HomeMy WebLinkAboutSUBMITTED PAPPERSDATE Fil D--
PLAN REVIEW FEE: IS% 0 U RECEIPT NO.:
CONCURRENCY FEE: RECEIPTNO.:
PERIWTNUMBER:
CERT. CAP. NO.:
rST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
SCAMING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
BY Ft. Pierce, FL 34982-5652
St. Lucie County 772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPI
PROJECT INFORMATION
1. LocATJoN/srrEADDpEss: 10w SAUpkv3A�
2. PROJECT NAME:Anwrccr,,) Lemm Var �3ia SITE PLAN NAME..
3. PROPERTY TAX ID #: 3 -A a 10 --7 0 0 — goo ;I oc)'D 0
4. LEGAL DESCRIPTION (attach extra sheets if necessary): /SLC- lao3-6a3a
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. ;L-
SAV4r�mA 46LV4C� .
9. PARCEL SIZE (ACRES/SQFT.): LOTDIMENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR\WORK ACTIVITY:
/Y WWI
11. iETBACKS (ACTUAL) rmowj�BACK: g q'0 RiGHr simlr. 00 LEFT SIDE: 01 �161 1
19 12. TYPE OF CONSTRUCTION (Check al appropriate boxes)
[VI NEW CONSTRUCTION EXPANSION/ADDITION [I INTERIOR RENOVATION
RESIDENTIAL COMMERCIAL INDUSTRIAL
OTHER(SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. SQ.FTOFCONSTRUCTTON: 45— 15.SF.FTIstFLOOR: �7ao
16. VALUE OF CONSTRUCTION: $ / '000006, -
The value of construction is used to determine the meant of permit fees to be assessed. St. Lucie County reseives the tight to question mullortnodify the indicated
value of construction if it is demonstrated that die submitted figuras are not consistent with similar types of contstruction activities. If the valuclis $2500 or more, a
RECORDED'Nofice orCommenectnent must be submitted with this application.
SLCCDV Form No.: 001-02 9-) - 6BI; 001,5 z,
LfDk rn
UPDATED 6/25/09
i
OWNER INFORMATION
NAME: Amw,,,,,o Lem. ?.s-r :�16 P - F-L JA"I �Uwk�, b,,,mrvv)f4
ADDRESS: 8" 3 S.
CITY: & sv.+ I-W STATE: ZIP:
PHONE (DAYTIME): 01- 5-2 13 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): C__)
CONTRACTOR INFORMATION
S T. o f F L R E G. C E RT #: e S) 4/ 6, 9 j 6 ST. LUCIE COUNTY CERT #:
?Owers g6vore Alaa ?Qwevl��
BUSINESS NAME: JEACOPU
QUALIFIERSNAMF: -TFrrP-1?e-j Pnwrrs
ADDRESS: 4J95 LO, GAI 4-610,' ldme�
'?klm C;�±j F�
CITY: STATE: L ZIP: 'sq?'?b
PHONE(DAYTIME): C7-Zo ZOL/-143 3C FAXNO. Email: jgae—
ARCIETIENGINEER.
ADDRESS:
CITY:
PHONE (DAYTIME): C__)
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDEF-
ADDRESS:
CITY:
STATE:
STATE:
STATE:
?Dwe-rc e-6 n gTrLjc--r"a/) in C - "
M
ZIP:
ZIP:
EUPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it wffl be xqiig and returned to you by mail.
I
CERTIFICATION: - ' I �
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 CONDITIONERS, FENCES, 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: 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 YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHr, TIME, AND INTEREST THAT IS SUBJECT TO
ATTACBMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS suBjEcr To ATTACHMENT.
STATE OF-M
COUNTY OF
The foregoing instrument was acknowledged before
me this _Lt7day of 201�A,
by
who is personally known or has produced
STATE OF FLORIDA
COUNTYOF QT,��C�.
The foregoing instrument was acknowledged before
me this 1-day of '20A,
by JR0
who is personally known -A- or has produced
-as identification. as Identification.
