HomeMy WebLinkAboutAPPLICATION BUILDING PERMITBP OFFICE USE ONLY:
'7` /
DATE FILED:
PLAN -REVIEW-FEE: REC' NO.- PERMIT NUMBER:
OFFICE USE ONLY
- -S---
ECTION: TOWNSHIP: RANGE: MAP NO.: / ��
\E Cp
c� 2� ST. LUCIE COUNTY At
�. ; , DEPARTMENT OF COMMUNITY DEVELOPMENT
ZONING- LAND USE: (� LOT CVG %: TAZ NO.: 2300 VIRGINIA AVENUE -
_ 2_ 2 5652— BY -
FORT-PIERCE,L 349�
561-46 1553
i
FLOOD ZONE: FIRM MAP #: 1ST FLR ELV: MAX HGT:}� �4A�$� (�'®��'I'iv �0,
APPLICATION f6r BUILDING PERMIT
CST TYPE: OCCP TYPE:.4:::: MAX. OCCP: # OF FLRS: CERTIFICATE of CAPACITY/ZONING COMPLIANCE
WATER: EWER: SPRINKLERS -=STORMWATE PROJECT INFORMATION
R �•
1. f LOCATION/SITE ADDRESS: ,.8555. Commerce- :_ Center Drive South, PSL
LOT OF REC (befr 1/90) LOT OF REC (aftr 1/90) LOT SPLIT LOT SPLIT I' 2. S/D NAME: SITE PLAN NAME:
3�27: -- . PGA University
REQ'D APPRV'D
I 3. -' PROPERTY TAX ID #: 7.08 OD01-000/3 -
DECAL LIBRARY PARKS PERMIT t! 4. LEGAL DESCRIPTION (attach extra sheets if necessary):
NUMBER IMPACT FEE IMPACT FEE FEE --
.�I 6
k` DEPORT PUBLIC BLDG HABITABALE RAD EE 3`6 s Commerce Centre at the Reserves PB 37, P. 6B Commercial Parcel # 3'
---ODE IMPACT FEE AREA of
. _ RADON - ! 5. PLAT \ _ 6. PAGE 7. BLOCK 8. LOT
Y,} BOOK NO. NO. NO.
ROAD GROSS ROAD CREDIT TOTAL ROAD !
�t
IMPACT ZONE IMPACT FEE IMPACT FEE
DUE 9. PARCEL SIZE: ACRES/SQ FT. LOT DIMENSIONS
Y N - SCHOOL CREDIT , TOTAL r 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:GGL�f/u�P Md&:7
IMPACT FEE' _ � � = ',`:, � - 'C t - � •SCHOOL`... �r -
-� custom fabricate and install one 1 awning AA D�
I IMPACT FEE • - ".. ( )/`u®LL� e�
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT LEFTOr
POLICE FEE FIRE. FEE MISC FEES: TOTAL - SIDE SIDE: ld/1�i
_T'`, ' ' ;':POLICE/FIRE/.
Misc: FEES 12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
Y N.
ADDITIONAL SPECIFY:'`` , L 'TOTALALL'.: _ : ', , ; ;+: [ ] NEW CONSTRUCTION EXPANSION/ADDITION [ ] INTERIOR RENOVATION
PERMREQ ITS FEESD[ ]
RESIDENTIAL [X] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
• REVIEWS:. ,. .: .ZONING ZONING PLANS - -VEGETATION SEA MANGROVE '
_ . REVIEWED BY . EXAMINING TURTLE 5.
n 14. Sq. Ft./CONSTRUCTION: I F 15. Sq. Ft. 1st Floor. -If�
DATE`
COMPLETE eo— -Cr 16. VALUE OF CONSTRUCTION: $ _ 16,6980—
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 -
INITIALS 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.
RESIDENTIAL (Single Family)
SLCCDV Form No.: 001-02
THE AVERAGE PROCESSING TIME FOR MOST BUILDING PERMITS IS TEN (10) WORKING DAYS
OWNER INFORMATION:
NAME: PGA --Golf Developement Inc. Attn. Christine Garrity Secretary -
ADDRESS: 100 Ave.of the -
CITY: STATE: ZIP
Chamjions
— Palm Beach GArdens _ _ - 3-3410 —
_ - — — - _ — -- — - — — -_ — — -- FL -
PHONE (DAYTIME): r 561� ,62. 4=8529 — -- — - - — — - - -
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
STATE:
ST. of FL REG./CERT #: ST. LUCIE COUNTY CERT #: 17449
BUSINESS NAME: Mal or Canvas Awnings, Inc.
QUALIFIERS NAME: Dieter Ruhstrat
ZIP
2121' SW Conant Ave.
ADDRESS:
Port St. Lucie
STATE'
zip 34953
CITY:
PHONE (DAYTIME):
(_ 561 336-9500
FAX No. 561-336-9501
/4AWrIENGINEER:
Paul Welch, --Tnc
ADDRESS:
1984 Biltmore Ste. 11-4
J
CITY::
Port Sf. >,uciex
STATE:'
zIP34984
PHONE. (DAYTIME):
563 785-9888
BONDING COMPANY:
ADDRESS:
CITY:
STATE:
ZIP
MORTGAGE LENDER:
I
ADDRESS:
f
E
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.
i
' I
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 & 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 RIGHTTITLE, 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: 1 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.
i
OWNER/CONTRACTOR SIGNATURE CONTRACTOR SIGNATURE
STATE OF FLOR DA STATE OF FLO IDA
COUNTY OF GG2�c�� COUNTY OF
Sw rn toan subscribed before me thi day The foregoing�jstrument as acknowledged
, �by�j�T�fL AW6f ��� is before me'this day �� �bY
L who is s nall known to me
personally known to me or who has produced �L�17 T ft6 �Pr1f�.�T/1�T, p y
as identificationIn a36 _!l�-�--�a�o�o or ho has produced EZ as identification.
tignatture:ofNotary, ignature of Notary
Type or Print Name of Notary Type of Print Name of Notary
—Notary Public — Title Nota[y Public. Tit i
Commission Number '0,o Kathleen Cicio
* * My Commission CC959482
(seal) Expires August 8, 2004
Commission Numbep,,,
�. Kathleen Clclo
* *MypommissionCC959482
(sea[) � Expir6.August8.2004
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.