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HomeMy WebLinkAboutSUBMITTED PAPPERSDATE FILED: PLAN REVIEW FEE: P RECEIPT NO.: ' PERMIT NUMBER CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 1. 2. 3. 4. ALL RfFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED St. Lucie Coiffity Building and Zoning , 2300 Virginia Avenue �'(,u,�s' ,3j,Q WSCANNED Ft Pierce, FL 34982-5652 BY 772462-1553 �.4,, St. Lucie County APPLICATION for BUII.DING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION LOCATION/SITE ADDDRESS: �O� .SOLI-ri+ kIM6-S�pIG�ti1�`I SAD NAME: /�///7 SITE PLAN NAME:Alxsme4Ce /BRIG PROPERTY TAX ID #: a 3 //- 41Y 3 8 D U/- Oo O- 9 L/ LEGAL DESCRIPTION (attach extra sheets ifnecessary)-� A-77AC(f9- D e57d6f--j— LO-1 5. PLAT 6. PAGE 7. BLOCK 8. LOT BOOK NO. NO. NO. j742. 9. PARCEL SIZE: ACRES/SQ FT. / - b LOT DIMENSIONS t� / 3 D w X / / % 8 10. DESCRII'TIbN OF CONSTRUCTION PROJECT OR WORK ACTIVITY;::;?�T&AI e /L G-( L DO c.( 7- a�u ST,e,s� c t✓f}KCE�`cu S� 5 — L� Lc r c a�.0 G �= l wiT' e/ p :9- N/K- N/a N/15 Ngpr 11. SETBACKS (ACTUAL) FRONT: ACK: RIGHT: Q r LEFT: q / J D SIDE / SIDE / s 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) NEW CONSTRUCTION [ ] EXPANSION/ADDMON [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ INDUSTRIAL Q OTHER (SPECIFY) SCE �r�s�72 P */T -,,e� p L ©S— G 33 S �/L �e2t-fioN A-L .�lLrh.� o 13. DESCRIPTION OF PROPOSED USE: 14. Sq.FtJCONSTRUCTION: -Od S ;27 t/ 15. Sq.Ft 1st Floor: 16. VALUE OF CONSTRUCTION: $ x3.) The value of construction is used to determine the amount ofpermit feet 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 S2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 >` I t OWNER INFORMATION NAME: ADDRESS: CITY: PHONE (DAYTIME): &Af •7? Y— V& 8— 73 1 9 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 REGJCERT #: Cf3 e- , 6 ST. LUCIE COUNTY CERT BUSINESS NAME: 1 L€ A• _� D 0-5rf'P-t e5 / -D/ - QUALIFIERSNAME: /U a ADDRESS: - %9 7 5 r -r2- !/ G(Je'� / �/ CITYVLv ��l �'1g-73--e-H STATE: - ?CC_ ZIP 3 Sct / PHONE (DAYTIME). (SS/) 333-1a-90 FAXNO. ,5T/-63a-8osemail: ARCHIT/ENGINEER: ADDRESSS: 4�55 1-2 CITY: /f%T i PHONE (DAYTIME): (s) 776-6// o BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: ZIP ZIP 33k4/8 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. CERTMCATION: 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 CONDTTIONERS, ETC., not otherwise included with this building permit application. The following building permit applications are exempt from undergoing a full conciurency 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 FORTHIS BUB.DING PERMIT, IF rr IS NOTYOUR 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. ..ATE OF, '.. UNTY The foregoing ins mem acknowledged l fore thi AI y of MC 20Pby C 1 f who is personally known to me - CO TOR SIGNATURE STATE OF FLO A COUNTY OF , L.t 9 Gi -e The foregoing ins ment 1kas acknowledged ore me �'%s g ay of Upe , 20A�by f 1' who is personally known to m pµY PLB Debra . Guerra I commission # DD258414 q w TVraftmNaliela f'Pfot i 1WV 9Wd8dTroy FSn-In=m=, W- 80"'° — (sue) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILING PERMIT AS AN OWNER%BUMDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION. For specific instructions see appropriate permit checklist. Code Compliance Division INSPECTION CARD 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772)462.6443 http://www.stl ucieco.org/publ i c_works/permitting.htm Permit#: SLC- 0703-0271 Conf#: 741 Type: Commercial Renovation Issued 04/24/2007 Status: ISS Double Fee: No Job Location 809 S KINGS HWY F 105 City: FORT PIERCE Jurisdiction: St. Lucie County Lot: Block: Parcel: 2311-443-0001-000/9 Subdiv: Flood: Elev: Flood Map: Job Description: INTERIOR BUILD -OUT INDUSTRIAL WAREHOUSE -BUILDING F UNIT 105 -MASTER PERMIT #0605-0335 Setbacks Left: Right Front Rear Inspection Notes: Per Contractors Letter extend permit--9/25/2008--f williams -NO CO UNTIL CONTRACTOR BROUGHT IN A RECEIPT FOR PAID UTILITIES, L.GALBRAITH- Contractor FRANCIS THOMAS PANTALEO AA INDUTRIES MANAGEMENT & ESTI (954) 275-9650 2765 VISTA PARKWAY #H3 WEST PALM BEACH, FL 33411 Property Owner INCOM PROPERTIES INC (772) 468-731 1655 BREAKERS WEST BLVD ROYAL PALM BEACH, FL 33411 SUB -PERMITS Permit # Status PT Cert # DBA Owner / Builder Job Description 0703-0271-01 ISS EP 18609 MAURICE ELECTRIC INC 0703-0271.02 ISS PP 19150 LINDQUIST PLUMBING & SUP (_�q — r 0703-0271.03 ISS ME 18980 PREFERRED A/C & MECHANI, (^p Y7 INSPECTIONS - CALL: (772) 462-1261 THE DAY BEFORE YOU WANT YOUR INSPECTION FOR QUESTIONS CALL 462-2172 BETWEEN 7:00 - 7:30 AM THE MORNING OF THE INSPECTION Permit # Code Description Priori Date Sched. Res Description Inspector Date Insp. 0703-0271 140 Construction Rough Framii 1 04/25/2007 71 Rollover to Next Day Scott Alley 04/25/2007 0703-0271 140 Construction Rough Framh 1 04/26/2007 90 Approved Scott Attey 04/26/2007 Re -inspection 1 Resulted: Thu Apr 26 14:19:34 EDT 2007 0703-0271 238 Electric Rough 1 04/25/2007 90 Approved Van Whitaker 04125/2007 null Resulted: Wed Apr 25 08:37:00 EDT 2007 0703-0271 351 Mechanical Rough-In(duct: 1 04/25/2007 90 Approved Van Whitaker 04/25/2007 null Resulted: Wed Apr 25 08:37:29 EDT 2007 Resulted: Wed Apr 25 08:38:02 EDT 2007 -0703-0271 420 Plumbing Rough 1 04/26/2007 90 Approved Van Whitaker 04/25/2007 null Resulted: Wed Apr 25 08:36:35 EDT 2007 0703-0271 424 Top Out Less Tub 1 04/26/2007 90 Approved Van Whitaker 04125/2007 0703-0271 141 Insulation 2 0426/2007 90 Approved Scott Alley 04/26/2007 null Resulted: Thu Apr 26 14:19:58 EDT 2007 0703-0271 705 Fire Department Firewall 2 05/042007 90 Approved Tony Jerter 05/04/2007 0703-0271 803 Parking/Handicap Sign &: 2 04/262007 93 Not Required Scott Attey 04/262007 HANDICAP PARKING SIGNED OFF ON SHELL PERMIT Permit Nun 0703-0271 Code Compliance Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772) 462-6"3 http://w.stlucleco.orglpublic_works/permitting.htm INSPECTION CARD 0703-0271 280 Electric Final 4 90 Approved null Resulted: Fri Mar 7 13:24:56 EST 2008 0703-0271 380 Mechanical Final 4 09/212007 90 Approved (is) Resulted: Fri Sep 21 14:19:44 EDT 2007 0703-0271 480 Plumbing Final 4 03/07/2008 90 Approved null Resulted: Fri Mar 7 15:22:15 EST 2008 0703-0271 700 Fire Department Final 4 05/04/2007 90 Approved 0703-0271 823 Test & Balance Report 4 0703-0271 999 Final Inspection 4 Van Whitaker 03/07/2008 Van Whitaker 09/212007 Van Whitaker 0310712008 Tony Jerter 05/042007 Permit Nun 0703-0271 SERVICE AND INSTALLATION WPB OFFICE (561) 689-1093 WPB FAX (561) 478-0089 PSL OFFICE (772) 878-7577 PSL FAX (772) 878-7510 TOLL FREE (800) 462-1989 First Source Supply Re: F105 809 S Kings Hwy. Ft Pierce, FL 34945 ,*�FER� 1 Conditioning d Mechanical, Inc. A/C OUTLET TEST REPORT UNLIMITED STATE CERTIFIED CAC032382 1643 DONNA RD. WEST PALM BEACH, FL 33409 679 S.W. SEA HOLLY TERR. PORT ST. LUCIE, FL 34984 July 1, 2009 NO. GRILL FACTOR CFM VOL. TEST # 1 TEST # 2 TEST # 3 ACTUAL REMARKS SIZE DESIGN DESIGN FINAL CFM 1 24x24 225 220 219 222 221 Accepted 2 24x24 225 218 217 220 219 Accepted 3 24x24 100 1 92 96 99 97 Accepted 4 24x24 100 102 99 103 100 Accepted 5 8x4 50 43 48 45 47 Acce ted 6 8x4 50 46 42 45 44 Accepted 7 24x24 200 199 197 195 198 Accepted 8 24x24 75 81 78 80 80 Accepted 9 24x24 100 101 97 98 99 Accepted 10 24x24 200 194 196 195 195 Acce ted 11 24x24 200 204 202 206 