HomeMy WebLinkAboutBUILDING PERMITDATE FILED �
PLAN REVIEW FEE: 'RECEIPT
' PERMIT NUMBER: 3O�!
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE CO
TE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BL14LDING & CODE REGULATIONS DIVISION
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2Pie 7u e ,, Virginia Avenue mi,p v/ •rj .
Ft. Pierce, FL 34982-5652 c�
772 462-1553 S
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APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 01 3 O /yl /J e w o„ QACf341 q O
2. PROJECT NAME: Maronda Homes; IncJ SITE PLAN NAME:
3. PROPERTY TAX ID #:
4. LEGAL DESCRIPTION (attach extra sheets if ne essary): s
Lo fi, a 9) 0vA— l ock- Alley
5. PLAT BOOK 6. PAGE NO. I 7. BLOCK NO. - % 8. LOT NO. a
9. PARCEL SIZE (ACRES/SQ FT.): 13, 0 0 o LOT DIMENSIONS: 1 0 a' oc c 19 x[ o x t 3
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
Construct a Single Family Residence �j�a� �"� + � .Col/`
D
SETBACKS (ACTUAL) FRONT:. i BACK: � , �' RIGHT SIDE: ol 3 LEFT SIDE:zzod 3
TYPE OF CONSTRUCTION (Checl appropriate boxxes)
q+
kA NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: Single Family Residence
14. SQ. FT OF CONSTRUCTION: Lt S- (0 3 15. SF. FT I st FLOOR:
16. VALUE OF CONSTRUCTION: $ / 8 ?
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. �I
SLCCDV Form No.: 001-02 II
UPDATED 6/25/09
l LL 1//1 w f 520, 73 0 ��
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OWNER INFORMATION
NAME: Maronda Homes, Inc
ADDRESS: 4610 Lipscomb St. NE Si
CITY: Palm Bay a-zC Cn
PHONE (DAYTIME): (321) 725-5645
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
STATE: Fl .J ZIP: 32905 .
Email: ncooper (2.maronda. com
)WNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
CITY: 111 STATE:
PHONE (DAYTIME): (_�
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: CBC 12531
BUSINESS NAME: Maronda Homes. I
QUALIFIERS NAME: }hart G, Tnti
ADDRESS: 4610 Lipscomb St »
CITY: Palm Bay
PHONE (DAYTIME): (-32_1_) 725-5645
ARCHIT/ENGINEER: Tomas Ponce
ADDRESS: 4005 Maronda Way
CITY: Sanford
PHONE (DAYTIME): (407) 321-0064
ZIP:
V
ST. LUCIE COUNTY CERT #: 0-7
G
STATE: Fl. ZIP: 32905
FAX No. 321-725-5703 Email: ncooper maronda. com
BONDING COMPANY:
ADDRESS:
CITY: ST
MORTGAGE LENDER:
ADDRESS:
TE: Fl.
ZIP: 32771
Ulu
CITY: STATE: ZIP:
IMPORTANT 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.
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CERTIFICATION:
This application is hereby made to obtain a permit tol 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;FENCES; ETC:, n otl 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: YOUR FAILUREJTO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICEIFOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN'IATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: lAS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OWNER OR CONTRACTOR SIGNATURE CONTRACTOR -SIGNATURE
STATE OF FLORIDA
COUNTY OF Rravarr9
The foregoing instrument was acknowledged before!
I
me this ! day of Pt 6 • 20 t 3
by Richard A. Brown
who is personally known XX or has produced
STATE OF FLORIDA
COUNTY OF Brt-vard
The foregoing instrument was acknowledged before
me this day of Ze /I , , 20 L3 ,
by Robert G. Intille
who is personally known XX or has produced
as identification. i as identification.
I
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Signature of Not y Signature of Notary
Commission No. 40••; G�1 COOPER 'I Commission No. ,,����►w.,
MY I ION N EE 842517 C : U+� tiY COOPEN
EXPIRES: February =�' '= MY COMMISSION 11EE842517
7JTI��t�,, Bonded Thor Notary Public Underwriters EXPIRES: February 11, 2017
�Rf,t4` 9onded Z Notary Public Underwriters
NOTE: TWO (2) SIGNATURES ARE REQUIRED.! EACH SIGNATURE MUST BE NOTARIZED. 1F A
THIS BUILDING PERMIT AS AN OWNER/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.
I
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY I BP #: %C;?D O�O
SECTION
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TOWNSHIP
RANGE
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MAP NO.
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LAND USE
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TAZ NO.
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FLOOD ZONE
FIRM MAP #
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MAX HGT
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CONST TYPE
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MAX OCCUP
# OF FLRS
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STORMWATER
LOT OF REC
LOT OF REC
II
LOT SPLIT
LOT SPLIT
Before 1/1990
After 1/1990
REQUIRED
APPROVED
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REPORT
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CODE
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NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING: 02_C6 13
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REVIEWS
FRONT
ZONING
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
INITIALS
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