!WokfNefary 4sie VoNo�to�
KATHLEEN WILSON KATHLEEN WILSON
BLIC -My As. ,(pUBLIC
Commission No.- NOT"�� Commission No.
151=STATE Ow LORIDA 5 STATE OF FLORIDA
Comm# EE137013 comm# EE13f()1'3
Eyqlrbs 10/2312015
14eelrf`� px0ites 19/2312015
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERAHT AS AN OWNER/BUILDEP, THE OWNER MUST PERSONALLY APPEAR ITO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THEI FRONT OF THIS APPLICATION.
OWNER BUTI DER AFFIDAVIT WILL BE REQUIRED �OR ALL OWNER/BUILDER APPLICANTS.
For specific in�tructions see ropriate permit 4hecklist
app
OFFICE USE ONLY
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZNO.
FLOOD ZONE
FIRM MAP#
OTFLRELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLIT
Beforel/1990
After 1/1990
REQUIRE
APPROVED
REPORT
HABITABLE
RADON
PERMIT
CODE
12--
AREA
FEE
FEE
(RADON)
LIBRARY
PUBLIC BID
PUBIC BLD
PARKS
.IMPACT
IMPACT FEE
-110TACT
IMPACT
fEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
ROAD
CREDIT
Y
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE
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
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER y
REVIEW
REVIEW
REVIEW
REVI�W
REVIEW
REVIEW
DATE
Li
Ll -2 11 (�
IVED
I
DATE
lu
elf 2, Irt -
COMPLETED
I NITIALS
PERMIT # I / qo I- baqj-3
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: i 30 ity
State of Florida Certification Number (if applicabic): _,X7 j- I Z ?, 9 2
have agreed to be the
(Company Name/Individual Name)
�C_ Sub-contractorfor fE)Luggc� C 0 r-r P--u<,T) 3 ;.J
(Type of Trade) (Primary Contractor)
For the project located at I Dtnto -sf4 U
LUS (SLU t5
(Project Street Address or Property Tax ID #)
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 filing a
Change of Sub -contractor notice.. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: or-Inaka
Address: 9-S-9
City/State/Zip: j&A-1-_ IUC-11C 0c;e- 3YS P-1
Phone: 4*9- .9A14- A S��'q c ma i 1: Li C znaft 0 � le 09 e-d M C-1-.j r. 4-1 e-
6e",y le wg_
PRINT I
AIGNATURE LME' DAiE'
STATE OF FLORIDA, COUNTY I Uk)
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 52LODAY OF h f—
BY AnOodL WHF1S__PERS(6 �LYKNO�WNU� ORHAS
PRODUCED AS IDENTIFICATION.
SIGNAVIkE OF NOTARY PUBLIC
SLCPDS: 12/16/2013
TRACEY TY, MoGNEE
" '7,,�W�
oT
PRINT NA�Ay OF NOTARY PUBLIC
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
�u_,3 5-& � c p -Aj _< -rtzL) C- T I 0,-J will be using the following sub -contractors for the
(Company/Individual Name)
project located at �O(OLD _�AU41UA)A �__LUR )�,LV/3
(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
c-' (za m 1e, Cz a i c-
Plumbing
HVAC/
Mechanical
Roofing
Gas
PERMU 1 1111 1ATE:
y
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft Pierce, FL 34982
(772) 462-1553
Ground Si2n Landscaipe Affidavit
5AUArJt,jA 13L-R-r -a 12 It- ,
the undersigned, am the owner of the following described property, l000 '5'qu'q'V10,4 ct-UR 19ZVD�
�a�-f t>—r. L_uc%�e,,(7t�oR_t�,A SIAQS.�_ f. T. J�: 3 Ll 2-(, --1 0 o - 0 0z) 7- - c) ow - c�
(Property Tax ID #/Legal Description/Address)
which I have applied to St. Lucie County for a Ground Sign Permit. In accepting this Ground Sign Permit,
Building Permit Number , I acknowledge that as owner of the above described property,
and in accordance with Section 9.02.01(D)(6) St. Lucie County Land Development Code, I shall have a
landscaped are around the sign base which extends a minimum distance of three (3) feet in all directions. Such
landscaped area shall be completely covered by natural drought -tolerant ground cover and shrubs, hedges or
similar vegetative materials.
