HomeMy WebLinkAboutSUBMITTED PAPPERSi t
SCANNED
MTMA'2�IPT
St. Lucie County
NO.: PERMIT NUMBER. LO f O OJ
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
St. Lucie County Building and Zoning
' 2300 Virginia Avenue "A/ A C—
'`[pRlOp'y Ft. Pierce, FL 34982-5652
772-462-1553 •ADD 5{/QS
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. . LOCATION/SITE ADDRESS: N13o N hrha F-i Ple2CEIrL 3yyYq gulf ja4 G—6�4x*4d
2. PROJECT NAME: n (,em, 4u a SITE PLAN NAME:
3. PROPERTY TAX ID
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
rZVaVAL, ' 10J3TALC1117uA1 OP 011,7kt* L-
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHTSIDE: LEFTSIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] .COMMERCIAL [ ] INDUSTRIAL
OTHER (SPECIFY) 2emovet. '/NS7&"Ane� Aea DAVWrar-
13. DESCRIPTION OF PROPOSED USE: Gc-i/FC.C< IR4-cirr - Loyta y .
14. SQ. FT OF CONSTRUCTION: )Y ODO 15. SF. FT Ist FLOOR:
16. VALUE OF CONSTRUCTION: $
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 with this application.
SLCCDV Form No.: 001-02
OWNER INFORMATION
NAME: 6e&Aflatle 015v&014PmENT LO.yPAn/ n/�•
ADDRESS: 90 /3 a,4 3 Lob 77
z[p : 32y�Z_od37
CITY: CDcah Oek[N STATE: ILL
PHONE(DAYTIME):a-7-1) LI13—r3do Email:
FROM THE OWNER
LISTED ABOVE, PLEASE
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE:
ZIP'
PHONE (DAYTIME): . (_)
CONTRACTOR INFORMATION
CG(f () 59917cZ ST. LUCIE COUNTY CERT if:
0
ST. of FL REG.CERT #:
%-/Z'CoN nb✓L�or o
BUSINESS NAME:
QUALIFIERS NAME: 1206tr ooli
ADDRESS: o /3-x 7-o6T7
�L
ZIP: 3 y4 jZ f 0 9-r
CITY: COGDA /s roi LH STATE:
'f $ S 3 6o FAX NO. `/sl �� ��� Email:
I,/-
PHONE (DAYTIME): (33J_) r
ARCHIT/ENGINEER: n
ADDRESS:
ZIP:CITY:
STATE:
PHONE (DAYTIME): (_)
BONDING COMPANY:
ADDRESS:
ZIP:
STATE: �
CITY:
MORTGAGE LENDER:
ADDRESS:
ZIP:CITY:
STATE:
is issued and it is not picked up within
60 days after notification
INIPORTANT NOTICE: When a permit
it will be voided and returned to you by mail.
few
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
maybe 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 the subject structure
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 for 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 will be done in compliance
with all applicable laws regulating construction and zoning.
OWNER OR CONTRACTOR SIGNATURE
STATE OF FLOR4DA
COUNTY OF �i216Lr-
The foregoing instrument was acknowledged before
me this � day of t�OS>� r 20 Q ,
by liS�
who is personally known V or has produced
as identification.
Signature f Notary �,
c 6`""�:0e°4� ��{�AAiHERM.JENIONS
Commission No� S5� (St�14CbMMISSION$00550915
* EXPIRES: September 11, 2010
AorR°a° .Banded Thru Budget No" SeMODS
CONTRACTOR SIGNATURE
STATE OF FLO A
COUNTY OF 2Kjn_ _
The foregoing instrument was acknowledged before
me this S day ofQ,. /! y6 /ae/_ , 20 af,
by/1/ S %
who is personally known `/ or has produced
as identification.
HEATHERM.
CommissionNo�
Dg-09-110*01&11p MYCOMMISSION
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, 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 specific instructions see appropriate permit checklist.
2010
OFFICE USE ONLY BP #:
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
ISTFLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF RFC
LOT OF REC
LOT SPLIT
LOT SPLIT
Before 111990
After 1/1990
REQUIRED
APPROVED
REPORT
HABITABLE
RADON
PERMIT
CODE
AREA
FEE
FEE
(RADON)
LIBRARY
PUBLIC BLD
PUBIC BID
PARKS
IMPACT
EvIPACT FEE
IMPACT
IMPACT —
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
ROAD
CREDIT
Y
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE I
FEE
FIRE/EMS
DRIVEWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
_
REQUIRED
FEE
VARIANCE FEE
FEE
SPECIFY
MECHANIC ROOF —
NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES .
REQUIRED
PLUMBING _
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
O.OG•O
DATE
COMPLETED
O O f
INITIALS
a JOSEPH E. SMITH, CLEP- s THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE N 3397834 OR BC '1133 PAGE 2912, Recorded 10/06/2009✓— ' 10:24 AM
NOTICE OF CONHrI1<NCFXENT
The undersigned hemby gives notice that ImprovemellMllbe made m «dala real property, and is accordance with Chopler 713,
Florida SW➢a the following infirm don is provided be the Notice of Commencement
1. ➢MCWgt➢N ➢FT➢Ones'ttf (Legal demripGansnd meet address, ifava09ble) TAX10140 WOM:
*C6A.w6L. per+ fitrc2. F(- 3
aN.m..nd+mieu nlh+dmpHtlUeholdvpfv].r Urn Ovvv1 �
5. BNAIR,A➢DaT]]ANOPeaNYND6IDfBAIm DONO AafeDNl:
g. LEN➢ ']NAaS.A➢Dve•Af93'eONXNDhiigtt:
7. Peso® within the State of Flosidadaignatedby Ownsrupon whomnoticef or other documents maybe served at provided by
Section 713.13 (1) (a) 7.,Flodda Smmta:
NAir)4 A➢D➢L49 ANv?H➢tR e1NAIDEAr
v } AC. ,o.&x3��3� Coeua�en�liL 3895 -ilo
8. ]n additloa to hvmtAtarM1enelf Owner daipates the fellowmg m receive a copy of thel,iermPs Notla v provided in Sectian(3a I) 45 3
713.13(1)(bh Florida Sbmm4
NAa@ A O➢al]] AfN P8➢MX N➢amdR:
9. Eapiradon date of nodce ofcommencemeot (the expimNon dam la 1 year ffom the date afrecording wdw a dill mnt dam is
specified):
r� [U�qur1.L2 KOdSi
prlat Nome avd Pravlde Stgmtary's TItIe/0111ee
OlNcedDireetodPormarlMaonger
Countyof 9t. Lucie�Q
The imegoing bu=t,, wet aek,"ledgod before me this di of Sse/J� .. 1065
By Alaica�'f2SIC11L9y�-
//yy"" """ ����(nem f person ) p ( e ofwNmriry....ag. officer, mmm, e➢omry N tau)
For i)Lyl sn JIDud JdD a.,_l M1.)A%I
(none ofperty nbe ofwhom eneww azuv d)
�penonelly known or_ pmduecd the following RPe of IdesNficallom
ftEA7HPLiMM
IMNIDDM
NYC01dYl$SIOR10034418 ignfilure Pub
y E%PIRES:89plerbu11,70t0
' 9ane+� BaWdINugWgXatay&raker
Urdu PenalNo of pedwy, I deelme that Ihes a read the foregoing and that the facts in it ere We m the bat of my knowledge and
belief(Scadon 91.575, FloridaSmmhs).
Slgvemrq+)af tTrov(+1 or Ov IGY Autborh+dDfllarl Dlreuor/Paromr/manger vhn r(sned above:
By Pi gY
g...a am (31.e fi s)
I! I STATE OF
ST. LUCIE
THI STO
TRI Im
ORI,�I !AL
We;
JTHI !S A
PYOF SHE
CL
Property Appraiser - St.Lucie C, y, FL
Page 1 of 1
Oceanique Development Co Inc Record: 1 of 1
Property Identification
Site Address: 4160 N A1A
SecrTown/Range:
Map ID: 14123N
Zoning: HIRD
PROPERTY RECORD CARD
«Prey Next»
Spec.Assmnt Taxes
Exemptions Permits Home Print
�V CIE CO
Parcell D:
Account #:
1423-506-0001-000-2
170144
y 1
Land Use:
Vac Res
City/Cnty:
St Lucie County
�!