205 Accepted 12 24x24 200 198 199 201 200 Acce led TOTALS 1725 1698 1690 1709 1705 Acce ted Design CFM Actual CFM Acce ted Tested by Joel - 6/3/09 "NOTICE TO OWNER" All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. This A/C Outlet Test has been accepted as to be within the industries standards. Authorized Signature i Beau O'Bryon enn'�ha-� W 90 a d -- w SERVICE AND INSTALLATION WPB OFFICE (561) 689.1093 WPB FAX (561) 478-0089 PSL OFFICE (772) 878-7577 PSL FAX (772)878-7510 TOLL FREE (800) 462-1989 First Source Supply Re: F105 809 S Kings Hwy. Ft Pierce, FL 34945 Conditioning `d Mechanical, Inc. A/C OUTLET TEST REPORT UNLIMITED STATE CERTIFIED CAC032382 1643 DONNA RD. WEST PALM BEACH, FL 33409 679 S.W. SEA HOLLY TERR. PORT ST. LUCIE, FL 34984 July 1, 2009 NO. GRILL FACTOR CFM VOL. TEST # 1 TEST # 2 TEST # 3 ACTUAL REMARKS SIZE DESIGN DESIGN FINAL CFM 1 24x24 225 220 219 222 221 Accepted 2 24x24 225 218 217 220 219 Accepted 3 24x24 100 92 96 99 97 Accepted 4 24x24 100 102 99 103 100 Accepted 5 8x4 50 43 48 45 47 Accepted 6 8x4 50 46 42 45 44 Acce ted 7 24x24 200 199 197 195 198 Accepted 8 24x24 75 81 78 80 80 Accepted 9 24x24 100 101 97 98 99 Accepted 10 24x24 200 194 196 195 195 Accepted 11 24x24 200 204 202 206 205 Accepted 12 24x24 200 198 199 201 200 Accepted TOTALS 1725 1698 1690 1709 1705 Accepted Design CFM Actual CFM Accepted Tested by Joel - 6/3109 'NOTICE TO OWNER' Aa ffohwW Is guaranteed to be as specified M work to be completed in a wmk nanRe manrner amordxng to standard prate, Any afteragon or deviation from above speafieations f rddwng extra costs ,vA l be exeajtea MY upon written orders, and wtil become an extra charge over and above the esbmale. This AC Ouuet Test has been accepted as to bewMn the industries standards. Authorized Signaturet- 2 Beau O'Br} on e i _ _MiLyn. •q [ Y as it NIQ•v1. TVrtwan�{H!t'A `•__��� �qia qp a�amga I JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3334784 OR BOOK 3080 PAGE 1685, Recorded 04/16/2009 at 01:50 PM AFrEapecosamn-pETuutro: /]_PEmNTN1IMBER o]03-0iT i dZ02/7%&%&/41 NOTIMOF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following Information is provided in the Notice of commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 2. GENERAL DESCRIPTION OF IMPROVEMENT: _ Indust lal W h B Ild t 3. OWNER INFORMATION:. a. Name InCom Prnnerlies,Inc. b. Address A55� tc h K(g Hi9JDzaX Ft Efuli Fl. 3A945a Interest in property 100% d. Name and address of fee simple titleholder (if other than owner)_N/A 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: 'AA Industries Management &Estimating,I 2765 Vista Parkway, H-3 Weo Palm peach FL Fl, 3p411 S. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: N/a 6.LENDERISNAME, ADDRESS AND PHONE NUMBER:G dB k&T t ofFloyida pugis 5195,W�gj2alm 7. Persons Within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by Secdon:713.13(1)(a)7.Florlda5tatutes: NAME, ADDRESS AND PHONE NUMBER: —291gr E. lograldl 5500 M'I't T ll22 13Jupiter, FL 33458 S.In addition to himself or herself, Owner designates the following to receive a copy of the Utter's Notice as provided In Section 713.13(I)(bVicuidaSonutes: NAME, ADDRESS AND PHONE NUMBER: N/A 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) _20_ WARNING TO OWNER: ANY PAYMENTS MADE By THE OWNER AFfERThE EXPIRATION OF THE NOTICE OF COMMENCEMENT Print Name and Provide Signatorys Title/Office Owner's Authorized Ofraer/Direclor/Parmer/Maneger State of Florida County of COY... The foregoing instrument was acknowledged before me this 16 day at 20 B'% BY as INameofperson) (type ofauthodty7e.g.Owner, officer, trustee, attorney in fact) For CAS 1� nn fb &1' 4 (Name ofparty on behalf ofwhom Instrument was executed)Persor Knownt,�r produced the following type of ID:_ MD.ETER FRANK INGRALDI �— --._ Commlaslanr po 55a9a3 t,, My commissier Eaplroa (Printed Name ofNitary Public) (Slgnaureo otary Publlc) - ti1e,n?.