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HomeMy WebLinkAbout98120147 - 8501 CHAMPIONS WAY - PAPERWORKST. LUCIE COUNTY APPLICATION for BUILDING PERMIT BP #: ayc? of o OFFICE USE ONLY SECTION: ^�f a• / TOWNSHIP: �% _ RANGE: 2 MAP NO.: ZONING: LAND USE: LOT CVG %: TAZ NO.: 0 FLOOD ZONE: FIRM MAP #: 1ST FLR ELV: MAX HGT: CST TYPE: OCCP TYPE: MAX. OCCP: # OF FLRS: WATER: SEWER: SPRINKLERS ORMWATE R LOT OF REC (befr 1/90) LOT OF REC (aftr 1/90) LOT SPLIT LOT SPLIT REQ'D APPRV'D DECAL LIBRARY PARKS PERMIT NUMBER IMPACT FEE IMPACT FEE F REPORT PUBLIC BLDG HABITABALE RADON FEE CODE - IMPACT FEE AREA (RADON) Y N ROAD GROSS ROAD IIEDIT TOTAL ROAD IMPACT ZONE IMPACT FEE IMPACT FEE DUE Y N SCHOOL CREDIT 'TOTAL IMPACT FEE SCHOOL . IMPACT FEE POLICE FEE FIRE FEE MISC FEES: TOTAL POLICE/FIRE/ • MISC. FEES Y N ADDITIONAL SPECIFY: TOTAL ALL PERMITS FEES REQ'D REVIEWS ZONING ZONING PLANS VEGETATION r;�. SEA -TURTLE MANGROVE REVIEWED BY EXAMINING {� c DATE C COMPLETE J E� INITIALS I /z /, �d I DATE FILED:w;,,-" •. / �' - ✓ PLAN -REVIEW FEE: RECEIPT NO.: PERMIT NUMBER:, CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: SCANNED g�E CMG ST. LUCIE COUNTY StLuce County DEPARTMENT OF . COMMUNITY DEVELOPMENT 2300 VIRGINIA AVENUE OR10Q FORT PIERCE, FL 34982-5652 561462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE :A111 *0 i 1:17111111:a 141a1% 111 101,` 1. 2. 3. 4. LOCATION/SITE ADDRESS: ��o l C /1C¢l+ti�ro�s Gu,q y 1�d27 S%, [UC//z S/D NAME: SIT �j PLANNAME: - PROPERTY TAX ID #: 051 LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT 6. PAGE 7. BLOCK LOT BOOK NO. NO. NO. 9. PARCEL SIZE: ACRES/SQ FT. LOT DIME IONS 10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVI — 11. SETBACKS (ACTUAL) FRONT: BACK:' T IDE LET ASIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: U) A-e- L SCG /_( W,4 4 L 14. Sq. Ft./CONSTRUCTION: 15. Sq. Ft. 1st Floor: 16. VALUE OF CONSTRUCTION: $ HBO 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. ST. LUCIE COUNTY APPLICATION for BUILDING PERMIT SLCCDV Form No.: 001-02 ST. LUCIE COUNTY APPLICATION for BUILDING PERMIT OWNER INFORMATION: . NAME: DomT_ S T, L //CI L PHONE (DAYTIME): IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): CONTRACTOR INFORMATION ST. of FL REG./CERT #: ��� `r 60CJ / O BUSINESS NAME: QUALIFIERS NAME: ADDRESS: city: PHONE (DAYTIME): ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: nC•,4Z_e �&. �5 FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS STATE: ST. LUCIE COUNTY CERT #: �S �2000�fi ZIP Ys8s 3 S %✓� STATE: ecC ZIP 3 yg Y cS9-/I a83-5'Gl�IP ss3 STATE: ZIP ST. LUCIE COUNTY APPLICATION for BUILDING PERMIT 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 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 applicable laws regul g construction and zoning. 6WNERICONTRACTOR SIGNATURE �/ CONTRACTOR SIGNATURE . STATE OF FL D COUNTY OF Sworn ubs ed efore m is day ofand s19 y o is perso apy known to me or who has produced � as identification. 