HomeMy WebLinkAbout10873 STATE RD HUTCHINSON ISLANDOFFICE US ,QNL SCANNED
Y.�--��
DATE FILED: / BY
COU*
PLAN REVIEW FEE: .SD • C7 RECEIPT NO.: �69A&T NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE 8t FILLED IN TO BE ACCEPTED
C::k ag,
Cray ST. LUCIE COUNTY PUBLIC WORKS �C-
BUILDING & ZONING DEPARTMENT
2300 VIRGINIA AVENUE
'20RIOQ' FORT PIERCE, FL 349112-5652
561-462-1553
APPLICATION for. BUILDING PERNHT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
5T✓� �'2C/1
lrlaSo �O 'TS17
1.
LOCATION/SITE ADDRESS:®% ,()C
.1/4
2.
S/D NAME: SITE PLAN NAME:
3.
PROPERTY TAX ID #: SI � — ' � O % - aw- �- �
Q
7 �
4.
LEGAL DESCRIPTION (attach extra sheets if necessary):
8. LOT
5.
PLAT 6. PAGE 7. BLOCK
BOOK NO. NO.
NO.
9.
PARCEL SIZE: ACRES/SO FT. LOT DIMENSIONS
16.
DESCRIPTION OF CONS. UC�TIO PROJECT OR WORK ACTIVITY: kza�
i
1 c , DI Cjym,�w1
eo i
)
i
=D9jfq!1
11.
SETBACKS (ACTUAL) FRONT: B CK: RIGHT
LEFT
SIDE
SIDE:
12.
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ]
INDUSTRIAL
[ ] OTHER (SPECIFY)
13.
f�
DESCRIPTION OF PROPOSED USE: -bockog'S t zt Ic"P
14.
Sq. FtJCONSTRUCTION: G t% 0 15. Sq. Ft. 1 st Floor:
16.
VALUE OF CONSTRUCTION: $ 3. '60
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 S250C
or more, a RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
OWNER INFORMATION: �/�
NAME: / I/ �
ADDRESS: Q Q
CITY: STATE: �L ZIP ✓
PHONE (DAYTIME): (7� . 5
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS
BELOW.
FEE SIMPLE TITLEHOLDER: Za
ADDRESS:
CITY: STATE: ZIP
PHONE (DAYTIME): I 1
CONTRACTOR INFORMATION
ST. of FL REGJCERT /: L, CIO �b �'. lST. LUCIE COUNTY CERT N:
BUSINESS NAME: 'i, e �1�'J ..L' .
JJ
QUALIFIERS NAME. �� `he �� ��.ff -] e4�11�L(�T t_S
ADDRESS: I5S 74 Sr-- (A l-'X01'U lAV"e
CITY: ? Sr L. UG 1 e
PHONE (DAYTIME): ('77.'4 .� / o � b
33°7 - `F83
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME):
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE: �'( ZIP Z
FAX, NO. 73.1-3Yo- 6o'f%
8'�r-A e+ STATE: �� ZIP
(g134 -,;-9'7 - c ;;. rg
STATE: ZIP
STATE: ZIP
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 daya
after notification it will be voided and returned to you by mail.
0
ST LUCIE COUNTY FIRE DISTRICT
BUREAU OF FIRE PREVENTION
PLAN REVIEW
2400 Rhode Island Avenue
Ft Pierce, FL 34950
( )New Construction ( enant Improvement
Jurisdiction:
SLC
Occupancy:
Dr. Hayes
Address:
10873 Al
Contractor
PVD Development
Contractor's Address:
1574 SE Chiffon Ave
State:
Florida
Architect/Engineer:
Braden & Braden AIA, PA
Building Owner:
Occupancy Type:
Business
Gross sq ft:
800
Occupant Load:
Construction Type:
Telephone: 772-462-8306
FAX: 772-462-8466
( )Addition ( )Renovation/alterations ( )Shell Only
F.P.B.:
B-03-210
Building Dept:
23070342
Number of stories:
1
Phone #
772-337-4838
City:
PSL
Zip Code:
34952
Phone #
772-287-8258
Review Date:
7/14/2003
Automatic sprinklers:
Net sq ft:
Based On:
SBCCI Type:
NOTE
1. All revisions must be in compliance before the final inspection.
2. The Fire Marshal requires 24 hour notice on all inspections.
3. The respective Building Department shall schedule all final inspections through the Fire Marshal's Office.
4. Permit fees are required to be paid in full prior to any inspections.
5. Failed inspections require payment of fee prior to rescheduling of further inspections.
6. A copy of the required revision/s have been transmitted to the Architect () Contractor ( ).
7. Penetrations through rated assemblies shall be of proper UL design.
8. UL design criteria shall be submitted with the construction plans.
9. Fire Alarm Panels shall be located indoors.
THE FLORIDA FIRE PREVENTION CODE, 2001 EDITION IS CURRENTLY ENFORCED.
REVISIONS REQUIRED
ACCESS BOX IS REQUIRED ( ) ACCESS KEY SWITCH REQUIRED ( )
1. Provide portable fire protection.
Reviewed by:. Date: 7/14/2003
,I
St. Lucie County
Building. & 7onyrng
BUILDING PERti1IT
. ORS SUB -CONTRACTOR SUMMARY
will be using the following sub -contractors for the
(Company/Individual 'ame) t4o �� r- o60
�A _ ,J
project located at O 95, 3
(Street address or Property Tax ID #)
It is understood that if there is any change of status -regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade Name of Company/Contractor
At C
Electrical
a36
Plumbing Li Kid vesf PiuVVVb 1W J L
Wa
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT
NUMBER:
ISSUE DATE:
St. Lucie County/
State of Florida
License Number
J3
171/
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 & accessoryuses 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
/ „ with all applicable laws regulating const
S(Q,I ATURE
STATE OF FLORIDA
COUNTY OF ST Lire,ie
The foregoing instrument was acknowledged
before me this -�J— day of, 204
, by
1ls�, who is personal y knn o to me or who
has pr uc as identification.
0
Signature of Notary
4oc4
Type or Print Name of Notary
Notary Public Title
Commission Number
work will be done in compliance
SIGNATURE
ATE OF FLORIDA
)UNTY OF 5i Luc; �P
The foregoing instrument was acknowledged
e ore ime this day of 6.
, 20 Lr , by
who is person Ily known to me
7IR
roduce q Iv�Qf s identification.
��VA'
Signature of Notary
elfzu" 4&t A64
Type of Print Name of Notary
Notary Public Title
Commission Number
(seal) EPZ (seal) HA$§Y ���HANNOFFIWRBLIC-STATE OF STATE
COMMISSION 4 D0056064 COMMISSION 0 OD056064
EXPIRES 09/112005 EXPIRES o9/112005
Coll 1R. 1.888•140TAAY I
NOTE: TWO (2) SIGN Ri 9 XROk` bUIRED. EACH SIGNATURE MUST BE NOTARIZED.
IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNEWBUILDER, THE OWNER MUST PERSONALLY APPEAK
TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OFFICE'::'USE..ONLY.:...::,::.::............,:,,-'..::�:.''.
SECTION:
TOWNSHIP:
37
RANGE:
MAP NO.:
—
��// x
ZONING:
LAND USE:
LOT CVG %:
TAZ NO...