`-' May al, 2010 11 Under penalties of perjury,) declare that I have read the foregoing and that the facts In it are tme to the best of my knowledge and belief (section 92525, Florida Statutes). Si re(s)ofOwner(s)or Owner(s)' Authorized Officer/Direetor/Parener/Msneger who signed above: Ey. By 9eeoenonm)p raMin91 ROMA 7;ii`,-;. {4_ Ci r:il is O—=ZRI, !fTO101i 1'.J`tiai�ii�) py Code Compliance Division Inspections 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772) 462-6443 http:ilw .stlucieco.org/public—workstpermitting.htm — Inspector Comments 'p D /(-. .,-1, ran, i- Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772) 462.6443 http://www.stiucleco.org/public—workstpermitting.htm Inspections 0703 0271 Job Address 809 S KINGS HWY F 105 'ermd Type CommarcIaI Renovation tpplication Type (Building Permit w/o subs Other r J Issued ActivityType `Renovation Stories 11 Inspection Area Inspection Notes 105 -MASTER PERMIT #0605-0335 Name INCOM PROPERTIES INC Phone (772) 468-731 Business Name Per Contractors Letter extend permit--9/25/2008--f williarns 7/17/09 RECEIVED UTILITY RECEIPT, OK FOR FINAL INSPECTION AND CO. L.GALBRAITH Date Scheduled Prioritt Status Max Expiration Date 07/08/2010 Inspector (Code) 27 Inspector Date Inspected 05/28/2009 999 - Final Inspection 4 Partial Approval Scott Attey 05/28/2009 823 Test & Balance Report 4 999 Final Inspection 4 Scott Attey 04/26/2007 140 Construction Rough Framing 1 Approved Scott Alley 04/26/2007 Shannon Boone 04/25/2007 420 Plumbing Rough 1 Approved Van Whitaker 04/25/2007 Shannon Boone 04/25/2007 140 Construction Rough Framing 1 Rollover to Next Day Scott Alley 04125/2007 Shannon Boone 04/25/2007 238 Electric Rough 1 Approved Van Whitaker 04/25/2007 Shannon Boone 04/25/2007 351 Mechanical Rough-In(ducts) 1 Approved Van Whitaker 04/25/2007 Shannon Boone 04/25/2007 424 Tap Out Less Tub 1 Approved Van Whitaker 04/25/2007 Scott Attey 04/26/2007 141 Insulation 2 Approved Scott Alley 04/26/2007 Shannon Boone 05/04/2007 705 Fire Department Firewall 2 Approved Tony Jerter 05/04/2007 Scott Attey 04/26/2007 803 Parking/Handicap Sign & Stril 2 Not Required Scott Attey 04/26/2007 280 Electric Final 4 Approved Van Whitaker 03/07/2008 Barbara Counsellor 09/21/2007 380 Mechanical Final 4 Approved Van Whitaker 09121/2007 Eileen Norton 05/28/2009 999 Final Inspection 4 Partial Approval Scott Attey 05/28/2009 Frank Williams 04/17/2009 238 Electric Rough 4 Approved Van Whitaker 04/17/2009 Eileen Norton 04/1712009 260 30 Day for Testing 4 Approved Van Whitaker 04/17/2009 Frank Williams 03/07/2008 480 Plumbing Final 4 Approved Van Whitaker 03/07/2008 Shannon Boone 05/04/2007 700 Fire Department Final 4 Approved Tony Jerter 05/04/2007 Frank Williams 04/17/2009 165 Handicap Restrooms 4 Cancelled by Customer 04/17/2009 Eileen Norton 04/17/2009 259 Power Release Form 4 Approved Van Whitaker 04/17/2009 Scott Attey 05/28/2009 165 Handicap Restrooms 4 Approved Scott Attey 05/28/2009 900 Plan Revision 4 Accepted As Noted Ed DeGenaro 04/20/2009 Scott Attey 05/28/2009 179 Firewall 4 Approved Scott Attey 05/28/2009 Scott Attey 04/17/2009 140 Construction Rough Framing 4 Approved Scott Attey 04/17/2009 Scott Attey 04/17/2009 141 Insulation 4 Approved Scott Attey 04/17/2009 261 30 Day Expired 7 Not Required JUL-17-2009(FRI) 10:39 Owge,r1Builder/Builder Rep (FRX)Srl 333 2373 P.001/003 L Fax From: Woody Lewis Fax: 772-465-1855 Company Name: First Source Supply, Inc To: Lydia Fax: 