HomeMy WebLinkAboutPermit Certificate Capacity-Zoning Compliancea
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OFFICE USE_O_NL_Y. _ 46-1
DATE FILED:
PLAN REVIEW FEY' RECEIPT NO.: PERMIT NUMBER.016-12
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CONCURRENCY FEE: RECEIPT NO.:' CERT. CAP. NO.:
1.
2.
3.
4.
5
9.
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 PO-16),J
LOCATION/SITE ADDRESS: 3001 NW Radcliffe Way 3 , q, t1
PROJECT NAME: Riverbend SITE PLAN NAME:
PROPERTY TAX ID #: 4425-703-0052-000-4
LEGAL DESCRIPTION (attach extra sheets if necessary):
Riverbend (PB 67-36)
PLAT BOOK 6 7 6. PAGE NO. 36 7. BLOCK NO.
PARCEL SIZE (ACRES/SQ FT.): 0.43 LOT DIMENSIONS:
Riverbend (PE 67-36)
0.43
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
New Construction-SFR
8. LOT NO. 47
5 Bedroom 4 Bath
11. SETBACKS (ACTUAL) FRONT: 4 0. 0 0 ' BACK: 9 3. 14 ' RIGHT SIDE: 7. 5 0 ' LEFT SIDE: 18.711
12.
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[X] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14
SQ. FT OF CONSTRUCTION: 5 6 0 5
SFR
1//
16. VALUE OF CONSTRUCTION: $ 3 5 9, 0 0 0. 0 0
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
j5t�.
3\9N.
15. SF. FT 1st FLOOR: 2
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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
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UPDATED 6/25/09
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OWNER INFORMATION
NAME: Standard Pacific of South Florida
ADDRESS: 3201 West Commercial Blvd.
CITY: Ft. Lauderdale STATE: Fl ZIP: 33309
PHONE (DAYTIME): 954 232-2290 Email: permits@brownspermitting.com
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: STATE: ZIP:
PHONE (DAYTIME): (�
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: CGC15 0 6 3 0 4 ST. LUCIE COUNTY CERT #: 28420
BUSINESS NAME: Standard Pacific of South Florida GP, Inc
QUALIFIERS NAME: Michael T. Collins
ADDRESS: 405 N. Reo Street Suite 330
CITY: Tampa STATE: F1
PHONE (DAYTIME): 954 232-2290 FAX NO. 954-434-8840
ARCHIT/ENGINEER: A. B. Design Group, Inc
ADDRESS: 1441 N. Ronald Regan Blvd.
CITY: Longwood
PHONE (DAYTIME): (4 0 �i 7 7 4- 6 0 7 8
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE: FI
STATE:
STATE:
ZIP: 33609
Email: Permits@brownspermitting.
ZIP: 32750
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.
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CERTIFICATION:
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 ATTACHMENT.
SIGNATURE CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF Broward
The foregoing instrument was acknowledged before
me this t � day of r 1 20 14
by
Michael T. Collins
who is personally known X or has produced
as identification.
Signature of Notary
STATE OF FLORIDA
COUNTY OF Broward
The foregoing instrument was acknowledged before
me this I k day of AD h' 1 20 14 ,
by
Michael T. Collins
who is personally known X or has produced
Signature of Notary
as identification.
Commission No. ,•;�Y Commiss n.Yl6y,,
DENI 1� N �o,. �r �E9f BROW =
MY COMMISSION # EE 006640 e' =* � My
COMMISSION # EE 006640
Q EXPIRES: November 4, 207u j& �= EXPIRES November 4, 20 �4
s of ° ° Bonded Thru Nota Public Underw. I'
%h�p� ,.• Bonded Thru Notary Puhiic Unden;aitsr i� ry i
NOTE: TWO (2) SIGNATURES ARE QED ~EACH SIGNATURE MUST BE NO -_-n?- PI YING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR 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.
OFTICE USE ONLY ,' - ' ' P #: � 1
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
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LAND USE
IAT CV %
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TAZNO.
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=FI OD— ZONE..
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MAXFIGT
CONST TYPE
OCCUP TYPE
MA7C OCCUP .;
# OF FLRS -
- - -
-
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SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT —SPLIT.
LOT:SPLTT
Before 111996
Auer 111990
REQUIRED
APPROVED .
REPORT
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RADON
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-CODE
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IMPACT
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Y
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FEE
FEE
FIRE/EMS
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ADMINUIRATIVE
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REQUIRED
FEE
VARIANCE FEE
FEE
-:SPECIFY
MECHANIC ROOF v
NON -CONFORMING
MISCELLANEOUS'
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES
REQUIRED
PLUMBING.
FEES
DATE SENT TO ADDRESSING: L4 1)31
REVIEWS
FRONT
LT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER-
REVIEW
REVIEW .
REVIEW.
REVIEW
REVIEW....
DAT),
"-RBCEIVED
I
DATE
COMPLETED