HomeMy WebLinkAboutBUILDING PERMIT CERTIFICATE 3-3-06DATE FILED: L9 PLAIJREVIEW FEE: RECEIPT NO.: a PERMIT NUMBER: ®3 o I B
CONCURRENCY FEE: RECEIPT NO.:�O�a' CERT. CAP. NO.:
ALL :INFO MUST BE COMPL TE FILLED. IN TO 'BE ACCEPTED
ST. LUCIE COUNTY PUBLIC WORKS ," " r1 '4 }d iti
co �` BUILDING & ZONING DEPARTMENT
�j 2300 VIRGINIA AVENUE
'20R10Q �. c7� FORT PIERCE, FL 34982-5652 Yes
a . 772-462-1553
APPLICATION.for BUILD G PERMIT
CERTIFICATE of CAPACITYMONING COMPLIANCE
1. LOCATION/SITE ADDRESS:
2. S/D NAME: a ,es-) Dt I
3. PROPERTY TAX ID #:T��
LEGAL DESCRI
A.
PROJECTINF
kTION
2%'r 0 SITE PLAN NAME:
n
if necessary):
1� �I ocYC- S
5. PLAT. 6. AOj I I 7. NO.BLOCK'8. LOOT l
BOOK . l /l+
/Oj 000 �.� •/ �/ a/
9. PARCEL SIZE: ACRES/SQ FT. LOT DIMENSIONS
10. DESCRIPTION OF CONSTRUCTION rOJECT QR WORK ACTIVITY: _"tk)
11. SETBACKS (ACTUAL) NT: ' BACK: RIGHT LEFT
rj�•G5 .SIDE I $ SIDE:
12. TYPE OF CONSTRUCTION (Check al I appropriate boxes)
00
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
RESIDENTIAL (] COMMERCIAL. [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. Sq. Ft./CONSTRUCTION: �' U
��
15.. ' Sq. Ft. 1 st Floor.
J
16. VALUE OF CONSTRUCTION: $_
The value of construction is used to determine the amount of permit fees to be assessed. SL Lude County reserves the right to question and/or modify the
Indicated value of construction if it Is demonstrated that the submitted figures are not ooitsistent with similar types of construction activities. If the value is $2500
or more, a RECORDED Notice of Commencement must be,submitted with this application.
Checklist new house
checked
approved
disapproved
1. zoning
2. minimum lot size
3. min. road frontage
I/
4. min. lot width
5. base building line
6. setback
7. max lot coverage
8. height
9. FFE
9/
10. septic & health dep.
11. 'water .
v
12. utility receipt
13. easement
/
14. county road
15. flood zone
l/
16. lots lit
17. non conforming lot
18. driveway permit
j/
19. vegetation pennit