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HomeMy WebLinkAbout0907-0243 BUILDING PERMIT CERTIFICATE OF CAPACITY - ZONINGSCANNED OFFICE USE ONLY BP #: ale b SECTION h,?!) TOWNSHIP S RANGE Yo JL­ MAP NO. 3��3� ZONING LAND USE U LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # D 1ST FLR ELV & MAX HGT CONST TYPE 1 ` OCCUP TYPE 0 .�� MAX OCCUP # OF FLRS 1 WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE J HABITABLE AREA (RADON) RADON FEE P�RMPT FEE LIBRARY IMPACT FEE PUBLIC BLD IMPACT FEE CORRECTION PUBIC BLD IMPACT FEE G RAL PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIREIEMS IMPACT FEE EWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE SPECIFY SUBS REQUIRED / MECHANIC ROOF ✓ ELECTRIC ✓ GAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED % 0 DATE COMPLETED = INITIALS o�cE cry �7 DATE FILED:yO /� PLAN REVIEW FEE:_ �O RECEIPT NO.: / CONCURRENCY FEE: RECEIPT NO.: St Lucie County PERMIT NUMBER: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE &z FILLED IN TO BE ACCEPTED N St. Lucie County Building and Zoning "t: y 2300 Virginia Avenue `c�OR1aP.. Ft. Pierce, FL 34982-5652 772-462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 505 & V I 1 I -I 5 % f T NOZM f'G. 3.1 Q 9 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID #: 3 qo-333 X - 000S 000 —1 4. $.LEGAL DESCRIPTION (attach extra sheets if necessary): 3 — 3 6 — Ll ® rR0 N Al W Co 1 1401) I S S 2UN N 33o F'1`, Tel if ©0 FT �vy Coal & /a FT TJ70 -FT 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 9. PARCEL -SIIZZE (ACRES/SQ FT.): s 3 7 LOT DIMENSIONS: '0 1?X / 7 -0 10. COMPLETE DESCRIPTION Or�'7F CONSTR�� U©CTIEON PROJECTOR WORK ACTIVITY: Ef10 PEj .+ hDDIFICA.)oom_c -4- RaWf_06R�z 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE- �.q3 2�9.t19 45,57 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) JR NEW CONSTRUCTION [ ] EXPANSION/ADDITION INTERIOR RENOVATION A RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [I OTHER (SPECIFY) {JJ /^� ,Q�Q 13. DESCRIPTION OF PROPOSED USE:( C�� $ D � /3 A uW 1 f� &d i C�- pL �` 9 ova I �= 3 14. * SQ. FT OF CONSTRUCTION. �/ 15. SF. FT 1st FLO 16. 0 VALUE OF CONSTRUCTION: $ C J J1 ✓ -(-(I l 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 Copi a) OWNER INFORMATIONp NAME: _ Q A/yC5 A A A. 1 ', L- �lC. I� ADDRESS S©u Ili 190 57 CITY: A r rT P 1 ck_(6 STATE: FL- ZIP: 3 g Q l Z,, PHONE (DAYTI11AE)4(goth -gg5e 3 ;L73 Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): (_) STATE: CONTRACTOR INFORMATION T�'ION w ST. of FL REG.CERT #: d 1 V(.re-.- ST. LUCIE COUNTY CERT #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PPHONE (DAYTIME): STATE: FAX NO. Email: ZIP: ARCHIT/ENGINEER: ADDRESS: 72.05 E L V5 E ''d—I M,Lt CITY: ofC (> +C.(� STATE: = ;Z- ZIP 7: PHONE (DAYTIME): (7��t 1466 350 �I BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: ZIP: ZIP: LVWORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. r CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. DER OR CONTRACTOR SIGNATURE CONTRACTOR SIGNATURE STATE OF FLO STATE OF FLORIDA COUNTY O COUNTY OF The foregoing instrument was acknowledged before The foregoing instrument me this & day of amlz 20�, me this day of _-, by who is personally known or ha"s%�U`/d�ugd who is �!�• i/1(Ci ° r�J �i as identification.��' Signature of N) ry U Sign before 20 , known or has produced of Notary as identification. Commission No. (Seal) /mission No. (Seal) ,.•"•AY eyc, AUDREY B. HUMPHREY MY COMMISSION # DD 633047 NOTE: T C3 a0�g D. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR T NER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist.