HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONMDM #7249
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DATE IUED:
a 0 a C-0 RECEI]?T
PLAN REVIEW FEE: NO.: PERMIT MMBM Mo
CONCURRENCY ITE-. 0-0 - 'RECEIPT NO- CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FIJLLED IN TO BE ACCEPTED
7teedrs /V 0 C,
St Lucie County Building and Zoning Ccr-n-f)CW C710 /it.
2300 Virginia Avenue
Ft- Pietre, FL 34982-5652 L—j�,
772-462-15P
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02--
APPLICATION T
CERTMCATE of CAPACITYMONING COMYL E
Tf S 'f-
PROJECT INFOPd"TION 5&,6
17t V�',erc-e arre-elw&
LOCA11ON/SrrF ADDRESS:
LUCIE
2. pROjECTNAMF- International AiEport Business Park
. [PARCEL i)rY4-28--702�0634--006---
3. PROPERTY TAX ID #. I ft- - - n
XPARC I— T4-2_8=—m2-=0232-V010 r7
C 9 Dec
a
WT
Mjk
4. LEGAL DES s #N I L ��e�ssary:—�=
(PARCEL 1) RAN M= FLAEA B/D -UN= ONE- ELK 37 LoTs I THRU 18 AND R 1/2 OF VAC RAWRORM RD ADJ ON 8 OF LoT 18-
(PARCEL. 2) SAN Ln= plA,, S/D-UNrT OM- Luz 15A LOT I AND 8 1/2 OF VAC RAIMMORNE An AD.T ON N-LESS E 3 FT FOR R
5. PLATBOOK_ 6. PAGENO.— 7. BLOCK NO. 8. LOT NO. —
i-361569,bo
9. PARCEL SEM (ACRES/SQ Fr.): LOT DUVIENSIONS:
PARCEL 1: 2 . .92 ACRES & PARCEL 2: 0.28 ACRES
10. CONMETE DESCREPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
NEW CONVENIENCE STORE WITH GAS SALES
11. SETBACKS (ACTUAL) FRONT:9�L— BACK.M�� RIGBTSIDE:-E-8---4-jLEFr SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[yj NEW CONSTRUCTION [ I EXPANSIONIADDITION INTERIOR RENOVATION
RESIDENTIAL bd COMAIERCIAL M INDUSTRIAL
OTHER (SPECIITY)
13. DESCRIPTION OF PROPOSED USE: INDUSTRIAL
14. sQ.FroFcoNsTRucriON: 2,400 15. SF. Fr Ist FLOOR.
VALUE OF CONSTRUCTION:
16.
The valueof construction is usedto determine the ancentof permitfoes to be asseskc) 41 Lucie County reservm the rightto questionandformodify the indicated
value of construction if itis demonstratal thatthe submi"M figum atenotemudstent with somil tyMof0etstructiOnactivitim-Ifthe value is S2500 ormore, a
RECORDED Notice of Commencement must be submitted withthis application.
SLCCDV Form No.: 001-02
OWNER INFORMATION
NAME:.INTERNATIONAL AIRPORT BUSINESS PARK OF ST. LUCIE COUNTY COUNTY, LLC
ADDRESS: 15300 NW 7TH AVE
CITY: MIAMI STATE: rL 2ip: 33169
PHONE (DAYTIME): qQ5
j 688-9613 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
STATE:
O'A 10
ST. of Fl, REG.CERT #: C L? C e Yf 9 (0 / ST. LUCIE COUNTY CERT #: 2- 2- 7
BUSINESS NAME: NIDM SERVICES, INC.
QuALwlERS NAME: RICHARD R. MORRIS
ADDRESS: 1412 SW 34TH AVE
CITY: DEERFIELD BEACH STATE: FL zip: 33442
PRoNE(DAYTimE): (254
j 427-3076 FAXNO. 954-427--342'0 Email: maric.qcmez@mdmaervices.c=
ARCHIT/ENGINEER: RICHARD WENSING ARCHITECTS & PLANNERS, PA
ADDRESS: 2101 VISTA PARKWAY, SUITE 108
CITY: -WEST PAIR BEACH STATE: FL ZIP: 33411
PHONE (DAYTRvIE): (Hl) 6 8 4 - 19 8 8
it I �31, Lb 11
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
STATE:
ZIP:
ZIP:
]IMPORTANT NOTTCE: When a permit is issued and it is not picked up within 60 da s terno I on
_v af tificati
it will be —voided and returned to you by mail.
CERTMCATION:
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, POOIS,_FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, LTC., 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 CONINIENCEIVEENT MAY RESULT IN YOUR
PAYING TWICE FOR 11"ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF CONDAENCENIENT.
NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT, TITLE,
AND INTEREST THAT IS SUBJECT TO ATTACHNIENT; AS A CONDITION OF THIS
PERMIT YOU PRONUSE IN GOOD FAITH TO DEI VER A COPY OF THE ATTACHFD
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO ATTACHNIENT. 11_�
OWNER'S AFFIDAVIT: I certify that all the foregoing information is 11curate and that all,*or wi done i compliance
with all applicable laws regulating construic on and zoning.
'bWNER OR CONTRACTOR SIGNATURE
STATEOFFLORIDA STATE OF FLORIDA,
COUNTY OF N'V% i COUNTYOF Ae'914116e-b
The foregoing instrument was acknowledged before
methis-?'i dayof N;ior�� 0-to—TrI
by
who is personally known V_� or has produced
identification.
Signature of No 4�� X 140�� 8ft � raw
'I
Q=*ftEUkW$V29.20
Commissi RV 1)D 55rM
""O"RBOAM By Ngftw Nab. A.
Ik'
The foregoing instrument was acknowledged before
me this .2008
_2!��_day of ;r&/—Z/
0
by 'V10"IS
who is personally known #-*, orhasproduced
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF "PLYING FOR
THIS BUILDING -PERMIT AS AN OWNERIBUILDER, THE OWNER MUST PERSONALLY "PEAR TO SIGN
THIS APPLICATION INTHE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER ArFIDAViT-WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checkfist.
OFFICE USE ONLY BP#: o6sq- otbs
SECTION
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TOWNSHIP
RANGE
Los
MAP NO.
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ZONING
LAND USE
50-10
LOT CVG %
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FLOOD ZONE
FIRM MAP #
116
1'r' FLR ELV
MAX HOT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WiUoiO
WATER
F?Lmck
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLrr
Before 111990
After 1/1990
REQUIRED
APPROVED
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SPECIFY
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NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES
REQUIRED
PLUNMING
FEES
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DATE SENT TO ADDRESSING: D q-/ IL IVC4
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTUR
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
INITIALS