HomeMy WebLinkAbout54056 LINDA DELO - 7309 S INDIAN RIVER DR. FT PIERCEry.'�4
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PERM IT: •INEORkATION
DESCRIPTION OF VEGETATION REMOVAL ACTIVITY (LAND CLEARING AND/OR TREE
REMOVAL) : ?� p y l �-
NUMBER
AND
TYPES. OF TREES .TO BE
REMOVED . (AS APPLICABLE)
,, +
PURPOSE
FOR
VEGETATION REMOVAL
DATE WORK EXPECTED TO BEGIN:
DATE WORK EXPECTED TO BE COMPLETED: �J %}-
ID #:0'000 ..
Lim
APPLICANTS NAME - O� G. QA 0
ADDRESS �!cI SQ
CITY: i� �. CC' . STATE: ,
ZIP: 3Y k - PHONE #: (��� ) � �o CO '- CDci � 1�
-.:;r..<tP;J- ;_ r is ._`.. a-• g t'7. Jt Fi.3+ t3 5 �i•%yR"» jiv " —
PLEASE HAVE THE FOLLOWING ACKNOWLEDC �iENTS`NOTARIZED
I CERTIFY THAT: (PLEASE CHEEK i0}C A' OR B)'•
A. �) I AM THE RECORD OWNER OF THE ABOVE DESCRIBED PROPER
TY.
B • ) I ,AM NOT THE. RECORD (OWNER* OF .THE..A9OVE• DESCRIBED PROP
AND :I' H1�t7E ' A.UTHORITY ERTY
TO ACT AS, AGENFOR THE RECCSRD OWN
T ER _
I CERTIFY -THAT I ALL INFORMATION SUBMITTED WITH THIS APPLICATION IS TRUE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
SIGNATURE
DATE:— j X
STATE OF FLORIDA, COUNTY OF ST. LUCIE
tiefore � e, undersigned authority, personally appeared,
_4zwho upon being duly sworn, deposes and
(PLEASE PRINT APPLICANTS NAME) I
says that the information contained Lin the foregoing application
and correct. is true
Sworn to and subscribed before me thil
day of 19
Notary Pubjic,. State of Florida at Larg
My commission expires
---------------------------
-FOR- OFFICE iISE ONLY
APPROVED
DISAPPROVED ( )
CONDITIONS:
I
ENVIRONMENTAL PLANNER:
SITE INSPECTION:
FINAL INSPECTION:
DATE:
DATE:
DATE:
-•..•. .., • .u.n>.�.eo.x. T > i:a.•'aaJaseL�u�ls��aJli:iaa,i:fi.RS7^.At�e ii<, `. 3 i. :,`i:1':•i`t �;1 is•`i••,., l� f}
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FEE
Tr LUCIE COUNTY
APPLICATION FOR .VEGETATION REMOVAL
PERMIT NO.; PR #: q
( ice U O
REF. NO: .(Office Use Only)
(Office Use Only)
INSTRUCTIONS:
Please provide the following information''in the•space provided. -Please be
sure to Print or Type all required information. For ..:.assistance" in
completing -this application, -please contact the St. Lucie County Department
Of Community. Development - Planning Division, at (407,). 4.6.8-1576, during
regular office hours -(8:-00 AM - -5: 00 pm), Monday through Friday.
All applications .for Vegetation Removal Permit must be -submitted by 4:30
P.M. each business. day in the, Zoning: Diviskoh, Room
Ad ' 201, St: -Lucie. County.
ministration Building; 2300 Virginia -Avenue,. Fort: Pierce; FL 34982.:
Please use 'your .permit reference number (PR: 4 )'.'when.. making 'any 'inquiries . o' _
picking up your permit.- . When your permit. is. 'ready' for. Eiick.••.up,. you• will= be.
called: Please leave..a .phone number -where• you -'can be reached between 8•:.00.
-.5:00; Monday through Friday'.
VEGETATION:SURVEY REQUIREMENTS: ..
A. If single family or duplex -development, survey may`be.in the,•form- of
i
hand drawn sketchesaccompanied by photographs. Three (3), copies ---of all
J survey's and photographs are required. .
B If multifamily or non-residential, survey must be .in the form . of an
aerial for field survey, accompanied by photographs.. Three.(3) copies of
all surveys and photographs are required.
A11 surveys. must show clearly the following -information:
1- Location and extent of vegetation on site;
2: Common or scientific. names of major. groups of vegetation;
3• Vegetation designated for removal and/or -grubbing (numbers or
percentages);
4- Vegetation to remain undisturbed;
5•. Existing and proposed structures;
6• -.Driveway location
PLEASE tiOTE:. Site.development plans.must have survey prepared to 'the same
scale or in..a manner which "illustrates the relationships between areas of
vegetation and proposed site improvements.
i 1i�'. \sites °Y '°... �'i2 �2 i '•�.KP L��x e� }.C1L�� -t ;GJ 5 ) i Ty tf �� �. ty { S .[ }-.: � �r� 3-�'� � � ° L � 5 '.f •. Y�+' �
t �.ti:3 k {11 -r � Y<'t v 1 << rry. �•�.f •c7' .fit 5.• � i ...- � E �.� ,r `� c- 3 .-< .7 .- ti r.
1t l LIV�.
PLEASE PRINT. DO NOT COMPLEE..SHADEb. AREAS..(1�'.;�
:. DATE:..
;,' {: {
PROJECT INFORMATION
PROJECT ADDRESS: 7 a
jo.-
SITE PLAN/PROJECT NAME:
.SUBDIVISION:
PROPERTY TAX: ID.:5� 7U 2
PARCEL SIZE (ACRES OtZ FT:) q
LEGAL DESCRIPTION:
OWNER NAME : —Az,—p
ADDRESS: 73
CITY:
j�m
ZIP: PHONE #:
CHECK APPROPRIATE BOX:
SINGLE—FAMILY/DUPLEX ( )
MULTI -FAMILY ?-
LOT: 1' BLK: _
DUD / -=00� %� � • .. ..
I STATE: _��
NON—RESI
PUBLIC
TIAL ( )
!:i;GGkinut,$j;ncSl':c: `:cir.A
OWNER/BUILDER AFFIDAVIT'
DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done by licensed
contractors. You have applied for a permit under an exemption to
that law. The exemption allows you, as the owner of your
property, to act as your own contractor even though you do not
have a license. You must supervise the construction yourself. You
may build or improve farm buildings, a one -family or two-family
residence or a commercial building at a cost of under $25,000.00.
The building must be for your own occupancy. It may not be built
or improved for sale or lease. If you sell or lease more than one
building you have built or improved yourself within one year
after construction is complete, the law will presume that you
built or improved it for sale or lease, which is a violation of
this exemption. You may not hire an unlicensed person as your
contractor. Your construction must be -done according to building
codes and zoning regulations. It is your responsibility to make
sure that people employed by you have licenses required by state
law and by county or municipal licensing ordinances.
To qualify for this exemption Junder this subsection, an
owner must personally appear and sign the building permit
application.
