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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 10-28-14ALL APPLICABLE INFO MUST 9E COMP_- , 'D FOR APPLICkaON 1'0 BE ACCEPTED C1�1`� ,r / / /0-O Date: � • X ����� Permit Number: S$ LuCle Counfi I iU` Building, Permit Application 4�s- /? 10�1 /I Y,-iz.1 '0 1 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Building I, 1 Address: 8630 S US Highway 1, Port Saint Lucie, FL 34952 l Legal Description: See attached legal description Property Tax I D #: 3414-501-1915-160-1 Lot .No.15 , Site Plan Name: Savanna Club RaceTrac Block No. 3 Project Name: Savanna Club RaceTrac Setbacks Front 173.58 ft Back: 161.81 ft Right Side: 121.12 ft Left Side: 95.28 ft I Redevelopment of approximately 3.24 acres including the construction of a new 5,928 sf convenience store . iaaiitional worKto n LIHVAC errormea unaertnis permit—cnecK an - Gas Tank ❑Gas Piping I apply: Shutters Q Windows/Doors _ rr I✓�Electric I ✓❑] Plumbing Sprinklers 0Generator Roof Total Sq. Ft of Construction: 5,928 sf Cost of Construction: $ 1,100;000.00 S of First Floor: 5,928 sf 2Utilities: Sewer 0 Septic Building Height: 25 ft O�VI/TN' + R�/pLE,' EE ; 'r a " : .� Z ��" °®.NTRAC�TLOR: - Name Brian Thornton (RaceTrac Petroleum Inc.) Name: Address:3225 Cumberland Ave, Ste100 Company: Great Dane Petroleum Contractors City: Atlanta State: GA Address: 1330 South Andrews Ave Zip Code: 30339 Fax: City: Pompano Beach GA Phone No. (770) 431-7600 //State. Zip Code: 33069 Fax: q,.'C• E-Mail: dbrown@racetrac.com Phone No. (954) 792-1334 Fill in fee simple Title Holder on next page (if different E-Mail: 2 E/ @��,97AA r,0 • from the Owner listed above) State or County License:` If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW LNFOR ATION: DESIGNER/ENGINEER:. x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Andrew Petersen, P.E. Name: Address: Address: 4450 West Eau Gallia alvd, Ste232 City; ,Melbourne State: FL City: State: Zip':.32s34 Phone: (321)255-5434, f Zip: Phone: FEE SIMPLE TITLE HOLDER: x. Not Applicable BONDING COMPANY: x 'Not Applicable Name: Name: Address: .Address: City; City: Zip: Phone:' Zip: Phone: 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 ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or 6n9covenants 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,, . accessorystructures _swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use. . WARNING TO.OWNER: Your faiiure,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 jobsite . before the first inspection. If you intend to obtain financing, consult with.lender or an attorney before commencing work or recordlog Your Notice of Commencement. Signature of Owner/ Agent/ Lessee �a STATE OF FECIRMA COUNTY OF RUf ) The for oing instrument was acknowledged before me I this day of 20 14. by I oVi aliq T iq PYY?4- 0 h (Name of person acknowledging) (Signature of Notary Personally Known Type of Identifical Commission No. = U 9s ..I( bII) ->;�,, PtJBVx 4 Revised 07/ r5/2014 eo ' pv �� Signature of Contractor/License Holder STATE OF FLORIDA. COUNTY OF' 0U_&rd_ The forgoing instrument was acknowledged before me this,-5 day of _ kin:/ a' 20 4 by (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known I/ OR Produced Identification Type of Identification Produced Commis .r6°uo Notar Publicst©ceotFlortI�eal �' Winsome Scott c My6ommission Eso41433 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW; REVIEW REVIEW REVIEW . REVIEW DATE �. -COMPLETE. INITIALS ON