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Home My WebLink AboutAPPLICATION FOR BUILDING PERMIT CERTIFICATE OF CAPACITYI OFFICE USE ONLY " #: SECTION TOWNSHIP RANGE L4 O MAP NO. 11 5 N I[ s 50 ZONING I LAND USE 7 T j� �FLOOD LOT CVG % 10•15 TAZ NO. ZONE y FIRM MAP # I� V 1sT FLR ELV MAX HGT CONST TYPE V / 5 OCCUP TYPE 1 Z13 lf� MAX OCCUP # OF FLRS WATER SEWER wu SPRINKLERS STORMWATER 8l LOT OF REC LOT OF REC ` 16 ` C5 LOT SPLIT LOT SPLIT Before 1/1990 After 1/1990 :!! k L REQUIRED APPROVED REPORT CODE 7 HABITABLE AREA RADON FEE % Z �� "' PERMIT FEE (RADON) LIBRARY PUBLIC BLD ( ®- PUBIC BLD dV PARKS IMPACT n 1 / IMPACT FEE #ZCj1 IMPACT ' �J IMPACT ' FEE 1 v f CORRECTION FEE FEE GENERAL SCHOOL r' `I� ROAD rY1Q.� h CREDIT Y LAW ENF 6� IMPACT 1 �+ IMPACT I _ 6Bq 6Z IMPACT J FEE FEE ! • FEE FIRE/EMS Lt,�. DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT C+z, REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC 1C GAS LOT OF RECORD FEES REQUIRED PLUMBING Z.G FEES 3 / DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED INITIALS MDMM7-248 OFFICE USE ONLY: vim' rOL9 .`-CAm.e DATE -FILED: 4 —_ J PLAN REVIEW FEE: _y cr"v, RECEIPT NO.: — - Q PERViI1. NUMBER: CONCURRENCY FEE: =crU RECEIPT NO.: ( CERT. CHAP. NO.: _ ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED St. Lucie County Building and Zoning '3�j mec 2Pie Virginia 82 5[t y(`fi51B�9NE0 CO A, r�e7'0 r • F� RD Ft. Pierce, FL 34982- 6�� o� �� • 772-462-1553 BY sec � � ►� p1� � ��: �� u��t - : - _ APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITYMONING COMPLIANCE PROJECT INFORMATION i/(/ i're0, 3253, 3255, 3257, 3259, 3261 1. LOCATION/STYE ADDRESS: 32 63 , 3265, 3267 F9W SAINT LUCIE BLVD . Ft Pier re._ 2. PROJECTNAME: International Airport Business Park 3t194(o 3. PROPERTY TAX ID#: (PARCEL 1) 1428-702-0634-000-5 CEi 1 - 4. J:EGAI DESCRIPTION (attar extrasheets if necessary): (PARCEL 1).SAN LUCIE PLAZA S/D-UNIT ONE- BLK 37 LOTS 1 THRU 18 AND N 1/2 OF VAC HAWTHORN RD ADJ ON S OF LOT 18- (PARCEL 2) SAN LUCIE PLAZA S/D-UNIT ONE- BLK 15A LOT 1 AND S 1/2 OF VAC HAWTHORNE RD ADJ ON N-LESS E 3 FT FOR R 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. PARCEL SIZE (ACRES/SQ FT.): 3 • M LOT DIMENSIONS: - PARCEL 1: 2.92 ACRES & PARCEL 2: 0.28 ACRES COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: NEW FLEX SPACE/OFFICE WAREHOUSE BUILDING - PHASE 1 ✓ '� U I1'. SETBACKS (ACTUAL) FRONT; bi, BACK: j Q .1 -�_-) RIGHT SIDE: /jam LEFT SIDE: �3 i i�Y 12.. 13. 14. TYPE OF CONSTRUCTION (Check all appropriate boxes) Dd NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] RESIDENTIAL [X] COMMERCIAL [ ] OTHER (SPECIFY) DESCRIPTION OF PROPOSED USE: JLNL)UbTkCL. 11/Q-) 0 SQ. FT OF CONSTRUCTION: [ ] INTERIOR RENOVATION [a(] INDUSTRIAL 15. SF. FT 1st FLOOR: 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 ppbTiued figures are not, consistent with similar types of construction a.Fopities. If the value is $2500 or more, a t. RECORDED Notice of Commencement must s 'tted with this application. SLCCDV Form No.: 001-( 2','/ P1 CERTIFICATION: OWNER INFORMATION NAME:INTERNATIONAL AIRPORT BUSINESS --PARK OF ST. LUCIE COUNTY COUNTY, LLC ADDRESS: 15300 NW 7TH AVE CITY: MIAMI - STATE: FL zip: 33169 PHONE (DAYTIME): 3( 05) 6 8 8 — 9 613 Email: 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: PHONE (DAYTIME): (_) CONTRACTOR INFORMATION ST. of FL REG.CERT #: C -E C' w Yn.' t BUSINESS NAME: MDM SERVICES, INC. STATE: w l' ST. LUCIE COUNTY CERT #: oCD_-7 13 QUALIFIERS NAME: RICHARD R. MORRIS ADDRESS: 1412 SW 34TH AVE CITY: DEERFIELD BEACH STATE: FL zip: 33442 PHONE (DAYTIME): 9( 54) 427-3076 FAX NO. 954-427-3420 Eel: mario.gomez@mdmservices.com ARCHIT/ENGINEER: RICHARD WENSING ARCHITECTS & PLANNERS, PA ADDRESS: 2101 VISTA PARKWAY, SUITE 108 CITY: WEST PALM BEACH PHONE (DAYTIME): 561) 684-1988 BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: FL STATE: STATE: zIP: 33411 w 1' ZIP: EMPORTANT 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. a 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 DEL R A Y OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE RSON WHOS PROPS BJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: I certify that all the foregoing information i accurate and that all wo wil in compliance with all applicable laws regulating cons tion and zoning. OWNER OR CONTRACTOR SIGNATURE CONTRAC R'S�GVXTURE STATE OF FLORIDA COUNTY OF "-, 6 m i The foregoing instrument was acknowledged before me this_ day of ar,� 20 'Q) 8' , by Gc—�rta\ \j -Z'\-\-, who is personally known ✓ or has produced STATE OF FLONDO�� COUNTY OF The foregoing instrument was acknowledged before me this 3 day of �� 920 90,9, by 01?1 SGW4b A10. �IO�PP/S who is personally known All, or has produced as identification. i1pntification. CTTHEW BERNSTE1N Signature of Notary ; S State di�p 010 Signature of Notary Commission 0 DD 557350 Commission No ' nded bf4timl Notary Ann, Commission o�,,� ��.„ �t 10 A. GO I MY COMMISSION # DD 460661 EXPIRES: November 4, 2009 BonM Thru Notary public Underwriters NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST B G 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.