HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number a ooS - �^ 4c)
a r #009
IVFD
Building Permit Application per , 2020
luilding and Code Regulation Division anning and Development Services S u QDC%7 m
eent
1,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT TYPE: Commercial Building
P.ROPOSEWIVIRROVEME_NT LOCATION,
Address: Indrio Rd & Kings Hwy
PropertyTax ID#: 1314-144-0000-000-0 Lot No.
Site Plan Name: Block No.
Project Name: 7—Eleven #38944
F.DETAILED DESCRIPTION OF WORK
New construction 7-Eleven Car Wash
-CONSTRUCTION INFORMATION::d
Additional work to be performed under this permit— check all that apply:
x Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
x Electric X Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 307,300
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer —Septic Building Height:
OWNER/LESSEE.: ; .
CONTRACTOR ..
Name Indrio Retail Properties, LLC
Name: Brent Evans
Address:212 9 Via Fuentes
Company:Creighton Construction & Management, LLC
City: Vero Beach State: FL
Zip Code: 32963 Fax:
Phone No.
Address:900 SW Pine Island Rd
City: Cape Coral State: FL
Zip Code: 33991 Fax:
Phone No a - DLIc _ 0LISS
E-Mail vv�raSS (C9 Gc E; A �1�6r.ol ey, �Ov�
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County LicenseCGC1516904
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.
SpUPP.LE`MENTAL,CONSTRU,CTh0N,L'IEN LAW INF,ORIVIATIQ'N.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 TjABT IN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O OM NCEMENT."
01001,
Signature of Own / Lessee/Contra for as Agent for Owner
' n re o ctor/License Holder
STATE OF FLORIDA 1
STATE OF FLORIDA
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COUNTY OF Jl.S� K.
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Commission No4491 (Seal)
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REVIEWS
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REVIEW
DATE
RECEIVED
DATE
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Rev. 217/19