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Home My WebLink AboutApplication for Zoning ComplianceOFFIC T41W E* ONLY SECTION _32- ZONING �� D FLOOD ZONE CONST TYPE 1�� WATER LOT OF REC (before 1/90) ADMINST VARIANCE REPORT CODE 60 TOWNSHIP 3� RANGE 1 , MAP NO. LAND USE l LOT CVG % _ C{Cl TAZ NO. FIRM MAP # I cI4 I ST FLR ELV MAX HGT OCCUP TYPE / MAX OCCUP # OF FLRS SEWER : C t ' SPRINKLERS STORMWATER LOT OF REC (after 1/90) LIBRARY t IMPACT FEE PUBLIC BLD IMPACT FEE LOT SPLIT I LOT SPLIT REQUIRED APPROVED PARKS PERMIT i IMPACT FEE FEE 33 HABITABLE RADON FEE _ AREA O' 25�2�,1 GROSS ROAD CREDIT Y TOTAL ROAD IMPACT FEE �L_= -- IMPACT FEE_ _ oZ �4 IMPACTFEE DUE, SCHOOL IMPACT FEE CREDIT Y N ? TOTAL SCHOOL IMPACT FEE P CE FEE FIRE FEE MISC FEE TOTAL FEES J �{ MIS C FEES - MIS C ADDITIONAL Y N SPECIFY �� TOTAL of ALL PERMITS FEES REQUIRED REVIEWS ZONING ZONING PLANS MISC. VEGETATION SEA TURTLE MANGROVE REVIEWED BY EXAMING DATE -6 j COMPLETE ` z6 V / INITIALS QFFIIr�L3SE QNL'�: � • � ¢' U t' _ /� DATE FILED. LD PLAN REVIEW FEE: �j �-�' l�T% RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE RECEIPT NO.: CERT. CAP. NO.: 2. 3. 4. 9. 10 ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED JL\E CpG , St. Lucie County Building and Zoning 2300 Virginia Avenue jORtD Ft. Pierce, FL 34982-5652 t iV 772-462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION LOCATION/SITE ADDRESS: j?33 ylalersooq 3 qg C1 1 S/D NAME: S on cf SITE PLAN NAME: PffS / he C'e PROPERTY TAX ID #: Z7� Z- 5-0 O- C7 o Z 3- 0 O O -r 2/ LEGAL DESCRIPTION (attach extra sheets if necessary): %jQ/,74 a�% l Lit 9, a CGU J 76 o U/alPo',Su Zvi U. 1/o,� 4/v. �Ux e ds tit° �✓� f/cif oo.e 2� %��' 3�/ O 6/,c- 9PC .'k2X cam" "V LWCIf CnfM7l l G D✓'c�/q PLAT 6. PAGE c� ' 7.'BLOCK 8. LOT BOOK �Z NO. 3 / NO. NO. PARCEL SIZE: ACRES/SQ FT. LOT DIMENSIONS 1��--� DESCRIPTION OF CON TRUCTION PROJECT OR WORK ACTIVITY: _r /lieu, 1((e r, P6g ce SETBACKS (ACTUAL) FRONT: V/ BACK: RIGHT: LEFT: Z� y SIDE �� S� SIDE TYPE OF CONSTRUCTION (Check all appropriate boxes) W NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION R RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) / DESCRIPTION OF PROPOSED USE: Sq. FUCONSTRUCTI CN:- 15. Sq. Ft. 1st Floor: icy VALUE OF CONSTRUCTION: $ 0 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: OWNER INFORMATION NAME: PGA 6f l / I I /f ( S r _ STATE: �L ZIP 3 "3 CITY: T-� Q �/ / j /L/ PHONE (DAYTIME): (Yy) Z �b / �D ! email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAMEAND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): STATE: W CONTRACTOWINFORMATION ST-.-of-FL.REG./-CERT #: C G" C (-57-d C a--C _' . - ST. LUCIE-COUNTY CERT_#. - BUSINESS NAME: - QUALIFIERS NAME: S c veiq or CI ADDRESS: Me e Co WA,(i C•2 STD 3 3 y�Q CITY: 7ru'0 4� STATE: F ZIP PHONE (DAYTIME): ( ) Y 7 Vf%0 FAX NO. �G �� y� �Y 9 email: S7'fye@ sP4 ARCHIT/ENGINEER: ADDRESS: `7 °r �VO� SwAe= �- �/,� CITY: )� �1 STATE: I" C- ZIP 3 3 V i_/ /.- y 9 -PHONE (DAYTIME): , 2 % 3 " O�% BONDING COMPANY: ADDRESS: CITY: . MORTGAGE LENDER: ADDRESS: CITY STATE: M Al I �1 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 zo g. Jawtfffl/CO RAC 0 SIG ATURE C T ACTO IGNA URE j'�N5 TTE OF FLORID STATE OF FLORID OTY OF . / COUNTY OF he forgoing i ument w cknowle e The foregoing s ment knowled ed re me day of , 20by be me thi day of 20i�, by ho s , personally h is personally nown to e or who has produced known to me or who has roduced as identification. a>�ati n. MY R.ISSION # DD446108 FRANCES CROUSE c ES: Jjp 27,2009 MY COMMISSION # DD446108 r. m Signature of Notary 'e6F11°°' EXPIRES: July27'2009 Signat r (40� 398-0753 Ficrit'.a Notary fiewice.com 0 o Z/ Type or Print Name of Notary Type or Print Name of Notary Commission i�al) Commission 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. IMPORTANT NOTICE: When a permit "is issued and it is not picked up within 60 day_s after notification it will be voided and returned to you by mail. For specific instructions see appropriate permit checklist. 4-1z) . OFF]CETSE ONLY: DATE FILED: PLAN REVIEW FEE: , , D2 RECEIPT NO.: �5 PERMIT NUMBER: O Z CONCURRENCY FEE:RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED JL\E CpG St. Lucie County Building and Zoning ' • 2300 Virginia Avenue �'t''-J`Y �ORIDP Ft. Pierce, FL 34982-5652 KLt 772-462-1553 L ' APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING CO. ' PROJECT INFORMATION p Yes NO I. LOCATION/SITE ADDRESS: 0 33 ��S v dI Gt _ - 47 2. S/D NAME: S Ovi SITE PLAN NAME: S 3. PROPERTY TAX ID #: Z S Z- y`o v— U U Z 3' (, 0 0' 2 - 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 1-3 na Q/l a&aCgV, 76 4 &1 o k1ciler'.ry . (/•U. /�/4� �(/v. D e a r rrn c �roo,� 2� Poye Yy o� "y W C1 cn �><.z r'� 5. PLAT 6. PAGE 7. BLOCK 8. LOT BOOK Z NO. 3 � NO. NO. 1 9. PARCEL SIZE: ACRES/SQ FT. - LOT DIMENSIONS 13_ 10. DESCRIPTION OF CON TRUCTIION PROJECT OR WORK ACTIVITY: J efrvIq cQ A / V boll', 11. SETBACKS (ACTUAL) FRONT: �/ BACK: RIGHT: LEFT: 2 �V 10,7`( SIDE �' 6 SIDE 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) W NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION W RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) / 13. DESCRIPTION OF PROPOSED USE: Re S, d-Pv, 4 / 14. Sq. Ft./CONSTRUCTION: 3 ?8( -r 16. VALUE OF CONSTRUCTION: $ 15. Sq. Ft. 1st Floor: l�7 dJi f7 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