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Home My WebLink About0911-0038 application for building permitOFFICE USE ONLY SECTION 0 TOWNSHIP 16-1 ZONING T 1 ,j r 1 LAND USE ]�•1 FLOOD ZONE FIRM MAP # CONST TYPE OCCUP TYPE WATER SEWER LOT OF REC LOT OF REC Before 1/1990 After,111990 PP #: RANGE MAP NO. LOT CVG % TAZ NO, 1n FLR ELV MAX HGT MAX OCCUP # OF FLRS SPRINKLERS STORMWATER LOT SPLIT — REQUIRED -- -L-OT-SPLIT APPROVED REPORT IQ HABITABLE RADON PERMIT -CODE �Q— AREA FEE FEE (RADON) LIBRARY PUBLIC BLD PUBIC BLD 'PARKS IMPACT IMPACT FEE IMPACT IMPACT FEE CORRECTION FEE GENERAL SCHOOL R CREDIT Y N LAW ENF IMPACT IMPACT IMPACT - FEE' FEE FEE FIREIEMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING :- MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: T'-, /• REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED COMPLETED OFFICE USE ONLY:DATE FILED: V. PLAN REVIEW FEE: -7.5-big RECEIPT NO.: / PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED y� St. Lucie County Building and Zoning � qD m- i_�— • F � 2300 Virginia Avenue 14. <pRtiOp • SCANNED Ft. Pierce, FL 34982-5652 / 772-462-1553 B� no c1eo rpjE�0�f S$ Lucie �CountY �J � APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIAN E PROJECT INFORMATION Q 1. LOCATION/SITE ADDRESS: l �I - v'—�an 2. PROJECT NAME: 1 / 17 �� Wrdt SITE PLAN NAME: • 3. PROPERTY TAX ID #: F,ITO R ')01 605-S 605'6, VS-OQ 09 1 oo e/6 t+ oo cl / 'YSD Zk 0 & a 000 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. PAGE NO. 7. BLOCKN 9. PARCEL SIZE (ACRES/SQ FT.): " LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTI-9N PROJ�CT OR WORK ACTIVITY: ez�wc ..Z'M R GT 5L bP S On -4- ( ri ty f c. 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: �` '-� LEFT SIDE:_` 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) C/ 13. DESCRIPTION OF PROPOSED USE: 14. SQ. FT OF CONSTRUCTION: 15. SF. FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: $ i V, -� q C%. 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: 1! I l ►' "r' l L.f d o / t n 1 uw Ass L-) Iaficy-) ADDRESS: lanpo 's- D -ea-n L)�, a/ e_ CITY: r �� STATE: _5 ZIP: c�'I'� 1 5D PHONE (DAYTIME): � — Z�Z-i 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: STATE: ZIP: PHONE (DAYTIME): CONTRACTOR INFORMATION ST. of FL REG.CERT #:L.&"(p_�� 19 2 J ST. LUCIE COUNTY CERT #: ZOLD 'D� BUSINESS NAME: 'Cef a I QUALIFIERS NAME: I ADDRESS: e� bnedn gn u CITY: Gd % STATE: : (� PHONE (DAYTIME). ( )( (T ]�lJ � FAX NO. `'` 12 _ (1117 Email: 11 0 1n �/ S.P2c [a C r«�S, ARCHIT/ENGINEER: {� / c4GC f ADDRESS:. R�_ �/ l / ! L�Y� 1 eo u i t Q CITY:Sn LQ STATE: ZIP: J PHONE (DAYTIMEM2 BONDING COMPANY: ADDRESS: CITY: STATE: ZIP: MORTGAGE LENDER: ADDRESS: 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. f - 1 CERTIFICATION: ° .1 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 OR CONTRACTOR SIGNATURE CO TOR A URE STATE OF FLORID(emu r Ii^ COUNTY OF ' The foregoing instrument was acknowledged before me this d day of 20 0 , by hle O&A It who is personally known/ or has produced as identification. J"-r AA( Signature of Notary 1pPY'P4'y Commission No. °�R ' _ ANNE CZERVNSKI MMMISSION ODD 889657 14, 2013 i�•. :a �(PiRES- May Bonded Thru Notary Public Underwriters STATE OF FLOTM `( ]�, o COUNTY OF II G� The foregoing instrument was acknowledged before me this V day of 0 , 20 C9, who is personally known or has produced as identification. Signature of N tary Commission No. (Sea CZERWINSKI *? *: MY COMMISSION # DD 889657 n%' p bonded ThruRNotary Public MaUndler3writers f F�. 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.