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Home My WebLink AboutBUILDING PERMIT APPLICATIONOFFICE USE ONL DATE FILED: G Lb PLANREVIEWFEE: I 0.00 RECEIPT NO.: W*T0 PERMITNUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 SCANNED 772-462-1553 BY St. Lucie County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID #: 3529-701-0002-000-9 4. LEGAL DESCRIPTION (attach extra sheets if necessary): HEERMAN'S S/D LOT 1 LYG E OF FEC RR -LESS N 100 FT- (1.99 AC) (OR 534-2693: 568-1023: 986-817 AND 990-2176, 2178, 2180) 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT:): 1.9 acres LOT DIMENSIONS: 122' X 680' 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: Carolina Carporf 18X21' SETBACKS (ACTUAL) FRONT BACK: 506' RIGHT SIDE: 26 LEFT SIDE: 75 TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) Shed DESCRIPTION OF PROPOSED USE: Storage SQ. FT OF CONSTRUCTION: 378 Sg ft 15. SF. FT 1st FLOOR: 378 sq. ft. VALUE OF CONSTRUCTION: S $6 445.00 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 UPDATED 6125109 , OWNER INFORMATION NAME: L. Kevin Stinnette, Marilyn P. Waugh-Stinnette ADDRESS: 10303 S Indian River Dr CITY: Ft Pierce STATE: Florida ZIP: 349R9 PHONE (DAYTIME): (=33H-7284 Email: stinnekmicomcast.net 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 # BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): ( 1 ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): (. ) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: FAX NO. STATE: STATE: STATE: ST. LUCIE COUNTY CERT #: Email: ZIP: 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 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: 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. I OWNER OR CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF `K c0_ The foregoing instrument was acknowledged before me this \34:1a day of —5 V V1-�_ 20 X3 by 1.¢ W % S 4r" Y%' A+g, who is personally known _ or has produced 5353' S 31 'S�l •3l —a as identification. DEANNAGIVENS Signature of Notary �, .1='Notm➢roblle =S�ts of Florida . •? My Comm. ExPirn Dec 16.2011 d e;' Commiglion a EE 850761 Commission No. F�. S'b :...,, anna"-.---.--- SlGNA'rURE STATE N FLORIDA COUNTY The foregoing ins mi me this day of _ by was acknowledged before 20_, who is personally known _ oNhas produced Signature of Notary Commission No. (Seal) 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. OFFICE USE ONLY BP #: SECTION at1 TOWNSHIP RANGE Lk I MAP NO. 351a ZONING`S LAND USE �` J LOT CVG % TAZ NO. FLOOD ZONE X J FIRM MAP # 1ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE u 1�$ HABITABLE AREA (RADON) RADON FEE PERMIT FEE . LBRARY IMPACT FEE PUBLIC BLD IMPACT FEE CORRECTION PUBIC BLD IMPACT GENERAL PARKS IMPACT _ FEE SCHOOL IMPACT FEE RO i PACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE SPECIFY SUBS REQUIRED MECHANIC ROOF ELECTRIC S PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING:' REVIEWS FRONT COUNTER ZONING -,REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED I_4 r%•O'd• DATE COMPLETED L3 INITIALS 500, x _ S/w r 7p 9 O