772-462-7522 7/17/2009 ' Comments: Please find attached receipt and check. Please let me know if this Is sufficient and 1 will come back up there to complete the process. I can be reached on the above or below number. Thank you, Woody Lewis Cell: 561-329-4942 Urgent For Review ❑ Please Comment Please Reply ❑ Please Recycle JUL-17-2009(FRI) 10:39 Ouinar Builder/Builder Rep (FB8?.cAt 333 2373 P.002/003 Fort Pierce Utilities Authority "Committed to Quality" Water/Wastewater/Natural Gas Eagineering Please remit payment to: 113 N.2nd Street P.O. Box 3191 Key Accounts Department , Fort Pierce, Florida 34949-3191 P.O. Box 3191 Phone (772) 466•I600 Fort Piorce, FL 34948-3191 Fax (772) 499.0396 Invoice Number CS-14-09 Job natation 809 S. Kings Highway (Unit F105) Account Name First Source Supply, Inc. Contact Name peter Ingteldi Billing Address 809 $. Kings Highway y Telephone (954) 275-9650 Fax PCN FSI N 30-0539291 Fort Pierce FL 34945Mobile - CLsuzusn sill be assessed wmWwakr charges the dray"cannot to the wastewater system or within 365 days frmn date wa9eweter Conacuim Charge to pald- whichmar is fast Construction oust atimstes ue based On admen labor, equipmem and material prices. Actual OWLS of rooarcaetim Will be determined at the oempicNm of the project. Should unfaseee eitetmaWnms be encountered during coM14muelton, including but not limited to adverse weatherwnddions and oomstmdimdon0im, the ownv win be reapoffiIWa lot Ineteased coso. Additiond costs inwttcdbydec owner alaU mar mcced fifteen (15) puam or%h tool estimated construction costs shown above. Eetmaled costa paid by No ewnerthm exceed llu aeoal cost of construction willbereat by For�V6cnTlnlimp AuawruY. Reviewed By o v ce d (/J Date 3/27/2009 customer'sSigna Date U `22--0 Printed Name T'C r 11(7(1V`P. I Af ' Oren Bank 1275 InCom Properties Oslo Road, Inc. Pak Beach Gu mFL 855 South Kings Highway Fort Pierce, FL 34945 772-468-7880 aa-,searera PAY TO ME ORDER OF Six Thousand Five, Hundred, Nine -Nine and 13/100"""""""""" """""""""""""""..... . -------- --- ----------- ----...----•----•-------'---•---------------- ---- DOLLARS Fort Pierce Utilities Authority MrMO f HORI DSIGW TORE 803.South Kings Hwy Install 5/8' x 314" Meter only w! 0001275O 1:0670L44661: 10L9576211' InCom Properties Oslo Road, Inc. 1275 Fort Pierce Utilities Authority 2009-04-21 Date Type Reference Original Amt. Balance Due Discount Payment 4-21-2009 Bill 6,599.13 6,599.13 6,599.13 Check Amount 6,599.13 Grand Sank 809 South Kings Hwy Instatl518' x 3/4" Meter onl 6,599.13 Date: 4/17/09 St. Lucie County Building & Zoning Department 2300 Virginia Avenue Fort Pierce, FL 34982 772462-2165 Fax 772-462-6443 Request for 30-Day Temporary Power Release Permit Number: 0703-0271 Property Address: 809 South Kings Highway, Ft Pierce, FL 34945 THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: 1. This temporary power release is requested for the above stated purpose only, and there will be no occupancy of any type, other than that permitted by construction during this time period. 2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement, including Building Division Policy, which is incorporated herein by reference. 3. All conditions and requirements listed in the attached document entitled ("Requirements for 30 Day Power for Testing" have been fulfilled and the premise is ready for compliance inspection. 4. Ali requests for an extension beyond 30 days must be made in writing to the Building Official stating the reason for the request. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspection has not been approved within 30 days. A fee of $100.00 will be required to lift the Stop Work Order. WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION,, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. RECEIVE® JAN - 7 1009 PERMITTING St. Lucie County, FL Public Works Department Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 PERMIT RENEWAL REQUEST ADDRESS: 9 /c / h/S P � PERMITNO.: I: AM REQUESTING THAT THE ABOVE PERMIT IS RENEWED FOR EIGHTEEN MONTHS. I UNDERSTAND THAT I MUST SCHEDULE AND PASS ALL REQUIRED INSPECTIONS FOR THE PERMIT TO BE FINALED. FURTHER, I UNDERSTAND THAT THIS IS A ONE TIME RENEWAL AND THE PERMIT SHALL EXPIRE SHOULD I NOT RECEIVE A PASSING INSPECTION DURING ANY SIX MONTH PERIOD DURING THE RENEWAL PERIOD. Owner/Builder orContractor Signature Date STATE OF FLORIDA COUNTY OF Swam to and subscribed before me this day of . 2009 by 7y/ �i� /h1NLy/, Who is p ona own or who has produced as identification. •;��, ••,,,AUDRLY B. HUMPHRFV Notary Public State of Florida _ MYCOMMISSIONYDD633047 . y,?., EXPIRES: March 6, 2017 l `,allf�if`�, Bandedlhri M1mary P��Uadenvtders Signature of Notary: Commission No.: FOR OFFICE USE ONLY: RENEWAL FEE: OPEN INSPECTIONS ( ) X PERMIT FEE TOTAL INSPECTIONS ( ) (Seal) Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462A 148 http://stlu cieco.govfce Issued: 04/24/2007 Conf #: 741 BUILDING PERMIT Page 1 Permit #: SLC- 0703-0271 Job Location: 809 S KINGS HWY F 105 City: FORT PIERCE Permit Type: Commercial Renovation Job Description: INTERIOR BUILD -OUT INDUSTRIAL WAREHOUSE -BUILDING F UNIT 105 -MASTER PERMIT Subdiv: Lot: Block: Parcel: 2311-443-0001-000/9 Contractor FRANCIS THOMAS PANTALEO DOUBLE A INDUSTRIES INC (561) 333-9181 1975 SANSBURY'S WAY WEST PALM BEACH, FL 33411 Property Owner INCOM PROPERTIES INC 1655 BREAKERS WEST BLVD Setbacks Left: Right: Number of Units: 1.00 Floors: 1 Minimum Floor Elevation: Job Value: $ 37,500.00 (772)468-731 ROYAL PALM BEACH, FL 33411 Front: Rear: Zoning: IL Buildings: 1 Square Footage: 0.00 Flood Map: 175F 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. Raymond Wazny 1 �/'a/I�oy 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. l Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http://stlucleco.gov/ce Date: 24 April 2007 Job Address: 809 S KINGS HWY F 105 Received By: humphreya Paid With: CK Paid By: INCOM PROPERTIES INC Building Receipt Sign: Receipt#: 0000053441 'ermit Number. SLC- 0703-0271 Amount. $580.00 7redit Card Number: Check Number: 1873 St. Lucie County Building & Zoning BUILDING PERMIT SUB -CONTRACTOR SUMMARY Dp L�-hle 14 i�j(D[i S-fe-/c-5 '�XJCo M P,W C A T/ y will be using the following sub -contractors for the (Company/Individual Name) project located at (Street address of Property Tax ID /i) a3' / - icy3 - 00 o i _ 0 a 0 - 9 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 o-w,e f e t' 4�FZe-tv�hr c ,�NL' 60 EC 000�ii� Plumbing liN/7(IST AC"%e&xJG- 9/1-(7 Cpc n 4-7 ('-7 HVAC/ Mechanical IiCFE2,? e/3 AILC6,AJ d AecA T C 03 z3 i7� Roofing y� 2 p �o �.A., a010 � CC C /3.2 Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: 0 r ` ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT 3 y Rl P BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 1660 0 / State of Florida Certification Number (ifappiicabic): C C' V 0 /°l *q 04 C e CZ EZ7F-/ C L have agreed to be the (Company Namellndividual Name) rZec,1? 