HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - CERT OF CAP - ZONING COMPOFFICE USE ONj Y:
DATE FILED: 1[ LS I Ij
PLAN REVIEW FEE: 15.00 MCEIPTNO.: g0;k5S PERMIT NUMBER: I -No I-03G3
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
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ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. P772-46215�2-S6S2 53 SCANNED
BY
APPLICATION for BUILDING PERMIT St Lucie County
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: 2935 W. Midway Road Ft. Pierce, FL 34981
PROJECT NAME: Chambers Buildout SIIEPLANNAME:
PROPERTY TAX ID #: 3405-421-0001-000-2
LEGAL DESCRIPTION (attach extra sheets if necessary): 0 5: 3 6 S: 4 0 E
PLAT BOOK 6. PAGE NO. 220 -194 7 7. BLOCK NO. 8. LOT NO.
PARCEL SIZE (ACRES/SQ FT.): 4.27
LOT DIMENSIONS:
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
Complete interior build out
if. SETBACKS (ACTUAL) FRONT: BACK: _ RIGHT SIDE:
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
LEFT SIDE:
[XI INTERIOR RENOVATION
[ ] INDUSTRIAL
DESCRIPTION OF PROPOSED USE: Chamber of Commerce Office
SQ. FT OF CONSTRUCTION:
VALUE OF CONSTRUCTION: $ 446)6.0. m.s
15. SF. FT 1st FLOOR:
I he 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
UPDATED 6/25/09
OWNER INFORMATION
NAME: Drawdy Brothers Business Prop
ADDRESS: 10690 W. Midway Road
CITY: Ft. Pierce STATE: FL ZIP: 34945
PHONE (DAYTIME): (772 464-8160 Email: phil@drawdybrothers.com
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER: n/a
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): O
CONTRACTOR INFORMATION
ST.ofFLREG.CERT#: CGC1511648 ST. LUCIE COUNTY CERT#: 0025-20120702-06028
BUSINESSNAME: Drawdy Concrete Construction, LLC
QUALIFIERS NAME: Rebecca Drawdy
ADDRESS: 2945 W. Midway Road
CITY: Ft. Pierce STATE: FL ZIP: 34981
PHONE (DAYTIME): 7( 72�464 8160 FAXNO. 772-464-0360 Ell:becca@drawdybrothers.
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): __)
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
n/a
STATE:
n/a
STATE:
ZIP:
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 OR CONTRACT SIGNATURE
STATE OF FLORIDA
COUNTY OF St. Lucie
The foregoing instrument was acknowledged before
me this 22 day of January 2013
by
Phil Drawdy
who is personally known x or has produced
Of
identification.
public Stale of Reeds
Potter" d
it -mission D
s 0911012013
CONTRACTOR SIGNATURE
6
STATE OF FLORIDA
COUNTYOF St. Lucie
The foregoing instrument was acknowledged before
methis 22 dayof January 20_L3 ,
by
Rebecca Drawdy
who is personally known x or has produced
as identification.
w Notary Puolic State of Ronda
aorif (Seal)
My Commission DD902852
ur tio� Expires 09110/2013_�"
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.
01 OFFICE USE ONLY BP #: 1U
SECTION
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TOWNSHIP
RANGE
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MAP NO.
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ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST FLR ELV
CONST TYPE
/�/ Q
OCCUP TYPE
CUP
# OF FLRS
/
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLIT
Before 1/1990
After 1/1990
REQUIRED
APPROVED
REPORT
HABITABLE
RADON
PERMIT
CODE
O q
AREA
FEE
FEE
1
RADON
LIBRARY
PUBLIC BLD
PUBIC BLD
PARKS
IMPACT
IMPACT FEE
IMPACT
IMPACT
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
ROAD
CREDIT
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LAW ENF
IMPACT
IMPACT
IMPACT
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FIREIEMS
DRIVEWAY
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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:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
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