FLOOD ZONE:
FIRM MAP #
1ST FLR ELV:
MAX HGT:
CST TYPE:
0 C C PrA /E:
MAX. OCCP:
# OF FLRS:
WATER:
oolo
07
SEWER:
SPRINKLERS
STORMWATE
R
LOT OF REC (befr 1/90)
LOT OF REC (attr 1/90)
LOT SPLIT
L
REQ'D
LOT SPLIT
APPRV`D
DECAL
LIBRARY
PARKS
PERMIT
NUMBER
IMPACT FEE
IMPACT FEE
FEE
REPORT
PUBLIC BLDG
HABITABALE
`.RADON FEE
CODE
qtg\
IMPACT FEE
AREA
(RADON)
.00/
N
ROAD
GROSS ROAD
CREDIT
TOTAL ROAD
IMPACT ZONE
IMPACT FEE
IMPACT FEE
DUE
Y
N
SCHOOL
CREDIT
TOTAL
IMPACT FEE
SCHOOL
IMPACT FEE
POLICE FEE
FIRE FEE
ISC FEES:
TOTAL
POLICE/FIRE/
MISC. FEES
Y
N
ADDITIONAL
SPECIFY:
TOTAL ALL
PERMITS
FEES
REQ*D
REVIEWS
ZONING
iONI
PLANS
VEGETATION.''.
SEA',
MANGROVE
REVI�21) BY
EXAMINING
:TURTLE
DATE
11KI
;7O
COMPLETE
INITIALS
ST. LUCIE COUNTY PUBL WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. G
State of Florida Certification Number (If applicable):
S 4<2'-�J 0"iC,
(company/individual name)
has agreed to be
the �{ �G�l �° sub -contractor for U� ��n ►
(type of construction trade) (name of the prime oo tractor)
for the project located at 10 S i 3 , 5 tA1e_ Rd A 14 . It is understood that,
(street address or property tax ID #)
if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County
by personally filing a Change of Contractor
Form (SLCCDV FORM NO.004-00).
BUSINESS QU , IER (original signatures required):
signature tvv Print name Date
business name: r s d � ` f mac'
address: oi,L /- Z`•
city,state,zip: a c! C ( (f— Q'
phone: 7 &5 97
OFFICEUSE:ONLY
PERMIT # ISSUE DATE
SLCCDV FORM NO.: 002-00
ST 'LUCIE' COUNTY '
DEPARTMENT OF CO ;DEVELOPMENT
WEMING PERMIT
SMCO .CTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (n appiiwbie):-? s �: ,:;:, CFC057672
Lindquist Plumbing '& Supply Company, Inc. . has agre.ed to be
• (company/individual name):, - - .
the Plumbing SUh-Contractor', for Pyn DPVP1 npmPnr
(type a',conebuction trails) (name af.the prime contractor)
for the project located at 1,0973 south AiA :. It'is understood that,
(stoat addnse. ar property tax ID ri~)
t
if there is any change• of status regardingour participation. with- the above mentioned
I will immediately ity Develo , ment Department (Growth
• De
project, y ;.advise the Commun p p
Management Division) of St: Lucie -County by personally filing a. Change, of Contractor
-.
Form (SLCCDV FORM No., 004.00)
4
BUSINESS QUALIFIER, (original signatures required):
Robert A. "'Case 7191-3
signature print. name: ` ate
business name: Lindquist Plumbing &,'Supply. Company, Inca
address: 1270 Bell Avenue
city,State,Zip: Fort Pierce, . Florida'' 34'982 .
phone: 772)461-1969 .
SLCCDV FORM NO.: 002-00
PERM
R # ISSUE DATE `
S
Property Appraiser - St.Lucie Countv. FL
Page 1 of 1
Madness Limited Partnership Record: 1 of 1
Property Identification
Site Address: 10867 S OCEAN DR
Sec/Town/Range: 11 :37S :41 E
Map ID: 45/12F
Zoning: CG - CO
Ownership and Mailing
Owner: Madness Limited Partnership
Address: 10900 S Ocean Dr
Jensen Beach FL 34957
J
PROPERTY RECORD CARD
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Map
��UCIE CO
ParcellD: 4511-809-0003-000-5
Account #: 124572
Land Use: COM SHOP CNT
City/Cnty: ST. LUCIE COUNTY '•.'
Sales Information
Date
Price
Code
Deed
Book/Page
9/1/2000
875000
00
WD
1326 / 2103
2/3/1993
310000
00
WD
0829 / 0119
10/16/1991
413000
01
CT
0761 / 0070
4/1/1988
815000
00
CV
0586 / 1383
12/1/1985
0
01
CV
0496 / 1453
10/1/1985
850000
00
CV
0482 / 1234
Legal Description
WINDMILL VILLAGE BY-THE-SEA-REPLAT PARCEL NO 2 AND FROM
SW COR SEC 12 37 41 RUN N 89 DEG 55 MIN 41 S
More...
