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Home My WebLink AboutAPPLICATION FOR BUILDING PERMITOFFICE USE ONLY BP #: co / 0 - D 0 (0 a - SECTION TOWNSHIP �)6s Z RANGE I • �'E `mot MAP NO. � 15 IV ZONING LAND USE LOT CVG % TAZ NO. FLOOD ZONE >( FIRM MAP # ^ 1sT FLR ELV MAX HGT CONST TYPE ou71 1� SLLF OCCUP TYPE %� '3 ` f� MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC SPLIT F LOT SPLIT Before 1/1990 After 1/1990 UIRED APPROVED REPORT HABITABLE RADON PERMIT CODE AREA FEE FEE (RADON) LIBRARY PU D PARKS PUBLIC BLD IMPACT IMPACT FEE PACT IMPACT FEE CORRECTION FEE FEE GENERAL SCHOOL ROAD CREDIT Y N LAW ENF IMPACT IMPACT IMPACT FEE FEE FEE FIRE/EMS DRIVEWAYE N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS e J SUBS REQUIRED ELECTRIC 7 GAS PLUMBING L LOT OF RECORD FEES FEES DATE SENT TO ADDRESSING: T%r /0/ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTFIR REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED INITIALS SCANNED) OFFICE USE ONLY: - BY DATE FILED: St Lucie County - PLAN REVIEW FEE: a RECEIPT NO.: C9 F)F PERMIT NUMBER: ®,?/'P ° 00 CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 1. 2. 3. 4� 5. 9. 1z 10. ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED 4 � St. Lucie County Building and Zoning -F 2300 Virginia Avenue °C"' �G ✓ill �ORlO Ft. Pierce, FL 34982-5652 772-462-1553 Cub f. �� L APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE " PROJECT INFORMATION LOCATION/SITE ADDRESS:_ S. Federal Hwy, Pt at, Lu i , FL 34 PROJECT NAME: Int . Remodel SITE P AN NAME: N / A PROPERTYTAXID#: 3415-503-00 -000 y LEGAL DESCRIPTION (attach extra sheets if necessary): 1 5- 3 6 5- 4 0 E Building- A, -Units- 3 �h►� �-�(—�-�QP=�=�iP{ ,- ---- - - PLAT BOOK 4 7 7 6. PAGE NO. 16 9 7 7. BLOCK NO. - 8. LOT NO. PARCEL SIZE (ACRES/SQ FT.): N / A _ LOT DIMENSIONS: N / A COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: Moving bathroom Location SETBACKS (ACTUAL) FRONT: K�Aq BACK: t l t RIGHT SIDE: '�jlLEFT SIDE: NJ Im_ TYPE OF CONSTRUCTION (Check all appropriate boxes) (I NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] OTHER (SPECIFY) [ ] INTERIOR RENOVATION [ ] INDUSTRIAL 4 DESCRIPTION OF PROPOSED USE: Commercial Office Space SQ. FT OF CONSTRUCTION: 15. SF. FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: $ 3,000.00 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 OWNER INFORMATION NAME: Treasure Coast Builders Association ADDRESS:6560 S. Federal Highway, Pt.St. Lucie, FL 34952 CITY: STATE: PHONE (DAYTIME): ( 7 7 4 6 4- 8 2 2 2 Email: ZIP: 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): ( ) CONTRACTOR INFORMATION STATE: ZIP: v ST. of FL REG.CERT #: CGC 01 6 91 ST. LUCIE COUNTY CERT #: 18820 BUSINESSNAME: Certified Building Constractors, Inc. QUALIFIERSNAME: Jeffrey S Braun ADDRESS: 747 SW South Macedo Blvd CITY: Port St Lucie STATE: FL ZIP: 34983 PHONE(DAYTIME): (712) 879-2440 FAXNO. 879-0110 Email: certbc@bellsouth.n ARCHIT/ENGINEER: Paul Welch Inc. ADDRESS: 1984 SW Biltmore Street, Suite 114 CITY: Pt St Lucie STATE: FL ZIP: 34984 PHONE (DAYTIME): (7 7 Z 7 8 5- 9 8 8 8 BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: ZIP: 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. 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, FENCES, 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS 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 OW CONTRACTOR SIGNATURE CONTRACIVR SIGNATURE STATE OF FLORIDA STATE OF FLORIDA COUNTY -OF -St Luc-i-e - COUNTY-OF—S-t—Lucie The foregoing instrument was acknowledged before me this 6 th day of October 20 0 9 , by Jeffrey S. Braun who is personally known or has produced as identification. Signature of Notary y GAIL CARRUTHERS Commission No. R MY C&OIISSION # DD796130 ��°��o\moo '-? • off°' EXPIRES June 09, 2012 osn,� (407) 398-0153 FioridallotaryService.com The foregoing instrument was acknowledged before me this 6 th day of October , 20-D cL, by Jeffrey S. Braun who is personally known or has produced as identification. Signature of Nota - - • : `•'""P`• ;_ - GAIL CARRUTHERS Commission No. - - °= MY COM010d)ON # DD796130 EXPIRES June 09, 2012 (407) 398-0153 FIoNdallolaryService.com NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR 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. For specific instructions see appropriate permit checklist.