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HomeMy WebLinkAboutCertificate Of Capacity - Zoning ComplianceUSE ONLY DAT, FILE13 c1 d 'PLAN REVIEW FEE: )Oar 0 a RECEIPT NO.: 64 PERMIT NUMBER: I30 1 — 6d 1 CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED III 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 C ERrIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS; 3oP�� �ume - 2. PROJECT NAME: //�} �%�� / SITE PLAN NAME: A ellp C 3. PROPERTY TAX ID #: 6��-:3 6 ` 77o — 6 9 — 000 — 2 4. LEGAL DESCRIPTION kattach extra sheets if necessary): j4114-tr- Al-�a> �C/G ZC 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.� 9. PARCEL SIZE (ACRES/SQ FT.): Bu'� LOT DIMENSIONS: c"o© X 92P0 `1 0 11 12. 13 1 1 - Tf r3a/moo -ram- Cx/s��� ���� s�,ga� COMPLETE DESCRIPTION OF CONS UCTIO ROJECT OR WORKACTIVITY: SETBACKS (ACTUAL) xIUM WL)h: C2�v OF CONSTRUCTION (Check all appropriate boxes) NEW CONSTRUCTION X-':EANSION/ADDITION RESIDENTIAL [ ] COMMERCIAL OTHER (SPECIFY) C A DESCRIPTION OF PROPOSED USE: SQ. FT OF CONSTRUCTION• 16. VALUE OF CONSTRUCTION: $ INTERIOR RENOVATION INDUSTRIAL 15. SF. FT 1 st FLOOR: r� The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right 4'4ukion and/or modify the indicated value of construction if it is demonstrated that the submitted figures arc not consistent with similar types of construction activitic A.f the value Iis $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6125/09 J. 03 -10 "X /3• Y � 1 • NAME: p iC/ e > (/ ADDRESS: �r - / -- CITY: C �!s STATE: - ZIP: PHONE (DAYTIME): %� /% — �_ rl �% Email: ✓ ✓Grortf 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: A ZIP: PHONE (DAYTIME): (� ST. of FL REG.CERT #:�D 3� Q� ST. LUCIE COUNTY CERT #: BUSINESS NAME: DC/`� ✓S QUALIFIERS NAME: ADDRESS: CITY: 4� C-� STATE: �/��� ZIP: %(o PHONE (DAYTIME): Dy� FAX NO. nS,3 �f S -Email 2 ARCHIT/ENGINEER: ADDRESS: j Co Cl2%✓U� CITY: S/� �/'v: STATE: �GC�— ZIP: PHONE (DAYTIME): 7&�-5a> BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: 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. i t i i • 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. OW R CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF Sar. 1-0 C t S, The forecg�oing instrument was acknowledged before me this `fi- day of 5 20 3 , by �A�rlCk who is personally knoww-N or has produced as identification. Y PDEANNA GIVENS Signature of Notar ; o�P"�e��, g Y ;a , of Notary Public -State of Florida •_ My Comm. Expires Dec 16, 2016 Commission No. �� 5 (SWAmission # EE 858761 ', ° ,oP�� Bonded Through National Notary Assn. N CTOR SIGNATURE STATE OF FLORIDA,� ( j , , _ _ COUNTY OF (j r V `t`�L�Ll The foregoing instrument was acknowledged before me this day of VW 20 i 7 by AJ— Welbe"r who is personally known or has produced of Commission NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MU THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNED THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific i>lastructions see appropriate permit heddist. as identification. OEFICE USE ONLY SECTION 3 rp TOWNSHIP g RANGE 11 O� MAP NO. ZONING LAND USE S LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # I Q —I 1ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORM WATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before I/1990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE 1 J AREA FEE FEE (RADON LIBRARY PUBLIC BLD PUBIC BLD PARKS IMPACT IMPACT FEE IMPACT IMPACT ,FEE" CORRECTIO FEE FEE GENERAL SCHOOL OAD CREDIT Y N LAW ENF IMPACT IMPACT IMPACT FEE FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE c� 1 q I �3. COMPLETED ` INITIALS