HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMITDATE FILED:
PLAN REVIEW FEE: RECEIPT NO.: 33c)IC) PERMIT N'UTv1`BER: 626
coACURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE'COMPLETE 8z FILLED IN TO BE ACCEPTED
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ST. LUCIE COUNTY PUBLIC WORKS WED BUILDING & ZONING DEPARTMENT VF) 67P 1-1 Z N
2300 VIRGINIA AVENUE
0 FORT PIERCE, FL 34982-5652
772-462-1553
APPLICATION for BUILDING PERAIIT— ut,%k(
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CERTIFICATE of CAPACITY/ZONING CONTI, CE
SO (16 fir(`
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS:
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2. S/D NAME: SITE'PLAN NAME:
3- PROPERTY TAX ID
4. LEGAL DESCRIPTION (attach extra sheets #inecessary).
5. PLAT. 6. PAGE- 7. BLOCK 8. LOT
BOOK NO. NO. NO.
50D _a�D
9. PARCEL SIZE: ACRESISQ FT. C;;Z� LOT DIMENSIONS
10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTJVITY: Li
11. SETBACKS (ACTUAL) FRONT: BACK: V RIGHT LEFT
/ ��� J SIDE SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION EXPANSION/ADDITION INTERIOR RENOVATION
RESIDENTIAL. COMMERCIAL INDUSTRIAL
OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. Sq. WCONSTRUCTION: .15. Sq. Ft I st Floor.
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16. VALUE OF CONSTRUCTION: $
The value of construction Is used to determine the amount of permit fees to be assessed. St. Lucie County reseives the right to question and/or modify the
indicated value of construction ifitis demonstrated that the subffiftd figures are not cc;hsistentwM shnbr hopes of construction activities. othe value is$25W
or more, a RECORDED Notice of Commencement must be submitted Imth Oft application.
Checklist new house
dhecked
approved
disapproved
1. zoning
ii✓
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2. minimum lot size
1/
3. min. road frontage
✓
i/
4. min. lot width
V,
5. base building line
IL I
6. setback
YIV
7. max lot coverage
8. height
9. FFE
10. septic & health dep.
11. water
12. utility receipt
13. easement
14. county road
15. flood zone
16. lots lit
17. non conforming lot
18. driveway permit
19. vegetation perinit