HomeMy WebLinkAbout0804-0166 BUILDING PERMIT CERTIFICATE OF CAPACITY-ZONINGaeb
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DATE FILED:
9/ /s, �o
PLAN REVIEW FEE: -r� ' �`z, RECEIPT NO.:
CONCURRENCY FEE: Z-7 4-0 RECEIPT NO.:
BY
PERMITNUMBER: �
CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED.
St. Lucie County Building and Zoning
2300 Virginia Avenue 0!
Ft. Pierce, FL 34982-5652 G i
772-462-1553
ye LICATION for. BUILDING PERMIT � J
COMPLIANCE �
SATE of CAPACITY/ZONING
PROJECT INFORMATION
I. LOCATION/SITE ADDRESS: 1'ELiC' fi �(>a ti L�F
2. S/D NAME: Peucioaq 'Poyi-iM \A)%Fo6r SITE PLAN NAME:
3. PROPERTY TAX ID #: -352Z -1 CQ -1 QCQ 0 l
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
L.OT -5 L ��� �--i5&-S = -ZOL t IS'TO
5. PLAT 6. PAGE ,� 7. BLOCK 8. LOT 3
BOOK S NO. NO. — NO.
9. PARCEL SIZE: ACRES/SQ FT. 25D , LOT DIMENSIONS '75 9 1 so' / ✓0,34 X 1 151,QY
10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: - 1 R
11. SETBACKS (ACTUAL) FRONT: y( BACK: ,.��. � RI EHT- , SIDE . '
0 • -r-® 10
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: 15(w-I)Mil—'1� QIC ! °3 •
14. Sq. FUCONSTRUCTION: its 15. Sq. Ft. 1st Floor: I-16A
17
16. VALUE OF CONSTRUCTION:. $
The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02