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Home My WebLink AboutBUILDING PERMIT APPLICATIONBP OFFICE USE ONLY SECTION: TOWNSHIP: 'r RANGE: �S 9� d MAP NO.: ZONING: �� LAND USE: D LOT CVG %: TAZ NO.: FLOOD ZONE: FIRM MAP #: 1ST FLR ELV: MAX HGT: S CST TYPE: OCCP TYPE: MAX. OCCP: # OF FLRS: WATER: ////'''' ////�� ,1 j�(/u `L SEWER: / / /y SPRINKLERS STORMWATE I r R LOT OF REC (befr 1/90) LOT OF REC (aftr 1/90) LOT SPLIT LOT SPLIT REQ'D APPRV'D DECAL NUMBER LIBRARY IMPACT PARKS PERMIT / �l FEE IMPACT FEE FEE REPORT CODE j�j) PUBLIC BLDG; IMPACT FEE " = (/ D HABITABALE AREA RADON FEE ! ` `" _ X O- � % (RADON) Y N ROAD GROSS ROAD CREDIT TOTAL ROAD, IMPACT ZONE IMPACT FEE,, IMPACT FEE-`-' il CJ DUE SCHOOL CREDIT TOTAL IMPACT FEE _ ` ` �' �' `' SCHOOL " IMPACTFEE POLICE FEE FIRE FEE 111Q0 FEES: TOTAL POLICE/FIRE/ MISC. FEES ADDITIONAL SPECIFY. TOTAL TOTAL ALL PERMITS /rrMza� FEES REQ'D REVIEWS, ZONING 1:,-ZONING PLANS 'VEGETATION- :-%SEA; MANGROVE - • REVIEWED BY EXAMINING i - "' `TURTLE DATE 3 D „ i r •+ - COMPLETE INITIALS Ii 1 r WON DATE FILED: /� 9 PLAN REVIEW FEE: RECEIPT NO.: C9110?/$ PERMIT NUMBER D CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: al PD ALL INFO MUST BE COMPLETE a FILLED INTO. BE ACCEPTED ST. LUCIE COUNTY PUBLIC WORKS y� BUILDING & ZONING,DOARTMENT 2300 VIRGINIA AVENUE SCANNED 20pWP FORT PIERCE, FL.34982-5652 561-462-1553 BY St. Lucie Coun#y. APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION re 3ggTt 1. LOCATION/SITE ADDRESS: 2320 C49M.KERG✓AL GIRD, /omq i� r /A/O •� 2. S/D NAME: A14I& &M ONE P4A2�fC SITE PLAN NAME: A 2FAi 6JL 3. PROPERTY TAX ID 4: 00�Tac -•'Lor ro= •''BG�o�,,•,0'.,',PL�1T-OF /�/wGa 4. LEGAL DESCRIPTION (attach extra sheets if necessary): /&4mlY moyeea22?ZA4 PA2iF "ITONE <it jWeWAED /4/ P1dT Bno,- ;U( pql E /4a6 Ti�F P(%BL/G �Ga,Qp,J of ST LvG/E" GOA. ZY FLal2/84. 5;, _PLAT 6. PAGE 7. BLOCK c- 6.,-"LOT -BOOK 26 NO. 16 NO. NO. 6 12. PARCEL SIZE: ACRES/SQ FT. LOT DIMENSIONS 96• 2-2rX 362.4e'x 2 eal DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIV TY: CONlT4UGT�BT!!L gU/L,p/NCB l/YAaElasei oe 1 uTulff, SETBACKS(ACTUAL) jo�3 TYPE OF CONSTRUCTION (Check all appropriate boxes) NEW CONSTRUCTION [ ] EXPANSION/ADDITION ] RESIDENTIAL [ ] COMMERCIAL [ ] OTHER (SPECIFY) ]3IGH'Tf "' =—� LEFT SIDE /G SIDE: ,16011f/— [ ] INTERIOR RENOVATION [ ] INDUSTRIAL 13. DESCRIPTION OF PROPOSED USE: LNG ljgzR AL 14. Sq. Ft./CONSTRUCTION: A&00 r,— 15. Sq. Ft. 1st Floor: oGLf/JF 16. ` VALUE OF CONSTRUCTION: - 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. 8_o\'U� � yg _ f -tD r LCCDV Form No.: 001-02 THE AVERAGE PROCESSING TIME FOR MOST BUILDING PERMITS IS TEN (10) WORKING DAYS OWNER INFORMATION: NAME: K. N -t RENTA'L- ADDRESS: R aL&X 11 to CITY: _ �T p,).glZ C.Q_, STATE: FL ZIP -% A6- PHONE (DAYTIME): � f) p/- 3532•. 3y�sy -06,)o IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: r ADDRESS: CITY: PHONE (DAYTIME): STATE: ZIP CONTRACTOR INFORMATION • �'' ST. of FL REGJCERT #: /C&C 0no ST ,LLUC_IE COUNTY CERT,#: COO B2/5 - BUSINESS NAME::. `•K'>��HL.�%ZD .'k.• ,OA.YIS •6 /Wfr &lPRP. OUALIFIERS,NANIE: �%OU�LQS ' �A!//.r�'• - • �' =•, , , ADDRESS: `• O. PDX .%Q�. CITY: STATE: Z `�ifl/I�'� -ZIP �95� PHONE (DAYTIME): f`raM, AW A?� r-? FAX NO. ✓k- r/ 6 7606 ARCHITIENGINEER: `STFPHE/V �% BRoGl� �,aGff/TEGT /NG. ADDRESS: PHONE (DAYTIME): -„Box 56/A STATE: . ZIP,' BONDING COMPANY: / v/n ADDRESS: `• CITY: STATE: ZIP MORTGAGE LENDER: 11/49 ,fA/ K%WAR' W r/or1!<JG • 1��Nk ADDRESS: ,. !.' • O. L/,OiC Y�3O " , - . CITY: Vgga STATE: AL- ZIP 3�960 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, ETC., not otherwise included"with this building permit application. 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: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT, TITLE. AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance {(� with all applicable laws regulating construction and zoning. hh _lam OWNER/ ONTRACTOR SIGNATURE CONTRA TOR SIGNATURE STATE OF FLORIDA COUNTY OF X •LUTA0, The foregoing instrument was acknowledged before me this geday of UUNE, 20oi , by4QV6,i JJ V/,F who is personally known tome or who has roduced as identification. Ignature of Notary Rtf&Ea..4' f%1El7_ Type or Print Name of Notary STATE OF FLORIDA COUNTY OFJ7 L!/G/E The foregoing instrument was acknowledged /�before me this _4t6gday of %RIND , 20�, by //41224 ' l%vil , who is personally known to me or who has produced as identl Ica i ignature of Notary R06F - . f�e/Efr Type of Print Name of Notary Notary Public Title Notary Public Title CC' 1r%I 7 Commission Number G�%��8%Commission Number d`�YP`"'a Roger A. Priest A"O'clow-41- 'r'"Roger A:_Piiesl ... _. Com>mssioaL9ZI587 (seal) _ s1n#CC971587 (seal)EMS Nov�?7A04 - o�Nov. 7, 2004Bonded' Imil Bonded Thru AflanHr Aonding Co,. Inr .4laaUc Bonding Co.. Inc. 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.