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Home My WebLink AboutBUILDING PERMIT APPLICATIONMD?4 #7249 OFFICE USE ONLY BP #: of DR — SECTION To WNSHrP �XlLj!S RANGE F MAP NO. cztllj -ZONING— LAND USE LOT CVG % 5 TAZ NO. — FLOOD ZONE FIRM MAP # IIT FLR ELV MAXHGT. CONST TYPE OCCUP TYPE MAX OCCUP It OF FLRS WATER SE WER SPRINKLERS STORMWATFR LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 1/1990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE 8105 AREA FEE FEE (RADON) LIBRARY PUBLIC BLD -3 PUBIC BLD PARKS IMPACT N fLq IMPACTFEE 151 - 3 IMPACT IMPACT FEE CORRECTION FEE FEE GENERAL SCHOOL IMPACT ROAD IMPACT 6 CREDIT N LAIN ENF IMPACT FEE 1;qj u oicl I FEE , FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC 70� GAS LOT OF RECORD FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COU REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED a INITIALS I BY E USE ONL DATE FILED: M PLAN REVIEW FEE: RECEIPT NO.: CONCURRENCY FEE. RECEIPT NO.: 1. 2. 3. 4. 5. 9. 10 PERMIT NUMB ER: QRP-2 0109- CERT. CAP. NO.: -ALL-INFO-MUST BE COMPLETE & FILLED IN -TO BE ACCEPTED St. Lucie County BuiIT ,!n Cr ! and Zonino_(�� k,,,',2110 Virginia i Pierce, Fl. 34982-5652 772-462-1553 009 APPLICATION for BUILDING PEWRIT�� CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION LOCATION/SITEADDRESs: 3251 SAINT LUCIE BLVD. �Ct PIeert, 349q(.194 PROJECT 23 PROPERTYTAXrD#- (PARCEL I I C-� LA�_ (PARCEL 2) 428-702-0232-000-1 __j LEGAL DESCRIPTION (attach extra sheets if necessary): (PARCEL 1) SM LUCIE PLAZA S/D-UNIT ONE- BLK 37 LOTS 1 THRU 18 AND N 1/2 OF "C RAWTHOM M Anj ON S OF LOT Is - (PARCEL 2) SM LUCIE PLAZA S/D-UNIT OM- BLX 15A LOT 1 AND S 1/2 OF IIAC HAWTHORNE RID Ana ON N-LESS E 3 FT MR R PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. PARCEL SIZE (ACRES/SQ FT.): PARCEL 1: 2.92 ACRES LOT DIMENSIONS: & PARCEL 2: 0.28 ACRES COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK NEW GAS CANOPY T:� -%^C cJy--. 0,mn� - I Il. SETBACKS (ACTUAL) FRON] BACK: I-JIV) RIGHT SIDE. LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [YJ NEW CONSTRUCTION [ I ENPANSION/,�DDITION RESIDENTIAL X COMMERCIAL OTHER(SPECIFY) 13. DESCRIPTION OF PROPOSED USE: INDUSTRIAL [I INTERIOR RENOVATION [XI INDUSTRIAL 30 40 14. SQ. Fr OF CONSTRUCTION: — , I — 5�__ 15. SF. Fr 1 st FLOOR: 16. VALUE OF CONSTRUCTION: $ 100 r)m ctee me-rylo f-ecal0ri ,zliday- j 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 am not consistent with similar types of construction activities. If the value is $2500 or mom, a —RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 (7 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): (jp_�) 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 ST. of FL REG.CERT #: BUSINESS NAME: MDM SERVICES, INC. STATE: ST. LUCIE COUNTY CERT #: 02 QUALIFIERSNAME: RICHARD R. MORRIS ADDRESS: 1412 SW 34TH AVE CITY: DEERFIELD BEACH STATE: FL ZIP: 33442 PHONB(DAYTIME): (2��_4) 427-3076 FAXNO. 954-427-3420 Email: mrio.gomez@mdmse�ices.com ARCHIVENGINEER: RICHARD WENSING ARCHITECTS & PLANNERS, PA ADDRESS: 2101 VISTA PARKWAY, SUITE 108 CITY: -WEST PALM BEACH STATE: FL ZIP: 33411 PHONE (DAYTIME): (561) 684-1988 BONDING COMPANY ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: "Al' wo 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. 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 A-17ORNEY 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 THEPERSON�TOSE PROPERTY IS SUBJECT TO ATTACHMENT. Z OWNER'S AFFIDAVIT: I certify that all the foregoing information i0ccurate and that I �be4taan?qin compliance 3 with all applicable laws regulating construf o ning. TZPR OR CONTRACTOR SIGNATURE /dNTRACTORSOATURF STATE OF FLORIDA STATE OF FLORIDA� C 0 UN T Y 0 F ", C-V,,% ",_ COUl. I - - I WAgWArAWb The foregoing instrument was acknowledged before me this C% day or:S_L� 2Q_3� by who is personally known or has produced of Notary Commission identification. of Florida DO 557350 ni NoaN Assn. The foregoing instrument was acknowledged before me this -/0 day of -;g� 20- by 00 A,- ofyacels who is personally known Z or has produced MARIO A. EXPIRES: Novsmber4,20w SWAM Thm Notmy Pubktlnft�m NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERIBUILDER, 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 speciflc instructions see appropriate permit checklist.