HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONX--,q,Tk
ALL APPLICAB • INFO UST BECOMPLETEDFOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANiyED
Building Permit Application By
Planning and Development Services St. Lucie County
Building and Lode Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Other NC)I t ,rvxCl,, z:,r— r At n III
Address: 8630 S US Highway 1, Pad Saint Lucie, FL 34952
Legal Description: See attached legal description
Property Tax ID q: 3414-501-1915-160-1 Lot No.15
Site Plan Name: Savanna Club RaceTrac Block No. 3
Project Name: Savanna Club RaceTrac
Setbacks Front 26e:02-ft Back: 10?n Right Side: n Left Side: n591-9
Construction of a dumpster enclosure.
CONSTRLICTIOMIN
U1101 WUIR W U 91UIIIICU 'U11YC1
HVAC Gas Tank
Ulli IJeruul—NICM dII
❑Gas Piping
dliply.
_Shutters
❑Windows/Doors
Electric Plumbing
[]Sprinklers
1:1Generator
Roof
Total Sq. Ft of Construction: 541.44 sf
Cost of Construction: $ 55.006.00
S . Ft. of First Floor:
UUlities:nSewer 0Septic BuildirigHeight:
OWNER/LESSEE:;
CONTRACTOR: ,
Name Brian Thornton (RaceTrac Petroleum Inc.)
Name: S4-e-Q-'e N''cL (�
Address:3225 Cumberland Ave, Ste100
Company: Great Dane Petroleum Contractors
City: Atlanta State: GA
ZlpCode: 30339 Fax:
Phone No. (770) 431-7600
Address: 1330 South Andrews Ave
City: Pompano Beach State: FL
Zip Code: 33069 Fax: q 54--I
Phone No. (954) 792-1334
E-Mail: dbrown@racetrac.com
FIII in fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Ma11: i t-e-
r1?0ai
State or County License:
It value of construction Is sZ500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN,LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: Andrew Petenen,P.E.
MORTGAGE COMPANY: x_NotApplicable
Name:
Add reSS:4450 West Eau Ga@e Blvd, Sie 232
Address:
City: h1eiboume State: FL
Zip: 32034 Phone: (321)2535434
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 Permit holder to build the subject structure
which is in con ict 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Signature of Contractor/License Holder
STATE OF R eRWA IDV9 I Gl STATE OF FLORIDA
COUNTY OF_ 't-U NIVJ COUNTY OF RYOVJaXoi
The forgoing Instrument was acknowledged before me The for oing instrument was acknowledged before me
thisf",dayof .jam 20�,by this7dayof 20_ by
Sri am Th.QyOo S� ewe N«
(Names of person
acknowledging) (Name of person acknowledging)
'�//`/f�2�'—K` o�li
(�g'nature of Notary Public- _ fate o erlda) •Ll (Signature of Notary Public- State of Florida )
Personally Known _ X _ OR
Type of Identification Producei
Personally Known 'Y�, OR Produced Identification
Type of Identification Produced
Commission No. O v R FIR-_04 0i
74 Commission No.
Q
S !/ o m%ARY C S
Revised 07/15/2014 — v M + �V
REVIEWS
FRONT
AR
Z •C
REE
R
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
tiff
M
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
1
INITIALS
ALL APPLICABLE INFO MUST BE COMPL =') FOR APPLICATION TO BE ACCEPTED
Date: 3/2512016 Permit Number: 1501-0413
SCANNED
BY ;RECEIt'= r St. Lucie County D APR 112016
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
P.,ROPOSED.IMPROVEMENT LOCAT.I6N:
Address: 8630 US Hwy 1, Port St. Lucie, FL 34952
Legal Description: See attached
Property Tax ID #: 3414-501-1915-1601
Site Plan Name:
Project Name: RaceTrac #2397 Port St. Lucie
Setbacks Front Back:
Right Side: Left Side:
Lot No. 15
Block No. 3
;tD;ETAILEDeDESCRIPTION OF WgRRs `; � ., F• :° � . � ;.. �� -. ,,
Lc�>15 JL� van &9 - CJ")'t��;V ewn exA�i a sore_
worKto oe nerrormea unaertnis permit-cnecK all tnat apply:
L
IHW
Gas Tank
L_JGasPiping
_Shutters
Windows/Doors
11Electric
0Plumbing
Sprinklers
El Generator
Roof
Total Sq. Ft of Construction: Scf I, 4 Lr S
Ft. of First Floor:
Cost of Construction:
$ S9Oc�D. cL Utilities:
�Sewer
Septic
Building Height:
OWNER/LESSEE.k
C®NAGTORr
TR
Name 'f"
Name: Jason Mulligan
Address: '_U2 S 5-ce 103
Company: Mulligan Constructors inc.
City: A76AA.GZn State: 62!�
Zip Code: 3033`i Fax:
Phone No.^ 1"?(7 � `131 ` -7(.PC-6
Address: 3601 Vineland Rd., Ste. 14
City: Orlando State:FL
Zip Code: 32811 Fax: 407-654-7597
Phone No. 407-654-6523
E-Mail: dl�Tt��J n Cum-cy c. cD�^
Fill in fee simple Title Holder on next page (if different
from the Owner listed, above)
E-Mail: jmulligan@mulliganconstructors.com
State or County License: CGC1510462
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIOV� UEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: Hill Foley Rossi&Associates
Not Applicable
MORTGAGE COMPANY:
Name:
_✓Not Applicable
Address: 3680 Pleasam Hill Rd., Ste. 200
Address:
City: Duluth
Zip: 30096 Phone: 770-622-9858
State: GA
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 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
improvement, to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the firpt inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FtARN3* Georgt CL. ITE OF FLOPgA�DA
COUNTYOF 910TrkrinIP_ UNTYOF OrCE 1C1C—
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this;�ay of l(e 20 �(R.by thisfday of M aVC4N- 20 f- by
1 lnll ICI alm C 41) loon IV LAAl Ran
(Name of person acknowledging) (Name of Berson acknowle ing )
Finature of Notary Public -State of-Ftmidg ) Ge612
Personally Known / OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
of N6eary NaWcC State of Florida )
4ally Known (yam OR Produced Identification
of Identification Produced
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Legal Description of RaceTrac #1136 Port St. Lucie:
ST LUCIE GARDENS 26 36 40 THAT PART OF BLK 3 LOT 15 MPDAF: FROM SE COR OF SEC RUN
N 89 40 17 W ALG S LI OF SEC 2723.33 FT TO E R/W LI OF US HWY #1, TH N 27 29 17 W ALG E
R/W LI 849.81 FT TO POB, TH CONT NWLY ALG E R/W LI 387.83 FT TO S R1W LI OF
SAVANNACLUB BV, THS 89.4018 E ALG S R/W LI 287.17 FT TO CURVE CONC SW, R OF 326.85
FT, TH ELY AND SELY ALG ARC 200.03 FT TO REVERSE CURVE CONC NE, R OF 590 FT, TH SELY
ALG ARC 55.63 FT, TH S 00 0457 W ALG it // TO AND 127.55 FT W OF E LI OF LOT 15 253::93 FT, TH
N89 40 19 W ALG LI // TO AND 89.29 FT N OF S LI OF LOT 15 342.03 FTTO POB (3.24 AC) (OR 3692=
668)