Assessment
2002 Val:
725200
Assessed:
725200
Ag.Credit:
0
Exempt:
0
Taxable:
725200
BUILDING INFORMATION
Total Land and Building
Total Land: 0.93 Acres
Buildings: 1
Finished Area: 8100 SgFt
Exterior Features
View:
-
RoofCover:
CS - Conc Shingle
RoofStruct:
HP - Hip
ExtType:
NSCT - SHOP CTR
YearBlt:
1984
Frame:
CB -
Grade:
C+ - C+
EffYrBit:
1990
PrimeWall:
BS - CB Stucco
StoryHght:
0010 - 1 Story
No.Units:
SecWall:
Interior Features
BedRooms:
0
Electric:
MX - MAXIMUM
PrmintWall:
DW - DW
FullBath:
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
1/2Bath:
HeatFuel:
ELEC - Electric
Prm.Fiors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and Yard Items Land Information
Type Y/S Qty.
Units
Qual.
Cond.
YrBlt. No, Land Use Type Measure Depth
ASP1 - ASP1 HIGH Y 1
13300
AV
AV
1965 1 1600-COM SHOP CNT 330 -Sq Feet 40511
LGT2 - DOUBLE LIGHT Y 1
1
AV
AV
1984
CURB - CEMENT CURB Y 1
175
AV
AV
1984
CURB - CEMENT CURB Y 1
200
AV
AV
1984
THIS INFORMATION IS BELIEVED
TO BE CORRECT
AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
THIS INFORMATION IS BELIEVED
TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://10.1.28.86/PRC.asp?prclid=451180900030005 7/8/2003
II `l
PATE O1 Koo .
ST. LUCIE COUNTY
THIS TO CECOf16�WAT THIS
CCT Ct)P`(Cf: THE
T''iUF AND
()EIfGIN�L.
JOANN,F110
NOTICE OF CO.MNIENCEMENT o 0 - 00 12 } 0 00 AT
D� Tax ID = `
I'ermitNo. County Of ��"�'7.►y`'7�
state Of
THE U'r'DERSIGNED hereby gives notice that improvement this Notice of Commencement.
certain 1prper , and in accordance with Chapter
713, Florida Statutes, the following information is provided to
Legal Description of propeiA and street ddress, if available
IC7 a�
General description of
Address ✓ fwI
Owner's interest in site of improvement `
Fee Simple Title holder (if other than owner)
Address
Contract,
Address
Phone# 3 kio-sr 4 e,
Fax
Phone #
Surety Fax #_
Address
Amount of Bond $
/ Phone # —
Lender ►"�! Fax # —
Address
hom notices or other documents may be served as provided by
Persons within the State of Florida designated by Owner upon w
Section 713.13 (1) (a) 7., Florida Statutes: Phone # -
Name Fax # -
Address of (Phone #
In addition to himself, owner designates Florida Sta e
Fax # ) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b ),
is one year from the date of recording unless a different dat ecified.
Expiration date of notice of commencement
(Date)
L O
STATE OF FLORIDA, COUNTY OF: i d+�l ��y ►'
,who is personally known to me or
Acknowledged before me this �, day of 20 �� ,by
who has produced ' '` - ,ti.'at �� as identification.
(seal) A N T Y
r 7e• V
TYPE OR PRINT NA OF NOTARY
N LIIZZABEaTH S N E OFA ORJQ ► NOTARY PUBLIC TITLE
COMMISSION a 00056064 COMMISSION NUMBER
R IFZ RU098 NOTARYI
BONDED
(L..�FtI. IF THE (.1RG::i1'?:i'COURT ,Pjl,:i l.JC;i�.. �:,il,�,.:�
i r 2236555
' BOOK 1754 PAGE 1' 60
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