Z,9j2Yt, ROwle
A-1 A&P-�-r FOvL
AmV,P-ic4tJ "&1oAj POST 1E
Print Property Owner Name
22LUVcGeALt" 1-13-111
t<gnatur&f Property Owner Date
State of Florida, County of t�4, - UkL�
1-70
Sworn to and subscribed before me this day of
wl�is personal.,I known to me
^who has produced as identification.
TRACEYW* McGHEE
NOTARYPUSUC
Wo Notary
Wres 8110015
Notga Public Title Commission Number
20a
seal
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BLULDrNG & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property,
3 4 9L (� — -7 0 (D — C�� ED � ')- — c:, C;� (-I:) cc�-
(Parcel Id#/Legal description/Address)
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
7.04.0 1 (D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WELL NO 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 aff-ect the immediate
community.
P, rcx,-- & % c- A. - i Lee- ic;',j fos-� �lao
Property Owner Name (Please Print)'
Property Otmer Signature Date
CJQ.��CJL.;--
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGEDBE �REWMETHIS -DAYOF — - 2
�04 04—
BY)�Q�\ e�'
WHO IS PERSONALLY KNOWN TO ME ORWHOHAS
AS IDENTIFICATION.
NPRObUCED
SI
OF )TARY PUBLIC
TYPE OR PRINT NOTARY
In--_20Dj:�COMMISSIONNU1%&BER
(SEAL)
SLCPDSDRviwd08/24/2010
KATHLEEN WILSON
NOTARY PUBLIC
STATE OF FLORIDA
Comm# EE137013
'4rn-115V c�xpires 10123/2015
aNG&DEVELOPMENTSE'lCES
_11ilding & Code Compliance M..."lon
BUILDING PERAHT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: C_ I Lf
State of Florida Certification Number (If applicable):
�r-VA le y Nw Q CN-Tu P=F__Cz Z: tic- Ve agreed to be the
(Company Name/Individual Name)
(- t-3 r-_ JZr_- C-'T) e) AJ sub-contractorfor PDCOVACJ� C_ 0 t,�-r P-0 CT)
Crype of Trade) (Primarvtontraemr)
for the project located at 100co -CA-UAKjA)4 e- L u
OProject Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our articipation with the above mentioned
project, I vAll immediately advise the Building and Zoning De 'artment of St. Lucie County by filing a
Ad
of
ess
s
g
r Prop
s reg
d Zo
e
d
T
in
g D
g
e
L
0
drA en
'atu
a
�4rty
ar
M
6
ax
ur cip
d t of
ID
tio 'th the above ment'or
arti a i n 'V'
in n artin St. Lucie County b y filing a
Change of Sub -contractor notice. (Form: S
LCCDV (No. 004-0
0� 0
BUSMSS QUALEMR (Name ofthe Individual s own on the Contractor's 7License)
NOTARIZED SIGNATURES ARE REQUIRED
1 0
Business Name:
os. to/,J
Address:
City/State/Zip:
email: _jE.Fr- 0., qcw5,UCnwSTpU4_-r1DlJ,Nr_7'
PRJNTNAME DATE
OF FLOREDA, COUNTY OF
THE FOREGOINIG,,INSTRUMENT w S SIGNED BEFORE ME THIS L—NAY OF 20A�L
1, 0 IS PERSONALLY KNOWN)—( OR HAS PRODUCED
OF
OFFICE USE
RINTNAAlEOFX0n
z V"�I�
of 7013
205
Comm ,101231
(STAND)
M
ENGINEERING SUBMITTALS
JANUARY 06, 2013
WIND LOAD CERTIFICATION:
CODE: FBC 2010/ASCE 7-10/NEC 2008
WIND SPEED: 160 mph, 3 SEC. GUST
EXPOSURE: "C"
IMPORTANCE FACTOR: 1.0
INTERNAL PRESSURE COEFF.: 0.00
r- 1
jo "ILE C011v
AMERICAN LEGION POST 318
1000 SAVANNAH CLUB DRIVE
PORT ST. LUCIE, FLORIDA
PAUL WELCH INC.