Ownership and Mailing
Legal Description
Owner:
Oceanique Development Cc Inc
OCEANIQUE OCEANFRONT (OR 2752-1842) BLDG A UNIT 201
Address:
PO Box 320637
Cocoa Beach FL 32932
Sales Information
Assessment 2009 TRIM
Total Land and Building
Date Price
Code Deed Book/Page
2009 TRIM: 80000
Land Value: 80000 Acres: 0.02
8/7/2003 100
03 QC 1824 / 0626
Assessed: 80000
Building Value: 0
Ag.Credit: 0
Finished Area: 0 SgFt
Exempt:
Taxable:
Taxes: 1555.48
BUILDING INFORMATION
❑x
No Sketch
Available
Exterior Features
View: -
RoofCover.
-
RoofBlmGt: -
ExtType: -
YearBlt:
Frame: -
Grade: -
EffYrBlt:
PrimeWall: -
StoryHght: -
No.Units:
SecWall: -
Interior Features
BedRooms: 0
Electric:
-
PrminlWall: -
FuIlBath: 0
HeatType:
-
AvgHUFI:
1/213alh: 0
HeatFuel:
-
Prm.Flors: -
%A/C: 0
%Healed:
0
%Sprinkled: 0
Special Features and Yard Items
Land Information
Type Y/S City. Units
Qual. Cord. YrBll.
No. Land Use
Type Measure Depth
1 0000-Vac Res
N -Site 1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.pasle.org/prc.asp?prclid=142350600010002 10/6/2009
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St. Lucie County Building & Zoning
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
Traitor./ br_wt4rpEvr of &dtz VR2� /NC .will be using the following sub -contractors for the
(Company/Individual Name)
project located at f{t40 N. +1.4 13L44 G Fr ptEac.c
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
D+E Pump D,+A11 . Cmumteiv
eco 130OZ6614
3933 S. floPm,vS /WE rirvr /tzeF I-L
0q5SII
Plumbing
/}rcatvnc 0 WMdtn/4 x-*am, ewe- iwmAlij
CFe-1,L D2-7$N�
TI orl ICA�lE
�QaD5
HVAC/
Mechanical
Roofing
Gas
t
)FFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
�u c Gy ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
FORIOP BUILDING PERIVIIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: V 1
State of Florida Certification Number (lrapplicabte):
+r 'Su d
agreed to be the
sub -contractor for lflrnn
(Type of Trade) �` f� (Primary Contractor) —
for the project located at g d D l or I h A l p I a-Fi. C
(Project Street Address or Property Tax ID 4)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
/� 4)gni Q. ) C GwY(i eA V 602 --6 9
SIGNATURE PRINT NAME DATE
Business Name:
Address: J
r
City/State/Zip: _
Phone:
H
C.
a$'7 email: d"'KiP3ac,uNi�e>1y@d2�ujs(lS.Co
OFFICE USE ONLY:
PERMIT# ISSUE DATE
Sr. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERNUT
SUB -CONTRACTOR AGREEMENT
St Lurie Cmmty Contractor Certification Number.
Star�tt}eofFlodda Califfatbm Numbcrgfffaplobk): Or C022�7`5V6
7(f�ANf/ P�/!MI/rf0 �H�4Y s< Bf rina'i"e'have agreed to be the
(Company NamrMdiv ual Name) _
%/u A4bin .sub -contractor for k/A ilreo '!`�d'
(Typeof ade) (Prynary Covtmctoc)
for the project located at qdo Nori'h �Ip
(Project Street Addresso 1`1! 1'T Dui M)
It is understood that, if them is any change of status regarding our participation with the
above mentioned project, I will in ntedialely advise the Building and Zoning Department
of St. Lucie County by personally filing a Cbange of Contractor notice. (Force SLCCDV
No. 004-0D)
BUSINESS QUALIFIER (Nameofthe Individual shown on the Contractor's License)
ORIGINAL SIG ATURES ARE RE UMED
y'W t ^ Z3'fl�
SIGNATURE PRNTNAME
Bmmor Namc:
Add �tr n 7'i..
