The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONOFFICE USE ONLY BP #: l a lca- O 2 Z. Co SECTION 0 h TOWNSHIP 2 , I C RANGE 4w f MAP NO. �y _ ZONING LAND USE 9pu-B LOT CVG% \ ..I/„(�/ W TAZ NO. FLOOD ZONE D FIRM MAP # MI `G In FLR ELV �` MAX HGT D CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER ` SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 1/1990 After 111990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT ODE \rC1 D AREA FEE FEE (RADON) LIBRARY IMPACT PUBLIC BLD IMPACT FEECORRECTION AJV �� PUBIC BLD �J� PARKS IMPACT FEE �P FACT — C C GENERAL SCHIMPAOOL OADR Alk CREDIT Y N LAW ENF CT �� •IMPACT 3�aJ IMPACT FEE FEE FEE FIRE/EMS IMPACT nyJ-Q� DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE 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 SEATURTLE MANGROVE ' COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE .---- -- - - -_ - :-.---- - - --i; RECEIVED . t. - D /!��O•� ...7-.,^--4 - '� 4.[.. �' DATE i,• •. .. - i.. _ _;. COMPLETED` 2-a - - -- INITIALS . p DATE FILED* /D/ 2 - Z� 2� DATE FILED �O / PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED INTO BE ACCEPTED s^ Z St. Lucie County Building and Zonine -. F 2300 FL Pierce, Avenue P ��y-�n'� <OR104' FL 34982-5652 e SCANNED772-462-1553- St. Luce County 2 APPLICATION for BUILDINGQRMIT CERTIFICATE of CAPACITY/ZONING COMPLIA PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 3300. ,/✓. A.1 A ,�'�/E�G�FL 3�9�9 2. PROJECT NAME: 1,1.410Y ADD. SITE PLAN NAME: NAYS/ SEAL iv7AeS'E4C/s7 A'0A 3. PROPERTY TAX ID #: I yZS — ZZ D — 0900 / — 0 010 4. LEGAL DESCRIPTION (attach extra sheets if necessary): cStTiE A-r7i?'Cf/�� 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. *LOT N0. 9. PARCEL SIZE (ACRES/SQ FT.): 9.767 LOT DIMENSIONS: 10. - COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: /KEjw B�5_2 3 ... .s,G_. i1tL[S�ics�r s)-nniri�.i rcL LaLGL <fE'/GstT G�/�LLS ui/ 11. SETBACKS (ACTUAL) FRONT: 7/. 0 BACK: 79 1y RIGHT SIDE:_Z�O LEFT SIDE: �S / 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) Y`1 NEW CONSTRUCTION EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL 9Q COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) / 13. DESCRIPTION OF PROPOSED USE: Mnrx S;4F?41_ loaxAQG4/74 i 14. SQ. FT OF CONSTRUCTION: — 8/ 5_23 15. SF. FT 1st FLOOR: B�SZ 3 16. VALUE /OF CONSTRUCTION: $ vrSB� B96 . 00 dal some df c on is 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 451CAeOW7 t« �LEZI s F =jam ,rg. -.3 7YAe //B = "Z. 3ASED uPcx/ ✓AGcg = • :5,G29.S7 / o y89- swev. 7X- ss S•°",s0"s - Raze Arw.. i 9u�.,a— do s�i. � 90o Go/►t /at,�/v N/ dL✓D, / %�1"('t',sFlti>�.r.SFr'�j fL 323 9% OWNER INFORMATION (B/.[/c1911✓O NAME: C/� */li /%?G!i✓d T C�D 41, 770AI }L IVA V v —F"L *"a SEGC.t i ADDRESS: 3,3D0 N• ff/NY A1,4 CITY: Ar P/leleCE STATE: /GL A ZIP: 3�19Y 9 PHONE (DAYTIME): (%�A 7 �d-S' tea/ Email: Icendcild � L/ iPJ�Sou /�. /t2f IF THE FEE SEvIPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ST G1-aceer GOLC.,t 7"y ADDRESS: 2300 !"<.Q6lem A1/4;`e 414 9 CITY: An Pile52cE STATE: fL ZIP: PHONE(DAYTIME): T7 - //62 - /S90 '�MA72/� '�%�Y/`�Al ) CONTRACTOR INFORMATION ST. of FL REG.CERT #: CBC 006457.57" ST. LUCIE COUNTY CERT #: v r+15 BUSINESS NAME: �i E/lits' 0P111 7PX7U-0 rt S QUALIFIERS NAME: 14&C,4� C A fh2Eil/S ADDRESS: //i/'/ IKMleT/L' �2oA-D CITY: Ag i*" &6<erL STATE: fL ZIP: 33�03 PHONE (DAYTIME): L5W- 86l ' % V004'FAX NO. SWI B63 - Peb7'Email: /� /P�t f ARCHIT/ENGINEER: AWA V Cffi�N� PE ADDRESS: /AO/ �I/✓5r%/G leg" CITY: /iliii>!i�Q�- STATE: ZIP: 33 �10 3 PHONE (DAYTIME): BONDING COMPANY: 9 YL ADDRESS: CITY: STATE: ZIP: MORTGAGE LENDER: —A ' 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. 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. 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 restricror prohibit such structure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurency 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 A 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. D OWNER OR VONTRACTOR SIGNATURE ONTRACT R SIGNATURE STATE OF FLORIDA COUNTYOF S%Gl1G/� The foregoing instrument was acknowledged before me this ZZ day of 900'544 i�20 /0 , by I.QA?� i1Yi c61y/JT who is peysegally known _ or has produced c STATE OF FLORIDA COUNTY OF PAG>�t dc� The foregoing instrument was acknowledged before me this Zo day of 44:4�- , 20 /4 , who is per eua ly known _ or has produced Sigma a of Nota g,•••, PEG;OFF��((L ANO Commission No.9�0MA118S19 911093924511 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.