1c_A- - sub -contractor for �;g2c,e-0, (Type of Trade) (Primary Contractor) for the project located F(- 3Y9 vi- ,A3)t-9v3—aoo/ —000— Y 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 2A&TUBE ' PRINT -/u,4 1e � ��� DATE Business Name: Address: City/State/Zip: Phone: OFFICE 11,4*4/4cE 6Lez 370 04S/i0iF-5S jAdVAL� PALIU i, _V f` 790 - >,6 ONLY: C,_t.C• email: A4%e�Z/LC zut Ooo�,./f;, A_.e a M ` y ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT RIOp'• BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): Litvo aA4S T �/w�(oir�� (Company Name/Individual C#=t D .f767 z.. have agreed to be the sub -contractor for P (Type of Trade) (Primary Contractor) for the project located at 8o1-913 - S� 3.1/?Yr (Project Street Address or Propdrty Tax ID ff) ,A3//-4v7-000/-0004 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 SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: f-i A Ex-c-tr _ � -?, V 9 Q > Phone: 171- Via / - I? 6 c( 1 email• a ST. LUCIE COUNTY PUBLIC WORKS it BUILDING & ZONING DEPARTMENT R10p'• BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (ifap//plicabk): AcT,r-Imen-A., /4'r-1 (Company s 0-h-c- 0 31 3 8 )— have agreed to be the sub -contractor for. �JWcASV-, (Type of Trade) (Primary Contractor) for the project located at 901 $1 3_ S�L !!�%� 6 /-- i-' A), cs 3ttyy�- (Project Street Address orProperty Tax ID ff) o,J%/-YY3 -Ooo/ -doo- 9 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 1A�Ct - o t- LC'%u 3 a7 (INATURE D_ PRINT NAME DATE Business Name: �/ 6 �f c` '1i Jj C_d- V�4c.� �`� C Address: City/State/Zip: Wt S'/ (/'/ /mot Pe-kira, O`L 33yo9 Phone: _dl — 6h —/0? 3 email: /1t" C c?+y OFFICE USE ONLY: - a a N62*1� PROPERTIES 'Industrial 'Commercial 'Construction 'Development March 13, 2006 St. Lucie County Board of Count Commissioners Public Works Department To whom it may concern, 801 South Kings Highway Fort Pierce, Florida 34945 772-468-7880 - Main 772-468-7838 - Fax Please except this letter as certification that when our service agreement becomes available we will provide a copy with proof of payment for all fees to the St. Lucie County Building Department, prior to Certificate of Occupancy. Respectfully Submitted, Geoffrey G. Germony President Incom Properties, Inc. EDWIN M. FRY, Jr., CLE1., - TEE CIRCUIT COURT - SAINT LUCIE COU', FILE f 297E350 OR B60K 2721 PAGE 1553, Remrded 12/14/2006 at 03:41 PM NOIICEUFCOMMENCDffW PeavritNo. OboS-0855 'na:.IDs ai3i 1 -YV 3- coot - oac lVV/�" blab Of La0.tt)A CMmry Of�i L4 Gt4 n THE UNDERSIGNED Lr{ebfgi—n0timtLrtim;m mew WM be ®de to cabin mat 733\ l . (� , PbridaSbtwea, the fo0mv4 ia[a®Hm.is Pt?P�b. andm aeemdance with pter f . gwided is tltiallotia ofCommeae®mt tt sbtn Phm #O/- L;06 - d 7!i Fa:04 ; - .A96 - ?6 .7 d Phone d PL®eY sy-G/Y- S-D'nv Fox r__ F}% -Jy7. -'�- iw otbv docO=b maybe roved u pmridrd by FazM toaeedve• . . Lb*L3emfe1406mupmvidedin Seetioa7l .23(1)(b).FTofida Sbmtu. ofootim of - is eneyacfo the date ofteemding> I=, 501e data uapecificd. _ o SLATE OF PLORID COUNIYOP r-"Cjr Ackn—kdged memis_,dayof f_ 20d06 byGl-fij!4(N' R o-:j wbp ie pyaj(y �.+a+. to mas -�sidae'dtcstitttr. ,. (era $(@1ATME OPAOTARY /PETERZ omfa0 7YPEORPRINFNAME OFNOTARY 4et/• �a'�t�... .NOTARYPUEllC TrrLE COMMISSION NUMBER i � �1 OR BOOK '2721 PA= 1�. , Page 1 of 1 Fun Lptl D cdpaon 115539T TPART OF BE W OF BE iNNPO *ROM8WCOR OF SEC RON NOV 8227W25FTTOWLYRO R1WU OF NWOS NWF.TRN 001762WA RWU51 FTTO PCB:01862a2aTWi1Td21 FT.T11 NW NSTW877M FT,TN 8 WWWE 11 OF1ON68~a TR80U/S57EALO'RNPUE}I.NFTTOMB117DSAC1(0R7 l8 ) ]20Y FTTO NtY RO RM1MU STATE OF FLORIDA ST. LUCIE COUNTY JTIFYTHATTHISISA ORRECT COPY OF THE M. Y, CLERK 1 erk ' a Date: .P httpJ/ W ww.pwlc-oig/legal,aw 1= r I 12 I1/2006 4,. Owner: InCom Properties, Inc. 801 South IGngs Highway Fort Pierce, FL 34945 Parcel ID # - 2311 443 0001 000 9 11 35 39 THAT PART OF SE 1/4 OF SE 1/4 MPDAF:FROM SW COR OF SEC RUN N 89 32 37 W 25 FT TO WLY RD RNV LI OF KINGS HWY,TH N 00 13 52 W ALG RM LI 51 FT TO POB;TH S 89 32 37 W 1173.21 FT,TH N 00 09 27 W 637.97 FT,TH S 90 00 00 E 1172.39 FT TO WLY RD RM LI OF KINGS HWY,TH S 00 13 52 E ALG RM LI 628.64 FT TO POB (17.05 AC) (OR 2239- 1423) Property Appraiser - St.Lucie County, FL ft 0 Page 1 of 1 PROPERTY RECORD CARD Incom Properties Incorporated Record: 1 of 1 «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: BOiSKINGS HWY ParcellD: 2311-443-0001-000-9 Sec/Town/Range: 11:35S:39E Account#: 155247 Map ID: 23111S Land Use: VCNT INDUS 111 Zoning: IL -CO City/Cnly: ST. LUCIE COUNTY ..