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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: ie�10 0 SVOY7 SCANNED Building Permit Application BY Planning and Development Services St. Lucie County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial X Residential PERMIT APPLICATION FOR: Renovation PROPOSED IMPROVEMENT LOCATION;-_- _ Address: 10778-10780 South U.S. Highway #1, Port Saint Lucie, FL 34952 Legal Description: ST LUCIE GARDENS 12 3740 BLK 4 BEG AT INT E R/W US 1 AND N U LOT15 RUN SELY ALG RNd 75 Fr, TK NELY 273.84 Fr TO W RAN LENNARD RD, TH N ALG SD RIW 212.37 Fr, TH SWLY 379.76 FT TO ELY RIW US 1, TH SELY ALG SDELY R/W 150 Fr TO POB-LESS E 10 FT-(1.53 AC) (OR 1831-642) Property Tax ID #: 3414-501-5002-200-9 Lot No. Site Plan Name: Sandpiper Plaza Block No. Project Name: Amazing Grace Church of the Treasure Coast, Inc. Setbacks Front NA Back NA Right Side: NA Left Side: NA DETAILED,DESCRIPTION OF W-.ORK: Enlarge bathroom to comply to ADA requirements. Relocate break room sink away from electrical panel. Add new Low/Hi ADA drinking fountain. Add new mop sink. Add one (1) more layer of 5/8" Type X or one (1) hour fire rated coating approved by building department. No mechanical. HVAC untouched. ❑HVAC U Gas Tank ❑✓ Electric . ❑✓_ Plumbing Piping ❑ Shutters ❑ Windows/Doors nklers ❑ Generator ❑ Roof Total Sq. Ft of Construction: 1909 St�FFtt.. of First Floor: Cost of Construction 0 . Utilities: Sewer ❑Septic Building Height: OWNER/LESSEE-- '.CONTRACTOR: Name Sandpiper Plaza, Inc.- Name: Jeffrey Conte Address:2042 SE Hanford Road Company: P&T Construction, Inc. City: Port Saint Lucie State: FL Zip Code: 34952-8862 Fax:772-335-8051 Phone No. 772-335-9100 Address: 4500 PGA Blvd. City: Palm Beach Gardens State: FL Zip Code: 33418 Fax: Phone No. 5613248055 @ E-Mail: debra@debraswanson.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: Jeff@pandtconshuction.com State or County License: CGC1514830 If value of construction is $2500 or more, a RECORDED Notice of commencement Is regulrem 6"1 rarair — -i � / � '7 Qr2 SUPPLE MENTALCONSTRUCTION LIEN LAW INFORMATION:. DESIGNER/ENGINEER: x Not Applicable Name: cenForbwm MORTGAGE COMPANY: X Not Applicable Name: Address:s5soath Pompano Partway Address: City: P mpan°Bearh State: Ft Zip:33069 Phone:954-e92.66st City: State:_ Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: x Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection .Af You intend to obtain financing, consult with lender or an attorney before commencine work or ceco di a vour Notice of Commencement. _. _ Signature of Owner/ Lessee/Agent STATE OF FLORI At" COUNTY OF The fo mg instrument was acknowledged before me this—dayof 20%.by The forgoing instrument was acknowledged' 'b-efore me 1A this day of 20 by .ei4rs/G11J L//}j'DQJ (Name of erson acknowledging) (Name 2LAxqon acknowledging) 7gnatu�re d Notary Publi - State of Florida) (Signature of Notary Public - Personally Known Y OR Produced Identificatio ersoni Type of Identification Irype of Commission No. 3• My C(9p19fQSSION *FF07878 ommi: +..•i:_.:..�°l EXPIRES December 22, 201 Revised Known X OR Produced Identification Expires 1111812019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REV W REVIEW REVIEW REVIEW DATE COMPLETE INITIALS r -- ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:1e Permit Number: SCANNED RcgiC ore tt BY Building Permit Appl' g oRoonty " Planning and Development Services ( ry 1 _Q 7 3 2 016 Building and Code Regulation Division ` 4 . f)ttG 2300 Virginia Avenue, Fort Pierce FL 349 O P�.-„^" Phone: (772) 462-1553 Fax: (772) 462-1578 �mmeroial X Residential St. Lucie Cou hl� FL PERMIT APPLICATION FOR: Renovation III PROPOSED -IMPROVEMENT LOCATION:_ III Address. 10778-10780 South U.S. Highway #1, Port Saint Lucie, FL 34952 Legal Description: ST LUCIE GARDENS 12 37 40 BLx 4 BEG AT INT E RAN US 1 AND N LI LOT15 RUN SELY ALG RIW 75 Fr, TH NELY 273.84 Fr TOW RAN LENNARD RD, TH N ALG SD RfW 212.37 Fr, TH SWLY 379.76 FT TO ELY RAN US 1, TH SELY ALG SDELY R/W 150 FTTO POB-LESS E 10 Fr- (1.53AC) (OR 1931-642) Property Tax ID #: 3414-501-5002-200-9 Site Plan Plaza Project Name: Amazing Grace Church of the Treasure Coast, Inc. Setbacks Front NA Back: NA Right Side: NA Left Side: NA DETAILED DESCRIPTION OF WORK: Lot No. Block No. Enlarge bathroom to comply to ADA requirements. Relocate break room sink away from electrical panel. Add new Low/Hi ADA drinking fountain. Add new mop sink. Add one (1) more layer of 5/8" Type X or one (1) hour fire rated coating approved by building department. No mechanical. HVAC untouched. CONSTRUCTION,INFORMATION: III ❑HVAC ❑ Gas Tank ❑✓ Electric ❑✓_ Plumbing Total Sq. Ft of Construction: 1909. Cost of Construction: $ 13665.00 Piping ❑_Shutters ❑Windows/Doors riders ❑ Generator ❑ Roof S Ft. of First Floor: Utilities:Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Sandpiper Plaza, Inc. Name: Jeffrey Conte Address:2042 SE Hanford Road Company: P&T Construction, Inc. City: Port Saint Lucie State: FL Zip Code: 34952-8862 Fax:772-335-8051 Phone No. 772-335-9100 Address: 4500 PGA Blvd. City: Palm Beach Gardens State: FL Zip Code: 33418 Fax: Phone No. 5613248055 E-Mail: debra@debraswanson.com Fill in fee simple Title Holder an next page ( if different from the Owner listed above) E-Mail: Jeff@pandtconstruction.com State or C CGC1514830 If value of construction is $2500 or more, a RECORDED Notice of Commenceffient IS required. J i SUPPLEMENTAL -CONSTRUCTION LIEN LAWANFORMATION. DESIGNER/ENGINEER: _Not Applicable Name: radFurbesm MORTGAGE COMPANY: Not Applicable Name: Address: u South Pompano PaftW Address: City: Pompanoseach State: FL Zip: 33e69 Phone: 954-e82-655, City: State:_ Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: = Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this_ day of. 20 _by 1 (Name of person acknowledging) (Signature of Notary Public -State of Florida) Personally Known OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 W r r -- AA The forgoing instru entwasacknowledged thisday of20 before me h by Personally Known �Z( OR Produced Identification Type of Identification Produced _..w._ PablelsMade Cab (Seal) I Commission OF Expires 11118/2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 5ft� INITIALS if,