HomeMy WebLinkAboutBuildingPermitApplication-signed-notorized revisedDocuSign Envelope ID: E1849B62-C133-4A76-97BA-7F5B9DC96442
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/4/2021 J 11:49:58 AM CDT Permit Number:--------
Building Permit Application
Planning and Development SeNices
Residential Building and Code Regulation Division Commercia I _v_E_s __ _------2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:AUT0Z0NE STORES, LLC
PROPOSED IMPROVEMENT LOCATION:
Address: 4892 N KING HWY, FORT PIERCE, FL 34951
Property Tax ID#: _1 _31_3_23_2_0_00_1_0_004 ___________________ _
Site Plan Name: _________________________ _
Project Name: AUT0Z0NE STORE #3607
I DETAILED DESCRIPTION OF WORK:
Remodel existing building to accommodated auto part retail store for AutoZone Srores, LLC
New Electrical Meter NO Second Electrical Meter NO ----------
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
Lot No .. ___ _
Block No. __ _
K_Mechanical
X.Electric
Gas Tank
X.Plumbing
_Gas Piping
X. Sprinklers
Shutters L Windows/Doors Pond
____ Pitch Generator Roof
Total Sq. Ft of Construction: _7_34_3 _____ _Sq. Ft. of First Floor: _7_34_3 _______ _
Cost of Construction: $ _3_92_, 7_0_0 _____ _ Utilities: Sewer _ Septic Building Height: _1_9' __ _
OWNER/LESSEE:
Name NORTH KINGS HWY,LLC INDRIO CROSSINGS c/o COi
Address: 411 N us HWY 1
City: PIERCE
Zip Code: 34951
Phone No. 772-370-1399
Fax:
E-Mail: indri o.crossings.plaza@gmail.com
State: FL
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
CONTRACTOR:
�:IJ!U,lKER
Company: Hanna Design Group Inc.
Address:
City:
Zip Code:
Phone No
E-Mail
State or County License
If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
State: __
Fax:
Jason Mick
1955 W Downer PLace
Aurora IL60506847-719-0 39 3847-719-0 3 76
tdejong@hannadesigngroup.com
CBC1261854
Kane
X17th 1
Jason Mick
X
Aug