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