HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �c 2
Date: Permit Number:Zz 711�
COUNTY
Building Permit Application
Planning and Development Services l
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 - Gas Canopy
PROPOSEDIMPROU,EMENT LOCATION
Address: TBD
Property Tax ID#: 2311-411-0004-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Wawa 45380 ORN
DLTAILED DESCR'IPTI:ONOF WORK:• ' ,
Wawa food store new construction of gas canopy.
CONSTRUCTION FNM.RMATION:
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: 7,150 sq.ft. Sq. Ft. of First Floor:
Cost of Construction:$ 180,000 Utilities: —Sewer —Septic Building Height:
,0WN L19AE8SEE:- CONTRACTORa,
Name BP-OK DEV LLC Name:Robert T Kennedy Jr.
Address:20411 W 12 Mile Rd. Ste 200 Company:Wiilson's Petroleum Equipment Inc.
City: Southfield, MI State:— Address:1803 South 31St. Street
Zip Code: 48076 Fax: City: Fort Pierce State.FI
Phone No. Zip Code: 34947 Fax:
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 CBC1250981 State Lic
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If,value of HVAC is$7,500 drmore,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW fNFOR.MATIQN a„
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Cured&Peterson Architects Name:
Address:930 woodcock Road,suite 101 Address:
City: Orlando State: FL City: State:
Zip: 32803 Phone 407-661-9100 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."
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Signature of Owner/Let*srhe/ContraciZ57rJs Agent f er Signature of Contractor/Lice der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF j L UC-) r� COUNTY OF st.Luae
The fo_Mooing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this=day of f} 20 'A,by this 10 day of Apdi 20D.0by
��Rom►_' `, ���% TP_ Robert T.Kennedy Jr.
Name of person making statement. Name of person making statement.
Personally Known (// OR Produced Identification Personally Known xxx OR Produced Identification
Type of Identificatl � G _ / Type of Identification
Produced L �X mil\/ Produced Personally Known
(Signature of Notary P lic-Sfef e nature of No ry Pu lic-Stat
Commission No �Qa °'" a��1wARK SPIEGE mission No. 0G33590� /r SPIEGEL
r7�COMMISSION#GG33 CV(MSSION#dG335907
F,XPIRFS:May 16,2 EXPIRES:May 16,2023
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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