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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 ,G� / 2Pie 7u e ,, Virginia Avenue mi,p v/ •rj . Ft. Pierce, FL 34982-5652 c� 772 462-1553 S d(� (w Loccj actu nq(A ,, p[ i �,Qje V-a 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 �� t ,.J �I 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. i i 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 i i 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 `�� TOWNSHIP RANGE ) , o MAP NO. } 1 ZONING LAND USE i , LOT CVG % :2-06 — TAZ NO. 1 FLOOD ZONE FIRM MAP # I v V 1 ST FLR ELV -12 MAX HGT ?J� CONST TYPE OCCUP TYPE i �I MAX OCCUP # OF FLRS WATER ;�71 1 SEWER "T I�I(-� SPRINKLERS STORMWATER LOT OF REC LOT OF REC II LOT SPLIT LOT SPLIT Before 1/1990 After 1/1990 REQUIRED APPROVED , REPORT HABITABLE I RADON PERMIT CODE 0 1 AREA FEE FEE 1 (RADON) LIBRARY PUBLIC BLD PUBIC BLD PARKS IMPACT FEE + ` [ 1 —j IMPACT FEE CORRECTION �� IMPACT FEE ,�� IMPACT FEE � , GENERAL SCHOOL IMPACT G{� ROAD IMPACT I CREDIT Y LAW ENF IMPACT�� 1 ,s FEE FEE FEE FIRE/EMS IMPACT _ DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE FEE _ SPECIFY MECHANIC^' ROOF ✓ NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: 02_C6 13 , REVIEWS FRONT ZONING i SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED INITIALS - I , ,I , ,