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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 o�ry PuW INFbrlde Nl T 0 T : tN �� m: M = Wineome Beo" cc 1ARAM •?orn ergro�ttrt lftOta Revised 07/15/2014 .rya BLLGt . f 2 • cN G REVIEWS FRONT ZONIN OUN •9URWOR PLA VEGETATION SEATURTLE MANGROVE COUNTER REVIEyWI/ REVIEW REVJqW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 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 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS