HomeMy WebLinkAboutSt Lucie County Building permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMITTYPE:
X Residential
PROPOSED IMPROVEMENT LOCATION:4870 N. Kings Hwy_, fort Pierce, FL 34951
Address: WD 2349, 4870 N. Kings Hwy., Fort Pierce, FL 34951
Property Tax ID #:
Site Plan Name:
Project Name: WINN-DIXIE STORES LEASING, LLC STORE 42349
DETAILED DESCRIPTION.OF WORT ;
3
Replacement of rooftop condensers
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
ti
Mechanical _ Gas Tank _ Gas Piping Shutters
Electric _ Plumbing _Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ �'�,� _ U%T%. 0 4) Utilities: —sewer Septic Building Height:
(>[I-011561
Block No.
Windows/Doors
Roof Pitch
OWNER/LESSEE: WINN-DIXIE STORES LEASING, LLC
CON RACTOR:
Name VVINN-DIXIE STORES LEASING, LLC
Name:���`'
Comp
Addre
Cit
Zip Co
Phone
E-Mailllohsoncontracting7257@gmail.com
State o,r
Address: 8928 Prominence Parkway, Building 200
ny: Johnson Contracting Services, Inc.
City: Jacksonville State:
Zip Code: 32256 Fax:
Phone No. 904-370-5000
s: 1828 H St.
amilton State: GA
e: 31811 Fax: (706) 628-7256
�o (706) 628-7257Fill
E-Mail:
in fee simple Title Holder on next page ( if different
from the Owner listed above)
County License
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commenceme t is required.
Sty# P . l ' NTA .01 U�CTI i� LIEN II C3i 1t
DESIGNER/ENGINEER. Not Applicable
MORT13AGE
COMPANY: Not Applicable
Name:
Name:
Address:
s:
Addre
City: State:
State:
City:
Zip: Phone
Zip: J
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDI
G COMPANY: Not Applicable
Name: cif BSCM81071NDRIOCROSSINGS
Name:
Address: 311 PARK PLACE BLVD SUITE 600
Address
City: CLEARWATER, FL
City:
Zip: 33759 Phone:954-453-6052
Phone:
zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain
certify that no work or installation has commenced prior to the issuance of
a permit to do the work and installation as indicated.
a permit.
St. Lucie County makes no representation that is granting a permit will authorize
which is in conflict with any applicable Home Owners Association rules, byl
structure. Please consult with your Home Owners Association and review yqur
the permit holder to build the subject structure
ws or and covenants that may restrict or prohibit such
deed for any restrictions which may apply.
In consideration of the granting of this requested permit, 1 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 a f
'll 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("PROP ENTS TO YOUR PROPERTY. A NOTIC
POSTED O HE JO SIT EFORE THE FIRST INSPECTION. IF
WITH YOU NDER ATTOR EY—BEFORE RECORDING Y
I OF COMMENCEMENT MUST BE RECORDED AND
YOU INTEND TO OBTAIN FINANCING, CONSULT
UR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Con7ractor nt for Owner
Si natu
e of Contr 'tor/License Holder
STATE OF FLORIDA
STATE
OFF RIDA
COUNTY OF 1)uVA1_
COON
Y OF
oing instrument was acknowledged before me
day of 20 20 by
The fog ng instrument was acknowledged before me
this fr ay of MARCH 12020 by
The for
this ZI`fir
Brian Gamey
Pr�
Name of person making statement.
Name of
person making statement.
Personally Known OR d Idelto
Type of Identification
Produced NfA =�e 7r Cp11wf DF1
E*N A 17,
i N hu NObq
i�11
t
tignature
Persona
Type of
Pr
�'�11111fJtl�
ly Known OR Prod uc4�}i`�ifid�pr,/�/i
dentification ��� '�` ..-•'�S ••.,'V
hV Y I Le G : �°µM to44/1 . _
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Ju y
4
of Notary Public- State of Florida j
Commission No. GG 192659 (Seal)
[Sign t
Commision
re of NoAry P li State iiRo��tt`�:� G
No. ''' � '•u+��`,```
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIE
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 21711
Permit No. Property Tax ID No.
State of Florida, County of St. Lucie
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available WD 2349, 4870 N. Kings Hwy., Fort Pierce, FL 34951
General description of improvements Replacement of rooftop condensers
Owner/lessee WINN-DIXIE STORES LEASING, LLC
Address 8928 Prominence Parkway, Jacksonviile, FL 32256
Interest in property: owner lessee
Fee Simple Titleholder (if other than owner) CIII BSCMS107 INDR O CROSSINGS
Address CIO Colliers International 311 PARK PLACE BLVD SUITE 600 CLEARWATER FL, 33759
Contractor Johnson Contracting Services, Inc. Phone # (706) 628-7257
Address 1828 H St., Hamilton GA 318114809 Fax # (706) 628-7256
Surety Phone #
Address Fax #
Amount of Bond
Lender Phone #
Address Fax #
Persons within the State of Florida designated by Owner upon whom i iotices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name Phone #
Address Fax #
In addition to himself, owner designates of
Phone # Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 l) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a differ nt date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THENOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.7I3.13, F.S., AND CAN RESULT IN YOURAYING CE OR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON T OB 5 E THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR , ATTO Y BEF MENC WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT. 1
Owner/Lessee,I OWfier's or Les 's Acer/Director/Partner/Manager/ Signature
CFO/EVP ppll
Signatory's Title/Office
State of Florida, County of DUVAL
E
wledged before me thi , day of MARCH
personally kn wn t e r who has produced Pe ...fy K^
Yenette E.
tui'&5M6t r i �`- / Type or Print
Notat Public Commission Number GG 192
20 20 � by Brian Carney
as identification.
n
of Notary 6, P1CM
_ forr+tr"M # GG 19M
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