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,