HomeMy WebLinkAboutAPPLICATION BUILDING PERMIT CERTIFICATE OF CAPACITY WITH NOTES�1tk"***-3
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DATE FIL
PLAN RE
CONCUR
AL
V FEE: /.5 0• 00 RECEIPT NO.:Lj� PERMIT NUMBER: _ l • �i.-.
CY FEE: -2J_'6 0 RECEIPT NO.: CERT. CAP. NO.:
INFO MUST BE COMPLETE u FILLED IN TO BE ACCEPTED
C�Gy� '�FQU41: ST. LUCIE.COUNTY PUBLIC -WORKS qq
S BUILDING & ZONING DEPARTMENT
1yo .� 2300 VIRGINIA AVENUE
'20R1�Q FORT PIERCE, FL 34982-5652
.//., 772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LO ATION/SITE ADDRESS: 7f' 9"1jySr- Le P1E2C't-
2. S/ 1, NAME: le-OPICAt- ni cgEs SITE PLAN NAME: kk ice ASIDE,ucL
id
3. PR�PERTY TAX ID #: __g°130$ • (,O I - O 110 - d00 - O
4. LEGAL DESCRIPTION (attach extra sheets if necessary): ,DOT'S sv� SoZ ' S 61-oGK%goficRL AGES
coedwr, -%�%e hat fAeren><' as 1'ecdJQ1tl »Pla-r /30blx $ Pa4e �o o�-rhe Pabltc ,QeeoldS 6f srtucr-: 6a,�7-y
5. PLAT . 6. PAGE 7. BLOCK f . -8. LOT
BOOK NO. 40 NO. g NO. S/,A,? �53 tv
45,; t2 .775 1.65 X 150
9. PARCEL SIZE: ACRES/SQ FT. _ /. O Ac LOT DIMENSIONS h'50 'x 30Q
10. DE CRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY:-?C/3ula HOMC
D Ps ,y�� Not i c H� Q %�oM I �lusr i tali e �oc :19
11. SETBACKS (ACTUAL) FRONT: BACK: v RIGHT V LEFT
SIDE .%/ '9"- SIDE:
L
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [) COMMERCIAL [ ] INDUSTRIAL
�Q ,OTHER (SPECIFY) �ebu; !d due -to .hl uirl CO.A e
;13. DESCRIPTION OF PROPOSED USE: �i- estd e„-F is
14. Sq. Ft.&AMSTRUCTION: 3Da $ 15. Sq. Ft..1 st Floor: 3o 2 2.
16. VALUE OF CONSTRUCTION: $ ZO, 000 —
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
j indicated value"91f construction if it Is demonstrated that the submitted figurbs are not'cc;hsistent with similar types of construction activities. If the value is $2500
or more, a RECORDED Notice of Commencement must be submitted with this application.