HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BECOMPLETEDFOR APPLICATION TO BE ACCEPTED ��_ f q/1)
Date: & r�� SCANNED Permit Number: �� V W/U I.
BY
St. Lucie County
La
-- — Building Permit Application <�,Iq to Q
Planning and Development Services `9
Building and Code Regulation Division s23�'r
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE: Building Permit
PROPOSED IMPROVEMENT LOCATION:
Address: 3939 St. Lucie Blvd., Ft. Pierce, Florida 34946
Property Tax ID #: 1432-222-0001-000-9
Site Plan Name:
Project Name: Coca-Cola Restroom Renovations
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Renovation of one existing womens RR and one existing mens RR. Install one ADA ramp (approx. 80 SF) and one side walk
(approx. 130'x5')
CONSTRUCTION' INFORMATION;
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
X Electric X Plumbing _Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 262 SF
Cost of Construction: $ 52,898.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Coca-Cola Beverages Florida LLC
Name: Dean Blankenship
Address:10117 Princess Palm Ave., Ste 100
Company: Hosanna Building Contractors, Inc.
City: Tampa State: FL
Zip Code: 33610 Fax:
Phone No.201-919-6277
Address: 278 Semoran Commerce Place
City: Apopka State: FL
Zip Code: 32703 Fax:
Phone No407-703-9861
E-Mail: Josehernandez@cocacolaflorida.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail b(ttany@hosannabc.com
State or County License CBC1257096 ,3t5-,6Y
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.
SUPPLEMENTALCONSTRUCTION
LIEN LAWINFORMATION:.
DESIGNER/ENGINEER:
Name: rt i
_ Not Applicable
MORTGAGE COMPANY:
Name:
N/A Not Applicable
Address: 5 I-7 1 hamhra.
City: 94. PttG
Zip: 33-J9_ Phone 17-7-dS2
S •
—State: FL
-&82-5
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
N/A Not Applicable
BONDING COMPANY:
Name:
NIA Not Applicable
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 holderto 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 IMPROYEMENTS 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 LF6DRR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT-"
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 4%(LSb6rm.«91,.
COUNTY OF LJ
The forggo.i-ng instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this M�dayof Nd w h.r 20_Lcl_ by
this_lb_dayof Rjoa& 1207* by
17P-t'JO
PZA.YI Glaziooer-l5pLip
Name of person making statement.
Name of person making statement.
Personally Known -A OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identificatio
Produced
Produced
e`M''aOOdf Nowry Palm State of Florida
Brltte.ny Porter
My (:. uueolon FF 993016
( ure of Pilbta4 Public- State o Fl"i",� �uut�osrvxms
ignature of Nota u ' -
f, Ne2^/PJlIIa Stateof Flod
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acn 2.0l-`'l 1" cemn,. Upires Oct 15, toa
Commission NO ay y
Bcn Nadawl NouryAs
ommission No. (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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