OF CONSTRUCTION 5"5/a- VALUE OF CONSTRUCTION: $ 3S3 i 0 DU 15. SF. FT I 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: ADDRESS: CITY: 1�-f . #' i Z4,C S-- ff / STATE: NCB ZIP: PHONE (DAYTIME): (�S 3 3 1� 4 Email: � 1 e yam. 3 q A- o L- e- o IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): L_) CONTRACTOR INFORMATION ST. of FL REG.CERT #: C BUSINESS NAME: i(iV 14 5Tfi2r?/ECeF STATE: ZIP: ST. LUCIE COUNTY CERT #: 0 QUALIFIERS NAME:�1�L ADDRESS: itg- C� I 0 O Ayy riJ 111�— CITY: C—r-e)At&-r— STATE: ZIP/I: 3 94 PHONE (DAYTIME): (Z� �� 9 6 FAX NO. 77a- a-g 3 a! 7vEmail: bo uJ'elm IV a skrP! zGQ ARCHIT/ENGINEER: 0_ Lj C ADDRESS: t( 7% r w N f4'` rA A. I CITY: pock 1?k+0 ,n STATE: ZIP: 3 3 y 3 c9- PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: �- STATE: ZIP: /� MORTGAGE LENDER: /�ACC�� l.b&c, t 0z o q, T ()A l oyi ADDRESS: 0 V.� �l1 • 1r r Iiik -n, 90.40 CITY: 16,1 p STATE: c ZIP: 3 Z 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. r _ UERTIFICATION: 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, FENCES, ETC., not otherwise included with this building permit application. 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 structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. 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: 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 JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACpHMENT. �_r, �,(\ ( �.\" Q_Q_ OWNER OR CO A URE STATE OF FLORIDA��//JJ COUNTY OF X1/9 A % /� The foregoing instrument was acknowledged before me this I? day of 20 l , by who is personally known or has produced as identification. Signature of Notary Commission No. * * hiYCOMM�SI1�#EE0iM EXPIRES' it ry9,2015 s���+'oFFl.��`��! BoncbdThri+BuCgetNeMy11IN11C ,_, I V 'll1' STATE OF FLORIDA S COUNTY OF The foregoing instrument was acknowledged before me this ty""" day of S 20/-3, by C%e Y2j'z/ who is personally known Signature of N ary Commission No. or has produced as identification. 2 ' #EE 18W Q• NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTAR� `•. � `P G FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PER,'; � y iit `.; 1 TO SIGN 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. EvIrAl.1 I � 11VIrAt-1 L40 \ 11V1YH1.1 FEE I I 1 FEE FEE FIRE/EMS IMPACT 5y6 DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE FEE SPECIFY MECHANIC ROOF Gf" NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC V GAS LOT OF RECORD FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: e/LD 1 �2 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER nVmW FEVIOW REVIEW REVIEW REVIEW REVIEW DATE G RECEIVED 812013 I DATE p� COMPLETED n INITIALS