^�..,` L� J Ownership and Mailing Legal Description Owner. Incom Properties Incorporated 1135 39 THAT PART OF SE 114 OF SE 1/4 MPDAF:FROM SW COR Address: 1655 Breakers West Blvd OF SEC RUN N 89 32 37 W 26 FT TO WLY RD RNV Royal Palm Beach FL 33411 ore... Sales Information Assessment Final Total Land and Building Date Price Code Deed Book/Page 2006 Val: 886600 Land Value: 886600 Acres: 14.19 5192005 800000 01 WD 2239 / 1423 Assessed: 886600 Building Value: 0 7202004 800000 00 WD 2023 / 0069 Ag.Credit: 0 Finished Area: 0 SgFt 522/1992 432500 02 DE 0791/204 Exempt: 0 Taxable: 886600 TotalTax: 17749.9 BUILDING INFORMATION ❑x No Sketch Available Exterior Features View: - RoofCover. - RooiStruct: - FxtType: - YearBlt: Frame: - Gmde: - EflYrBlt: PrimeWall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: 0 Electric: - PrmintWall: - FullBath: 0 HeatType: - AvgHt/FI: 12Bath: 0 HeatFuel: - Prm.Flors: - %AIC: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qua]. Cond. YrBit. No. Land Use Type Measure Depth 1 4000-VCNT INDUS 101 -Acres 14.19 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/prc.asp?prclid=231144300010009 3/16/2007 ST. LUCIE COUNTY BUILDING & ZONING 2000 VIRGINIA AVENUE FORT PIERCE. FL 34962.5652 0 561462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: i1-943-cool-000-9 /,fo/—g e 343w' for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community- '� r��eoFFRr: Y GeR-hLo my i PazS - 1`f'O Property Owner Karne Property Owner Signature Date STATE OF FLORIDA. COUNTY OF - L— J G i P ACKN/O�WLEDGED BEFOREI.1!1ME THIS DAY OF CdN , ypD 40 BY Q O C (- Pe=/ I p f 8 WHO IS PERSONALLY KNOWN TO ME OR V T7T(FrC3TTON. SIGNATURE NOTARY TYPE OR PRINT NAME OF NOTARY NOTARY PUBLIC TITLE COMMISSION NUMBER (SEAL) I �� ` ST. LUCIE COUNTY PUBLIC WORKS irk " BUILDING & ZONING DEPARTMENT RIOp' BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. �� O State of Florida Certification Number (If applicable): to C 1 3 3 -S-7 d-D have agreed to be the sub -contractor for (Type of T ade)(Primary Contractor) for the project located at (Project Street Address of Property Tax ID #) a3i/- YYY -crcOi —ooa-9 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 Business Name: Address: City/State/Zip: Phone: (Name, of the Individual shown on the Contractor's License) PRINT NAME DATE 921-Y66 - vo'/o OFFICE USE ONLY: email: SI4TjPctrr it a vr< . OFFICE USE ONLY: DATE FILED: REVISION FEE:) •D r7. PERMIT # 0703-0271 RECEIPT # Y$7 ST. LUCIE COUNTY PUBLIC WORKS DEPARTMENT CODE COMPLIANCE DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-565� (772)462-1553 APPLICATION FOR BUILDING 1. LOCATION/SITE ADDRESS: 2. 3. 4. PROJECT DETAILED DESCRIPTION OF PROJECT REVISIONS: Move part of rear office wall 15 feet into warehouse area. CONTRACTOR INFORMATION: ST. of FL REGJCERT. # BUSINESS NAME: QUALIFIERS NAME: ADDRESS: 27R5\/ic\/ic CITY: Woct Pa PHONE (DAYTIME): OWNER/BUILDER INFORMATION: STATE: F•L ZIP: 33411 ,ie NAME: ADDRESS: 855 Sou h Kings Highway CITY: Fort PIP.rrP. STATE: PHONE /CELL: 954 275-9650 5. ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: Fain PHONE (DAYTIME): EMAIL - peterfingraldi@incomproperties.com ZIP: EMAIL - peterfingraldi@incomproperties.com STATE: FL ZIP: EMAIL - noe@nxgarchitecture.com