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HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMIT CERTIFICATE OF CAPACITY - ZONING 4-1-03OFFICE USE ONLY: DATE FILED: PLAN REVIEW FEE: / d - o-_ RECEIPT NO.: PERMIT NUMBER: a36 CONCURRENCY FEE: _ RECEIPT NO.: CERT. CAP. NO.: ALL INFO MOIST BE COMPLETE 8L FILLED IN TO BE ACCEPTED ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT 2300VIRGINIAAVENUE ':' ��• U\ FORT PIERCE, FL 34982-5652 '�^' V, A '20RIOQ 561-462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: C D D 2. S/D NAME: 016-LLQ—tqj %04 'bIP SITE PLAN NAME: 3. PROPERTY TAX ID #: 4. LEGAL DESCRIPTION (attach extra sheets if necessary): tau. va 3"1 S. L 0--zc 41 , Vt:v4 Lo 5. PLAT 6. PAGE BOOK NO. 9. PARCEL SIZE: ACRES/SQ FT. %., �•�� BLOCK7. • • NO. LOT DIMENSIONS 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: ccntj L1 0— to' W lion' (-ON d Ii 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT LEFT X11/4 SIDE SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) �j NEW CONSTRUCTION [ ] RESIDENTIAL [ ] OTHER (SPECIFY) [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] COMMERCIAL [ ] INDUSTRIAL 13. DESCRIPTION OF PROPOSED USE:Z1Y��4� t 14. Sq. FUCONSTRUCTION: 15. Sq. Ft.1st Floor. ©0 16. . VALUE OF CONSTRUCTION: $ The value of construction Is used to determine the amount of pohnit fees io be assessed. St. Lucie County resright torqu_estion sndlor modify the indicated value of construction If it Is demoretraied that the submitted tigures 'are consistent with strNerves the Similar types ai construction activities. n the value is i250o or more, a RECORDED Notice of Commencement must be submitted with this application.