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Home My WebLink AboutBUILDING PERMIT APPLICATIONSECTION p�Z TOWNSHIP 3-1 S RANGE ' `�c �t C• MAP NO. �S/�z� / ZONING 1�JJ i �7 I LAND USE ��T LOT CV G % . TAZ NO. FLOOD ZONE FIRM MAP # 11T FLR ELV MAX HGT CONSTTYPE OCCUP TYPE MAX OCCUP #OFFLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC (after LOT SPLIT LOT SPLIT (before 1190 1/90) REQUIRED APPROVED } t F� ♦ a j1.+,'�"F ',�'v �"i 2, KY�� M < '�sy 'y'�r�r,R"' y� t"'Ls`�A4"� r� Nh rr lit+' ss a £ a fa., �rt R ✓+.: iiJS x.<}� F£.--7.4Ant-i4.EnJ-, %..2-....c�.t:'-e'.N?'•Y�r::'�h +4h zF'9<L`.3.-... F :-..vr.§'tn✓.. +r Y,v li-ixM:Jn'm.<^7Y'...�',+4 aJ' .�2./W'.i �-v� ADMINST LIBRARY 1IMPACTFEE PARKS PERMIT VARIANCE IMPACT FEE FEE - REPORT PUBLIC BLD HABITABLE RADON FEE CODE 9 is IMPACTFEE AREA (RADON) SCHOOL GROSS ROAD CREDIT Y N TOTAL ROAD IMPACT FEE IMPACT FEE IMPACT FEE DUE SCHOOL CREDIT TOTAL IMPACT FEE v `x SCHOOL Y vES+-"} aeaN 9 IMPACT FEE POLICE FEE FIRE FEE MISC FEE TOTAL POLICEIFIRE MISC FEES ADDITIONAL Y N SPECIFY TOTAL PERMITS of ALL REQUIRED FEES REVIEWS ZONING , ZONING PLANS MISC. VEGETATION SEATURTLE MANGROVE REVIEWED BY EXAMING DATE COMPLETE INITIALS cive�• co),- OFFICE USE ONLY: DATE FILED: K09 IE)6 1,1 PLAN REVIEW FEE: a+� . w RECEIPT NO.: Q%P(4Z PERMIT NUMBER: CbI a — 0 � t`-F CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED �J��Gya @ St. Lucie County Building and Zoning �� oa�� .Pie Virginia Avenue SCANNED �ORW Ft. Pierce, FL 34982-5652 �gY11f9 772-462-1553 BY St. Lucie Cou N APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION I. LOCATION/SITE ADDRESS: %AJl 2. S/D NAMEE PLAN NAME: 3. PROPERTY TAX ID #: 4. LE,9AL DESCRIPTION (attach extra sheets if necessary) 5. PLAT BOOK � 6. NAO. E 2 9 7. NOCK - 8 NO. �. 9. PARCEL SIZE: ACRES/SQ FT. .2 u2 %.2. LOT DIMENSIONS 10. DESCRIPTION OF C NSTRUCTION PROJE OR WORK ACTIVITY: U. SETBACKS (ACTUAL) FRONT: BACK: �^ RIGHT: LEFT: J SIDE D SIDE 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION RESIDENTIAL [ ] COM RCIAL [ ] TINDUSTRIAL 6" OTHER (SPECIFY) r- 13. DESCRIPTION OF PROPOSED USE: 14. Sq. Ft./CONSTRUCTION: W X �� _ 15. Sq. Ft. 1st Floor: 16. VALUE OF CONSTRUCTION: $ (7 . 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 will. similar types of construction activities. If the value is S2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 il CERTIFICATION: OWNER INFORMATION NAME: ADDRESS: -C-I-TY: - - - — - STATE: �� U - - ZIP / I �n - PHO (DAYTIME): V2.V_ 2 l 07 email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW: j FEE SIMPLE TITLEHOLDER:�- ADDRESS: CITY: PHONE (DAYTIME): STATE: PAN CONTRACTOR' INFORMATION ST. of FL REG./CERT #: f(/ fj /V /f_ ST. LUCIE COUNTY CERT #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): (_ ARCHIT/ENGINEER: ADDRESS: STATE: ZIP FAX NO. email: CITY: STATE: ZIP PHONE (DAYTIME): (_) BONDING COMPANY: ADDRESS: CITY: STATE: ZIP MORTGAGE LENDER: ADDRESS. - CITY: 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. 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 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. 0 CO T rA IGNATURE CONT\OFLORIDA SIGNATURE STATE OF F O STAT COUNTY OF COUN The foregoing�nstmment was acknowledged before me this`'1' '` ay of `f�qL , 2(1 ,by who is personally own to me or who has •a' 38 . aqD . L4 Signature of Notary or Print Name of Notary The foregoing before me this known to me or `P�CB;. \5ND Signature OEOb5 0 ,- TypeorF nt was acknowledged of 20 ,by _, who is personally s produced as identification. Commission No. (Seal) "• r`F Commission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION. For specific instructions see appropriate permit checklist. Code Compliance Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 Permit 1'SGA NFj) BY St. Lurip County Address 392 NETTLES BLVD Owner(s) GaryJ Pistner Unit # JENSEN BEACH Fl- 34957 Jurisdiction ISt. Lucie County Parcel# 4502-501-0578-000/3 Future Land Us RU Zoning HIRD Block Lot# S/D Outdoor Resorts at Nettles Island Flood Elevation �._ Flood Zone AE Job Address �Megory type Proeertv Owner Sub -Trade Permit Application Type Building Pennitwlo subs Activity Type Other Confirmation# 726 Other -Specify CONCRETE Permit Type I Building (Miscellaneous) Date Applied 12109/2005 Location South,Island 5 Date Issued O Manual Valuation Date Finaled JEYIIIES BLVD Expiration Contractor Name Gary J Pistner Business Name Address 1392 Nettles By Owner / Buildier Sub -Trade Job Description Jensen Beach Email Status Void Taken By johnsonm Issued By Finaled By Open Contractor . Registration Form Phone (772) 229-1721 ext Sub Trade Status Permit Type Taken By Contractor Issued By Company Finaled By Date Applied Finaled Issued Expiration FCC 915 Foundation/SlablWall NOC Required ❑ NOC Receivec ❑ NOC Expiration Setbacks (Feet) Front Back = Left Side 8.00 Right Side Job Description I NEW CONCRETE FOR WALK WAY - 8 X 33. 40 Code Compliance Division 2300 Virginia Avenue FL Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462.2522 Permit 1 SGHNNED BY Address 1392 NETTLES BLVD Owner(s) IGaryiPistner Unit # JENSEN BEACH IFL 34957 Jurisdiction ISt. Lucie County Parcel# 4502-501-0578-00013 Future Land Us RU Zoning HIRD Block =Lot# SID Outdoor Resorts at Nettles Island Flood Elev_atio_n_ g -Flood. Zone AE- - Additional Info Frank has this permit to see Paula about 12119/05 Void per Paula -customer cannot concrete the entire backyard. bd 5123106 OPP i _ �• i