71dt'6 a Signature of Notary Type or Print Name of Notary Notary Public Title COM*1Wb1V0Mf DEAL IRVIE F SAUNDERS (seal) NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC763529 MY COMMISSION EXP. JULY 29, 2002 STATE OF FL ID. COUNTY OF� The foregoing I s rument as acknowle befor me t 'I By of 0M _ , 19 , by who is p s nally known to me or who has produced as identification. �o Signature of Notary Type of Print Name of Notary Nota �LNOT%SEAL UIER�V1EF. SARS N Ay FWR EOM p I - AT ST (sea Y COMMISSION EXP.JULY 29, 2002 - 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. ST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERMIT SUB -CONTRACTOR SUMMARY SCANNEu BY - — St. Lucie Count\ will be using the (companylndividual name) - following -sub -contractors for the project located at (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 Community Development Department (Growth Management Division) of St. Lucie County. •�.amtta�+a�mmmm.rte.�mmmm�eme.e�m.�mee:m:m:mrem�k Trade Name of Company/Contractor St Lucie County/ State of Florida License Number Plumbing Electrical z.o� (� G -lJO� HVAC/Mechanical Roofing Gas OFFICE USE ONLY: SLCCDV FORM NO.: 003-00 PERMIT NUMBER: I I ISSUE DATE: ,. St. Lucie County/ Trade Name of Company/Contractor State of Florida License Number *** THIS INFO IS BELIEVED CORRECT BUT IS SUBJECT TO CHANGE AND NOT WARRANPP:L) xxx 1-LI 2:10 PAGE FMT ON KBD v2.64 NCR 301 MAST ST. LUCIE COUNTY PROPERTY APPRAISER TRAN-PRO FUNC ( ) REQUEST ( ) * PARCEL MASTER SCREEN * 12/09/98 12:49 I.D.(3327-708-0009-000/9 ) PAGE (01) OF 1 TAX YEAR(C) 1999 VOID YIN(N) PORT ST LUCIE HOTEL VENTURE C/O CAPITAL CIRCLE HOTEL CO D.O.R. CODE 9900 DATE SOLD 04/30/98 V 226 TIPPAH ST N CLASS. USE CODE SALE AMT 600000 BOX 38 SECTION 27 O.R. BOOK 1_142 GRAND JUNCTION,TN 38039-0000 TOWNSHIP 36S O.R. PAGE 0220 RANGE 39E MAP ID 33/27S ------ LEGAL/PROPERTY DESC ----- SPECIAL DIST 0060 TAX AUTH. 02COUNTY PGA COMMERCE CENTRE AT THE SUBDIVISION 3327708 NOTES YES RESERVE COMMERCIAL PARCEL 1 LENDING INST. * LAND(MKT) = 489400 (3.210 AC) (OR 1142-220) LOAN * IMPR = VACANT/IMPRV * CLASS USE _ V VAC SALE * ASSESSED = 489400 QUAL/CODE * AMEND 10 = OLD 00 QUAL SAL * EXEMPTION = PARENT ID NO. 3326-333-0001-000/0 SPLIT * TAXABLE = 489400 ----------------------------- EXEMPTIONS ----------------------------------------- NOT:H: W: C: M: EXEMPT STATUS *** THIS INFO IS BELIEVED CORRECT BUT IS SUBJECT TO CHANGE AND NOT WARRANTED *** 1-LI 2:10 PAGE FMT ON KBD v2.64 NCR 301 &Ute Z96 - 333 - Om/ SCANNk-o BY St. Lucie Cnlintl/ 12 O Q 7 402.58 300-- .. _ ...._ - -qc-__.__- - RESERVE BO1 )/-000/5i -37133 tG ".."t �1 80.02 561.92 409.89 300 �=25.ffi8 25.66 1_ -91.35 —° 71.40 / R38.79 709.89 LLI 0 1 O ,�1 94 ACzm (D In N11 43.I U i of 3 1n a COMMERCIAL E COMMERCIAL Ln PARCEL 1 N PARCEL 2 1z55 3.21 Ac. 6.926 Ac 17.46 158,zj 21.41 I,� — d 0 l9 p ' NSF_. // ; 1 1 � I I N rn 40.11 I 150 ,o /f .p 43.72 G'LN �3 4?.99y / 7161 G� O 107.9 f, Y •o I\ 1 ! 0 i I 123.87 WATER 2.2� WATER 37.44 12 MANAGEMENT / }' `��, MANAGEMENT 34.85 TRA_,T 1 l' TRACT 3 c 4.405 Ac N_ POD2 I .15 2 Ac - 25.08 14.32y