Cty/StaeurLip: /aL, � F�+ il, 5 �q &,w COM
Pbone: ,3g I. 7dP-H4a3 coos Q-flan �/ial .J
OFFICE USE ONLY: '
. PERMRA ISSt1E DATE
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772)462.2172 Fax:(772) 462-6443
http://v .stiucieco.orgtpublic workstpe"itting.htm
http:ilaim.slcfl.vetrol.com/AIRSweb.php
BUILDING PERMIT
Issued: 10/06/2009 Conf #: 737 Permit #: SLC- 0910-0055
Job Location: 4180 N A1A PROJECT BLD C City: FORT PIERCE
Page 1
Permit Type: Commercial Renovation
Job Description: REMOVAL & INSTALLATION OF DRYWALL GARAGE SPACES & ADA RESTROOM W/ CORRIDOR
FOR BUILDING C' SEE PLANS
Subdiv: Oceanique Oceanfront
Lot: Block:
Setbacks Left: Right: Front:
Number of Units: 1.00 Floors: 1
Parcel: 1423-506-0000-000/0
Rear: Zoning: HIRD
Buildings: 1 Square Footage: 0.00
Minimum Floor Elevation: Flood Map: Flood Zone: Elev:
Contractor KODSI ROBERT D
P. O. BOX 320637
Property Owner OCEANIQUE DEVELOPMEN CO
TRICON DEVELOPMENT OF BREVAR (321) 453-5360
COCOA BEACH, FL 32932
PO BOX 320637 COCOA BEACH, FL 32932
(321)453-5360
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 2007 Florida Building Code and the St Lucie County Land Development Code.
Issuance of this permit may be appealed to the St Lucie County Board of Adjustment by an aggrieved party by filing a notice of appeal with the
St Lucie County Growth Management Director within thirty (30) days of the issuance of this permit in accordance with St Lucie County Land
Development Code, Section 11.11.00., Appeals.
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 in accordance with St Lucie County Land
Development Code Section 11.05.01 (A)(2).
NOTICE: In addition to the requirements of 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 agendes, 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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT. s:713.135 (1)(a), F.S.
Christopher Lestrange
Building Official Date
Second Floor Roof Plan
TRYSSES
u
THESE PLANS AND ALL PROPOSED WORK
ARE SUBJECT TO ANY CORRECTIONS
REQUIRED BY FIELD INSPECTORS THAT
MAY BE NECESSARY IN ORDER TO
�t?Mf'6Y Wl j AW.POpHRABhE C®BES.
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Roar R.aln cda,Imua—.
a
III BI.oc IINAV P. Foot (nin'unvn).
Itl wex CWIx
uvv rtNCe
ROOF Area @ IWS _ __
18,21] Sq Ft.
9ECmo^RY
=
9 [ D/aT
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_BSB 51 FL.
R¢P MAN
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_I9, 015 Sy FL.
RIXA DRAIN
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gmy MAIN
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11 5% FL. X4.8/4 -2,145 5q Ft.
From Table PNM.B (FFC 200I), Is 3.0 dv%r9 1/B' M, It.
Slopv Is emi fa 2,200 5% Ft., wMCM1 la — lMT 54
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0t-rr1 •• cl+ine
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Fran which the PrbnaY system is eimd Wt with the INI
adda.tm ble dNdiM VN, MI-, No, lvirantallY-meiuted
rtmf area n table P1106.2, table 'NOO.3 and kANs pNOs.6 M
1=1
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twe. The Ie 4111,'Jactsd roar mea Forth,
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.with a mins-m ow vaWe or I, Install all fI,,,W
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RM MAN II � CmbLq pc Tw(¢tur[f'E LYOiCOI 9laadvd d-taI15.
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North
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