HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO WIT BCC�MPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��J Alunoo a)on-) -i•S Permit Number: Q
Building Permit Application
Planning and Development Services
Building and Code Regulation Division O U a
2300 Virginia Avenue, Fort Pierce FL 34982 I
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Other ( � v-\ ,.it\ r I III
Address: 8630 S US Highway 1, Port 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 67.75 ft Back: 268.92 It Right Side: 72.63 It Left Side: 33.85 ft
Construction of a canopy covering 18 fueling positions.
HVAC L 1GasTank.
Electric 11 Plumbing
Piping _Shutters ZWindows/Doors
nklets 11 Generator Z Roof
Total Sq. Ft of Construction: 9,853.2 sf 5 . Ft. of First Floor:
Cost of Construction: $ 196,000.00 Utilities.. Sewer Septic Building Height: 25 it
OV11N_ER/LESSEE:'
;CONTRACTOR':- ;
Name Brian Thornton (RaceTrac. Petroleum Inc.)
Name: (�•i-PE,J'p—CLA-4e-
Address:3225 Cumberland Ave, Stel00
Company: Great Dane Petroleum Contractors
City; Atlanta State:GA
Zip Code: 30339 Fax:
Phone No. (770) 431-7600
Address: 1330 South Andrews Ave
City: Pompano Beach State: GA
Zip Code: 33069 Fax: q5y-�a o-L-133
Phone No. (954) 792-1334
E-Mail: dbrovin@racetrac.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: r9j
State or County License: 5'
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required. C` %�
SUPPLEMENTALCONSTRUCTION2LIEN LAW INFORMATION: -
DESIGN ER/ENGI NEER: x_Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Andrew Petersen, P.E. Name:
Address: 4450 West Eau GaNe Blvd. Ste 232 Address:
City: hlelboume_ State: FL City: State:
Zip:32M Phone: (321)255s434 Zip: Phone:
FEE SIMPLETITLEHOLDER: 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.
ermit holder to build the subject structure
covenants that may restrict or prohibit such
u 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
commencing work or recording vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OFft@RtDA,46e.0)" IG( STATE OF FLOR��ppA I
COUNTYOF Hdltf)a COUNTYOF�RMVJQ—VG
The fir ping instr�y��m��p��nn""t''''w""""a____s''''a��c����''k''n��owledgged yyefore me The for ping instrument was acknowledged before me
this day of 2016 by this day of OtXI l 20—y
(Name of person acknowledging) (Name of person acknowledging)
ISienature of NotarvPublic- 5 e of 094ida) 1grfatur� e�ary Public- State of Florida )
!/r�Y
Personally Known �_ OR Produccla 3t/0'..
X
Personally Known OR Produced Identification
Type of Identification Produced__t �js
Type of Identification Produced
R" 9
Commission No. = Cj .Q1-raS•�i
Commission No. I
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FRONT
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VEGETATION
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ALL APPLICABLE INFO MUST BE COMPL._D FOR APPLICATION TO BE ACCEPTED
Date: 3/25/2016 Permit Number: 1501-0410
RECEIVED APR 11
BuildinBp Application 2016
Planning and Development Services
Building and Code Regulation Division St. Lucie Count
2300 Virginia Avenue, Fort Pierce FL 34982 y
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
PROPOSED IMPROVEMENT -LOCATION:
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:
I UETAILED DESCRIPTION,,OFtWQRK:•
Right Side: Left Side:
Lot No.15
Block No. 3
GomsvvUc:CrO"L U� b� Gtl B�� LbJP✓t L� I� �U2� j �dSi�a S
N•amnonai worK Lo oe enormea unaer uus perrnu—LIIeLK au n appry:
OHVAC Gas Tank ❑Gas Piping _Shutters
11 Electric 0 Plumbing �Sprinl
Total Sq. Ft of Construction: 5 3• a
Cost of Construction: $
Generator
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
indws/Doors
Roof
r
Building Height: �6
OWNER/,LESSEE:
,CONTRACTOR:, L •.
Name (Ru�etv,,,_ QL' tra�2ulh
Name: Jason Mulligan
�L�c--
Address: Ave 5-1�
Company: Mulligan Constructors Inc.
CA
City: Aml &,, c� State: Cam' \
Zip Code: _�> 6 3 3"l Fax:
Phone No.% Dd
Address: 3601 Vineland Rd., Ste. 14
City: Orlando State: FL
Zip Code: 32811 Fax: 407-654-7597
Phone No. 407-654-6523
E-Mail: A�,-e)cwn (2
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.
S!J0PLEM ENTAL,;CONSTRUCTI0
DESIGNER/ENGINEER: _ Not
6EN LAW INFORMATION: ,
Name: Hill Foley Rossi B Assodates
Ad d ress:3680 Pleasant Hill Rd., Sta. 200
City: Duluth State: GA
Zip: 30096 Phone: 770-622-9858
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY:
✓ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Applicable
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
improvemeryts 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, conpult with lender or an attorney before
_ Signature of Owner/ Lessee/Agent
STATE OF aQftH)f r GeDrS' a-
COUNTYOF 110C,hdQIe—
The forgoing instrurplitnt was acknowledged before me
this 1 day of lM61 20 (�by
W
STATE OF FLORIDA
COUNTY OF
The forgoing instrurpentw�a"s acknowledged before me
this 2Pkday of YG� 20 L6_ by
411/an � /t�1lGvn ��asuh Ivl�ll�a�n
(Name of person acknowledging) (Name of perfon acknowled g )
(Signature of Notary
Personally Known Q
Type of Identification
Commission No. I
Revised 07/15/20
(Signatu
of Florida )
OR Produced Identificatio Persoly Known /0 OR Produced Identification
iced..wrilidiiiiiiii Type f Identification Produced
2019
MY CCMMjS� ICN 05F207887
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