HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSFONT
DATE FILED 9. 0091
PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: O
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
1.
2.
3.
4.
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5.
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
by St. Lucie County Building and Zo(n�/i�npgnt�p� C� �11C'iG�-
- 2300 Virginia Avenue S�IYEltlltlre Y I
�OR40p' Ft. Pierce, FL 34982-5652 �'lA'
772-462-1553 B )L ° � — IZ5 -
S4. Lode County
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: '7 C 3 0
PROJECT NAME: .r4 'C RLgO Z19 SITE PLAN NAME: PROPERTY TAX ID #: 3 y 7.2' yr y //I ,F p o O t a 6ro AZ —e--pitcT
-LEGAL DESCRIPTION (attach extra sheets if necessary):
j 22--31—':0
—OSO%z 'A,
PLAT BOOK 6. PAGE NO. 7. BLOCK NO.
9. PARCEL SIZE (ACRES/SQ FT.): '- �� LOT DIMENSIONS:
10. 1:�> COMPLETE DESCRIP?OP�C'/5R1YRUCIT.]ON P7ECT OR WORK ACTIVITY:
i pc=
8. LOT NO. -"
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT' SIDE:
12. C9 TYPE OF CONSTRUCTION (Check all appropriate boxes)'
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY) S FA C-e go i/ ✓ � lrrz-o c..s.-0 49 /�
13. DESCRIPTION OF PROPOSED USE: �i49w p z/ Ssrti • ffJ�e C°�,p he9-e- —
C7 �•
14. ESQ. FT OF CONSTRUCTION: 1, J 5� 15. SF. FT 1st FLOOR:/'�'
16. VALUE OF CONSTRUCTION: $ ' %00 —90
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 v idr this application.
SLCCDV Form No.: 001-02
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OWNER INFORMATION
NAME: L � --- - _5 -- - - Q�ZQ/ � -C✓ � -- - - - - -
ADDRESS' AU A> G-' G'i�ZP
CITY:-�� S' % STATE: ZIP: 39�3
PHONE (DAYTIME): (7 7 3 7Q - 99 00 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: STATE: ZIP:
PHONE (DAYTIME): (�
CONTRACTOR INFORMATION /
ST. of FL REG.CERT #: l °� C 02 J� f 3 i� ST. LUCIE COUNTY CEERRT #:
BUSINESS NAME:.Z5/Z
QUALIFIERS NAME:
CITY:STATE: lle/ ZIP:Y�S '�-
PHONE (DAYTIME): P Z 4 33 Z6 Zyy FAX NO. 33 7 6 7-/ 7 Email:
v ARCHIT/ENGINEER: "CIO
ADDRESS: //Z-f /%.�/�4S•-r �I2
ACITY: yi 1
CPHONE.(DAYTIME): L—)
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE: Fi� ZIP:
STATE:
STATE:
0
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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.
OFFICE USE ONLY BP #: (J Og. 00 Jam"
SECTION
TOWNSHIP
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RANGE
yD L
G••
MAP NO.�
c
ZONING
/� / _
l• lT
LAND USE
n „.CJU^\7
l�.�' 1• )
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
IYrFLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER ?
SEWER ?
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLIT
Before I/1990
After 1/1990
REQUIRED
APPROVED
REPORT
HABITABLE
RADON
-PERMIT
CODE
�/�
AREA
FEE
FEE
(RADON)
LIBRARY
PUBLIC BLD
-
PUBIC BLD
PARKS
IMPACT
IMPACT FEE
IMPACT
IMPACT T
FEE
CORRECTION
FEE
FEE
GENERA
SCHOOL
ROAD
DIT
Y
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE
-
FEE
FIREEMS
DRIV
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
-
RED
FEE
VARIANCE FEE
FEE
SPECIFY
W CHANIC _ ROOF _
NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES
RE D
PLUMBING
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FROND', I,,.
ZONING
SUPERVISOR
PLANS�.A,;,;yEGETATION
SEA TURTLE
MANGROVE
.COUNTERS
°:,REVIEW
REVIEW
REV•IEW,�,•.,�
:.:REVIEW
REVIEW
REVIEW
DATE
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RCEIVED
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COMPLETED
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INITIALS
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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 standardsofalldaws 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.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build thesubjectstructure
which is in conflict with any applicable Homeowner Association rules, bylaws or any.covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your'deed f6r any restrictions which may apply.
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 wilt be done in compliance
with all applicable laws regulating construction and zoning.
SIGNATURE
STATE OF FLORIDf�"'
COUNTY OF Glr M1 I_UGtC
The foregoing instrument was acckJnoowwlledged before
me this CL� day of t/ V 20 a
by�
who is personally known or has produced
of
Commission
o - tDD 743466
THIS BUILDING PERMIT AS AI
THIS APPLICATION". THE OFF C�J
OWNER BUILDER AFFIDAVIT WILL
f'WII CCTTOR,SIGNATURE
STATE OF FLOR / � I
COUNTY OF. (iit� uc L
The foregoing instrument was acknowledged before
me this�day of Q. .{.0 , 20 og
by—cJ1t'f
who is personally known / or has produced
as identification.
Signkture of Notary
Commission No.
is = ODD 743466 ' c
`,�R,NATURE MUST US PER \� G FOR
.R, THE OWNER MUST PER °�. TO SIGN
THE FRONT OF THIS APPLICA ST AT1ti`�p��
ED FOR ALL OWNER/BUILDER AP RNTS.
For specific instructions see appropriate permit checklist.
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-2172 Fax: (772) 462.6443
http://www.stiucleco.org/public—works/permitting.htm
Issued: 01/22/2009
Conf A 574
Job Location: 7630 - 7660 S U S 1 PROJECT
Permit Type: Sign
Job Description:
S/D Kings Plaza
Contractor ALTINO ROBERT
BUILDING PERII&NNED
BY
St. LucieCioUnWage 1
Permit#: SLC- 0809-0095
City: PORT ST LUCIE
Lot: Block: Parcel: 3422-441-0001-050/2
GALE FORCE HURRICANE SHUTTER (772) 337-6200
1429 SE VILLAGE GREEN DR PORT ST LUCIE, FL 34952
Property Owner KINGS PLAZA INC
189 NE CAPRONA AVE
Setbacks Left:
Number of Units: 1.00
Minimum Floor Elevation:
Right:
Floors: 1
(772)370-9900
PORT ST LUCIE, FL 34983
Front: Rear: Zoning: CG
Buildings: 1 Square Footage: 0.00
Flood Map: 280F Flood Zone: X Elev:
Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code
including those for all electric, plumbing, mechanical, roofing, and structural work. Further, he/she acknowledges responsibility to comply with all
requirements of the 2004 Florida Building Code.
NOTICE: In addition to the requirements in this permit, there may be additional restrictions applicable to this property that may be found in the
records of this County, and there may be additional permits required from other governmental entities such as water management districts, state
agencies, or federal agencies. s:553.79(10). F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
BUILDING IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s.713.135, F.S.
Christopher Lestrange
Building Official Date
For Automated Inspections, Call (772) 462-1261
For Questions, Call (772) 462-2172
St. Lucie County Land Development Code Section 11.05.01 (A) (2) states; Building Permits shall expire and
become null and void if work authorized by such Building Permit is not commenced, having called for and
received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the work is
not completed within 18 months (permit by contractor) or 24 months (permit by owner) from the date of issuance
of the Building Permit.
1
Code Compliance Division Permit 1
2300 Virginia Avenue
Ft Pierce, FL 34982 SUMMED
Phone:(772) 4621553 Fax:(772) SV '
462-2522 �- -
Address I7630 - 7660 �S IU S 1 I ROJECII Owner(s) Kings Plaza Inc
PORT ST LUCIE 34952 Historic No' Judsdiction St. Lucie County
Parcel # I3422441-0001-050/2 I S/D IKiPlaza Flood Elevation I I Flood a Lot X #
FLU COM I Zoning CG Flood Map 280E
=tat Fee Valuation Date Finaled
Job Address
Date Voided
T680- 660 d15u1jP,FiOSECfi sw '�`
CategoryType
Property Owner
Property Owner
Contractor
Contractor
Name
KINGS PLAZA INC
Business
Address
189 NE CAPRONAAVE
PORT ST LUCIE
Email
Taken By counselb
Issued By
Posted By
Please explain in Additional Comment
Open Contractor .
Registration Form
Phone (772) 370-9900 ext
Fax ( ) -
Mobile ( )
Pager
SUB TRADE PERMITS Attach Sub Trade Permit >>
Sub -Trade Permit Permit Type Sub Trade Status -
Contractor Taken By
Company Date Applied
Owner / Buildier Issued
Sub -Trade Job Description Issued By
Expiration Finaled
Finaled By
Buildings i1 #Bedrooms O #Bathrooms Units , Floors 7
Total Sq. Ft. 0.00 Min Flood Elevation Flood Map Flood Zone
FCC Sf2 Sign, On -Site Permanent..., NOC Required ® NOC Received ❑ NOC Expiration
Setbacks Front 10.00 Back = Left Side O Right Side =
Job Description
Additional Info [Monica
IGN FACE CHANGE permit 0809-0095- FORWARDED TO BEVERLY DIMON-A HUMPHREY
AX ALLOWANCE - FRONTAGE 175/1.6 = 116.67 FT
IGN DIMENSION -13.58 X 7.67 = 104.16
ailed letters to contractor/owner -forwarded to contractor licensing. bdimon 5/28/08
is sending out a notice of violaion. bdimon 711/08