Mechanical Electrical Civil Engineering
1984 S.W. Biltmore St. Suite #114
Port Saint Lucie, FL 34984
(772) 785-9888 pwelchinc@aol.com
Paul Welch, P.E. Fla Reg No. 29945
—?l
41IS' wader board sWi
WhInat With While flat feame
vilth 4 Una of caff.
2W- sign cabinet vAth dn)4
505131
I Opp
rll�ll
813
M
C3PAUL
WELCH INC.
40�%
MECH-ELECT-ciVIL ENG
1*4 OLTMORE ST. #114
PORT ST. LUCIF, FIL 34984
PAUL WELCH, P.E. FLA REG NO 29946
JAM, 0 6 2014
P�1�1� �w 605133
by cff� I
a
4
Amedom Legion fta SIB
Plime 0 Address
M201,5393 I
MIA 130�1. I U.2,29"MOL. I -- I .' -
9
2'
3'
13'
4" sch 46 Poles
welded to angle iron saddle
top and bottom
AM
�57
i 1;3'
3- 1. 11
15,
I f ZSW psi
concrete fdn
PAUL WELCH INC.
MECH-ELECT-CIVIL ENG
1984 BVIVIORE ST. #1114 JAN 0 6 2014
PORT ST. LUCIE, FL 34984 -
PAUL WELCH, P.E. FLA REG NO 29M
WY�
41x8- reauffer board sign
505131
`40 We m mwo� "2-
�Mmo
DrfmRS05*31
cabinet vAth White ad face
%fth 4 lines of cM.
2%81 sign cabinet mith Wait
�dff 8�� MR bkqkd md 1�
cm.
File Name
Order Date
Phone #
Addrem
Ordered By
Phone 4--
S!Les Rep.
T72-20IZ393
M43 Und, fedond H", Pon, SL �e. Honda 34952
Dovam.
F--
m
44-
1
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I Fz vt M, t 4-
9 0 1 — -up-- Q�
CSI&"
00--T
bArZYL R(owz-e-
-,-)o /- S3
I
- 4;
-1254. .,MOB[ ' L ' ECRET I E
TECHNOLOGIES
Metered and.Wxed-Fresh On -Site
772.466.5070
3825 Selvitz Road, Ft. Pierce, Florida 34981
Me
C3 VISA
CIAMEX
LV I
Date: -Cubic yds. ordered:
Time of job:
Customer Name: An"r Phone:
Delivery Address: At
City:
Project Name: FL
YARDS
MIX DESIGN
PEA ROCK
PRICE
USED
fE_G�) P U M P
#57167
PER YD
AMOUNT
_"J 1.)
0
J
�IBEF�/ AD MIX
OTHER
TIME
TIME
TIME
DELIVERY
ON JOB
STARTED
FINISHED
CHARGE
'TRUCK
O.T. FE�
SHORTLOAD
FUEL SURCHARGE
10 Minutes,of FREE
unloading for every yard.
ENVIRONMENTAL
$1.00 per Minuf6 After
SUB TOTAL
RECEIVED
.
I
"I
TAX
APR 20% -
TOTALeV
REMARKS: p0q.
S".
Purchaser assumes full responsibility for stre I ngth, slump and quality of concrete when
changing the calibration of sand, rock or wate I r, or other material requested on the job.
1, the undersigned6 will assume -all responsibility for any dama e w7hre delivery i . s made
inside of the curb. )i
Custolliel X. V D
rivey
Meter Reading: Truck qu r:
V