HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/2 T • Permit Number:
94o JUL 19 2021
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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. 7-Eleven Residential
PERM ITAPPLICATION FOR:7 Eleven #10389
PROPOSED:IM�PROVEMENT.LOCA'TI'ON" Roof�overlay,:� :",i, ,�' 9NOW3f
Address: 3110 Oleander Ave Ft. Pierce, Florida 34982
Property Tax ID #: 315650!1-7 (� — V Lot No. 150
Site Plan Name: .7-Eleven Block No.
Project Name: 7-Eleven
DETAILED DESCRIPTION OF WORK
Grid the the existing membrane, mechanically attach a 1/2", cover board, mechanically attach a_60mil Duro-Last PVCroof system
New -Electrical Meter n/a. Second Electrical Metern/a
*CONSTRUCTION INFORMAT.IO,N
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers Generator _ Roof Flat Pitch
Total Sq. Ft of Construction: 3000 Sq. Ft. of First Floor:. 2766
Cost of Construction: $ 44,003.00 Utilities: _ Sewer _ Septic Building Height 1216"
OWNER/LESSEE: }'
C0NTR'ACT�O,R
Name Lee Anderson Q
Name: Hans Philippo
Address: 3200 Hackb rry Rd. -
Company: RMM Florida
City: Irving, Texas State: _
Address: 7450 Industrial Rd
Zip Code: 70563' Fax:
City: Florence . State: KY.
Phone No. 9047613-8740
Zip Code: 4T042 Fax: 1-859-525-0689
E-Mail: cristee.moriahan@cfm=us,com
Phorie No 1-859-817-2257 .
Fill in fee simple Title Holder on next page (-if different
E-Mail jiin.hernimock@hollandroofing.coni
from the Owner listed above)
State or County License CCC1330246
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.- -
SUPPLEMENTAL CONSTRUrC TIO,N LIlEN LAW I1111FOR.ATI'ON:
DESIGNER/ENGINEER: Not Applicable.
MORTGAGE COMPANY: _ Not Applicable`
Name: Durod.ast, Inc.
Name:
Address: 525 Morley Dr
Address:
City: Siginaw State,: Mi
City: State:
Zip: 48601 Phone 888-504-1453
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.
Inconsideration 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: Yo failure to Record a Notice of Commencement may result in paying twice for
improvements t rtone'y
roperty. A Notice of Commencem t must be recorded in the public records of St.
cie County d d on the jobsite before the first, ins c 'on. If you intend to obtain financing, consult
with len a ran.,before commencing work or rec rdi i Commencement.
Signature of Own r/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Licen
STATE OF FLONDA
STATE
COUNTY OF 0.va I
COUNTY OF�p
Sworn (or affirmed) and subscribed before me. of
Sworn (or affirmed) and subscribed
before me of
Phx'sical Presence or Online Notarization
this �M day 2M by
Physical Presence or
this c� day
Online Notarization .
2b.20' by
GT ,
of
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Name of person making statement.
Name of person making state4efit.
Personally Known OR Produced Identification
Personally Known OR
Produced Identification
Type of Ideptificatio
Type of Identification
Produced.
Produce
Si ature of Notary Public- State of Florida)
(Signatur of Notary Public-
tate t RHODEESS
yPt;N;b& JOHN E. NARDI
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Commission No. {� 1� ff8>�o* Seal ion#HH1318
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Expires May 25, 2025
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