I hereby acknowledge that I have read and understand the
above disclosure statement and that I further understand that any
violation of the terms of the owner/builder exemption shall be
reported by the Community Development Director to the Florida
State Department of Professional Regulation. Signed and
acknowledged on the day of , 19
OWNER/BUILDER SIGNATURE
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Sw90an ubscribed before me this
Notary Public, State of Florida at Large
My commission expires:
a
FOR OFFICE USE ONLY
SPECIAL APPROVALS
%��D DATE RECEIVED
GETATION
NVIRONMENTAL
PLANNING/SITE PLAN
CODE ENFORCEMENT
USA
TAZ
WATER SUPPLIER
SEWER SUPPLIER
DER CERTIFICATION
_-. FL DNR ( CCCL )
FL DOT
SLC DRIVEWAY PER
SLC STORMWATER PER
MANGROVE ALT
SEA TURTLE PROT
REQUIRED FEES
BP VALUE $
PLANS EXAMINING FEE $
ROAD IMPACT FEE $
ROAD IMPACT DISTRICT•
ROAD IMPACT CREDIT: YES: NO:
PR#
RADON FEE:
NOT REQUIRED
ROAD IMPACT ZONE
SCHOOL IMPACT FEE $• /v I'&— DATE PAID:
SCHOOL IMPACT CREDIT:- YES: NO:
SCHOOL BOARD APPROVED EXEMPTION: YES:
ALTERNATIVE DEV. FEE $ /UIF�lf- DATE PAID:
ALT. DEV. FEE ZONE:
GAS
AIR CONDITIONING
ELECTRIC
PLUMBING
SCREEN ENCL/FENCE
�-13
SUB PERMITS
REQUIRED
CHK#
NO
CHK#
NOT REQUIRED
' / ZONING CHECKS
v LOT COVERAGE EASEMENT
✓�
IN SPLITS
FOR OFFICE USE ONLY
SPECIAL APPROVALS
RIFIRED DATE RECEIVED
VEGETATION
ENVIRONMENTAL; --
PLANNING/SITE PLAN
CODE ENFORCEMENT
USA
TAZ
WATER SUPPLIER
SEWER SUPPLIER
DER CERTIFICATION
FL DNR ( CCCL )
FL DOT
SLC DRIVEWAY PER
SLC STORMWATER PER
MANGROVE ALT
SEA TURTLE PROT
7
REQUIRED FEES
PR# go.'
NOT REQUIRED
BP VALUE $
PLANS EXAMINING FEE $ RADON FEE:_
ROAD IMPACT FEE $ & I�-
ROAD IMPACT DISTRICT ROAD IMPACT ZONE
ROAD IMPACT CREDIT: YES: NO:
SCHOOL IMPACT FEE $• DATE PAID:_
SCHOOL IMPACT CREDIT:' YES: NO. -
SCHOOL BOARD APPROVED EXEMPTION: YES:
ALTERNATIVE DEV. FEE $ DATE PAID:
ALT. DEV. FEE ZONE:
RYi1aXNtii_s1v�
REQUIRED
GAS
AIR CONDITIONING
ELECTRIC
PLUMBING
SCREEN ENCL/FENCE
CHK#
NO:
CHK#
NOT REQUIRED
/ ZONING CHECKS
""-BBLy LOT COVERAGE ✓ EASEMENT
k)g- SPLITS
•
aoo
IN ADDITION TO THE REQUIREMENTS OF THIS
PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS
APPLICABLE TO THIS PROPERTY THAT
MAY BE FOUND IN THE PUBLIC RECORDS OF
THIS COUNTY.
NOTICE
NOT TO BE OCCUPIED
BEFORE FINAL APPROVAL
BY BUILDING DEPARTMENT
SEE ATTACHED CONDITIONS
ST LUCIE COUNTY
BUILDING DIVISION
REVI D
i W ::v
FOR C I NCE
REVIEWED BY
I �pt?�
DATE- // -3 -?o
PLANS AND PERMIT
MUST BE KEPT ON JOB; OR
NO INSPECTION WILL BE MADE
aoo
IN ADDITION TO THE REQUIREMENTS OF THIS
PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS
APPLICABLE TO THIS PROPERTY THAT
MAY BE FOUND IN THE PUBLIC RECORDS OF
THIS COUNTY.
NOTICE
NOT TO BE OCCUPIED
BEFORE FINAL APPROVAL
BY BUILDING DEPARTMENT
SEE ATTACHED CONDITIONS
ST LUCIE COUNTY
BUILDING DIVISION
REVI D
i W ::v
FOR C I NCE
REVIEWED BY
I �pt?�
DATE- // -3 -?o
PLANS AND PERMIT
MUST BE KEPT ON JOB; OR
NO INSPECTION WILL BE MADE