HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- -w;.
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 X Residential
PERMIT TYPE:Commercial - Dumpster Enclosure
PROPOSED IIUIPROVEMENT LOCATION
Address: TBD
Property Tax ID#: 2311-411-0004-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Wawa 45380 ORN
pETAILED DESCRIPTION'OF WORK.
Wawa food store new construction of dumpster enclosure.
'CONSTRUCTION,.I N FORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 550 sq.ft. Sq. Ft. of First Floor:
Cost of Construction:$ 24,000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE CONI`RACT:OR.
Name BP-OK DEV LLC Name:Robert T Kennedy Jr.
Address:20411 W 12 Mile Rd. Ste 200 Company:Wilson's Petroleum Equipment Inc.
City: Southfield, MI State:_ Address:1803 South 31 St.Street
Zip Code: 48076 Fax: City: Fort Pierce State:FI
Phone No. Zip Code: 34947 Fax: 772-464-5803
E-Mail: Phone No 772-468-3689
Fill in fee simple Title Holder on next page(if different E-Mail marks@wilsons-petroleum.com
from the Owner listed above) State or County License CBC 1250981 State Lic
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 Commencement is required.
.r,
SUPPLEMENTAL CONSTRUCTION;LIEN LAW IN,FORIVIATION y
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Cuhad&Peterson Architects Name:
Address:930 Woodcock Road,Suite 101 C Address:
City: Orlando State: FL City: State:
Zip: 32803 Phone 407-f61-9100 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, I 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 full 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN OUR NOTICE OF COMMENCEMENT."
l
Signature of Owner/Lessee/Contractor Agen cr Ow-n'eV Signature of Contractor/License Ho er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-5%L 0c1 E-- COUNTY OF st.Lu-ie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowled$�c(�efore me
this day of Mo Y 20±�by this 10 day of April ,20�-- by
"�J"�-{�-1 � t j N✓A � �� Robert T.Kennedy Jr.
Name of person makin statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known xxx OR Produced Identification
Type of Identi 'patio / � Type of Identification
Produced C7L�pL[,V
' A—+Vv Produced Personally Known
(Signature of Notary ublic- ate nature of Notary Public-State of Florida)
�1� "'"" MARK SPIEGE
Commission No.l7C'f—�o� eakyCOMMISSION#GG33 J
mission No. GG335907 " c ($��I)jtK SPIEGEL
EXPIRES:May 16,200 MY COMMISSION#GG335907
EXPIRES:May 16 2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.