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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �o- Permit Number: RECEIVED Building Permit Application Planning and Development Services AUG 2 4 2018 Building and Code Regulation Division 2300 Virginia-Avenue,Fort Pierce FL 34982 ST. Lucie County, permitting Pbone:(772)462-1553 Fax:(772)462-1578 Commercial Residential :.PERMIT ARRUC A JON F-OR: To Select-from dmpbox,click:arrowat he-end,of-line t X 1 C.+i'- Y? t ''fit u s .•-.�r1�; '` Fs„. , ,c.,• i ,`fit > .. * k4aS 3 4 61 Address: 7600 S US HIGHWAY 1 Legal Description: LAKE O THE WOODS AN UNRECORDED PLAT IN SE 1/4 OF SEC 22-36110 THAT PART OF LOTS 2,3 AND 4 MPDAF; BEG'.AT INT OF N LI'OF LOT-2ANa-ELY RD LI`OF US#1 Property Tax 10 9.3422-80: 03.0©0.5 Lot No-. Site Plan Name: Block No. Project Name: 7-ELEVEN Setbacks Front Back: Right Side: Left Side: •.y? 6�"1. Y x }� �*r}f :dv ;uc�� �.�� +��' �� J Nw ,�L n �vr�trr ;;kG�4 �i Q1 - ti �1��, 5 - i3z} 'Y`v; •'/J_Lf�# L J q •C -pt+ s ar}VyT. f ti Yµ e' •8`4�y r R` 'a°`4 G�,ti,� t P � `ti �• � y5'ti �3 l ��� �25`ri-`�3"' "�'��J 4���'��'L.��� �.. } ��•:.+�ytl' •�,�3P� �f,�•rF.+y dt "� .{.4* DICONNECT AND RECONNECT ELECTRIC ic i x- _F s•(r:�..:r :.t ait.cf..a •Yat, i �,.0 itiona. wor to a.'e Orme un er this permit-CneCK all tm.apply-. 0HVAC Gas Tank E]Gas Piping Shutters n W►rjdows/DooFs EJElectric 0 Plumbing ❑Sprinklers E Generator 11 Roof Roof pitch Total Sq. Ft of Constructiion:�1 r� 5 . Ft.of First Floor: Vo Cost of Construction:$ -},IcxJ Utilities:nSewer Septic Building Height: W 'ye* y.�'. '� t". �„Y .s HIM r..n ,,xr. +�. _,t,a .,,• s, "M5 y x is fi ,. kJa �a ,. •� ^3 ,s 7-<" Hr !'Aia+'7' dxs-a'k'-f?'.a;c.Y•.v+. :bosh. ..�,'., ,'a,,:y{1 i .>•;''r.G�`^ivY}.,Ta,'3'J�s'_�"s�- 'C' '`i NameXENON S A Name: BRUCE ARNOLD Address:PO BOX 4900 Company: WILSON'S PETROLEUM City; SCOTTSDALE State: Address: 7600 S US HIGHWAY 1 Zip Code: 85261 Fax: City: FT PIERCE State:FL Phone No. Zip Code: 34749 Fax: E-Mail: Phone Na: 772-46&3689' Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above), State or County License: _ 3 1 111 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. y, tx.,r'.,,,}:U F M1- •�`"i �' t{�� •,� � �4 a NOW �` tiE 4� a nst S'5"'^^kta.' '°'a - '3'>3j '.!-7 .?/tp;4v U.`•=3` A, ..<.,.aX*C DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Addiress: 'AcWiess: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: -Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and Installation as Indicated. 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,t do hereby agree that I will,in alk 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.exemptfrom undergoing.a fuR 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 commencing work or recordinp.vour Notice of Commencement. Signature of Owner/Lessee/CwtractBr Ws Agent forOwner -Signature of Contractor/License Hol e STATE OF FLORIDA r STATE OF FLORIDA COUNTY OF !,5Rj.L� COUNTY OF 57T. L.4/ %4�— Theforgoing instrument was acknowledge efore me The f r oing instrument w s acknowledged before me this day of fel&U�J .26E by this dayaf&J� � .2Q& bV ,,Z1V �ao aking statement me�erson making statement (Pe�rson�allyKnownOR Produced Identification P sonall Knaw OR Produced Identification I-YIJC U1 ype of dentification Produced A Produced I\A"k (Signature of Notary Public-State of Florida) (Signature of Notary Public-Sta a of-Florida Commission No)1, / Not6wilic State of Florida Commission No. Notf*p lf)tic State of Florida Mark Spiegel Mark Spiegel V4c My Commission FF 217327 �c My Commission FF 217327 ?o Ex ires 05/05/2019 ? d� Ex Yes5105/2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COU'KEER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE, RECEIVED. DATE COMPLETED Rev.8/2/17 '. -. ♦ i �'{law r � r �. ._ . .. � •. .. ... .. .. � ,Y" .. .. � ... - 4n .. .. .. �� ..'1':. -.. � .. .., i r .-.. ..�'Z _, .. � .. .- �. 'l�': �, a ..'�':r .. .+i