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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICAB INFO sT BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:/SCANNED Permit Number: B y 1 ,5- BY 1 __ E :�._: M St. Lucie Countv Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Commercial K Residential PERMIT APPLICATION FOR: PROPOSED {NPROVEMENT$LOGATION ; ��_�Y R- Y x.w.n: }nu.x. _'. 2- Legal Description: Property Tax ID#: 3q IN --go (— — l Lot No. LS" Site Plan Name: 50 JAw,ve. CLo{o P"Qccr a e Block No. 5 Project Name: S Qv a l Yv'k c(� b P--Cl Ce ✓'Q t- Setbacks Front Sa•ZrO�ack:314-&96Rrg'htSide:l3o,o4'FtLeftSide:66-rT•S.4 P-t Mechanical r/has IanK ?=has Nlping _Jnuti[ers _vv1J1uuwnwtU1i _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Constructiion: 5 r__. _t r......�J....F:..... �` I�i�1 ��[ � J .. L�1114iliYicc• Name K^a: w T ha O.41,o w ota reinereou Address: 322'�;-': -5i-e to o City: J-Tfrt State: CzA Zip Code: 3 c35g Fax: Phone No. L'7S�i ti3 f •--7 G a e E-Mail:AB"owl-Je IZ CV..�', w Fill in fee simple Title Holder on next page ( if different from the Owner listed above) q. Ft; of First Floor. ;Cewor-° `r4ritir Rllilr inp Hpi[rht Company: l "•e-T06 lc,3 — Address: 3 `(4 a WLoo ass I -A -ICU 94 - City: 'TD o o ✓- State:_E� Zip Code: "6 3 'S 2Fax: Le, 1 � ! Phone No 3S2i_�6 3� E-Mail State or County License P C-e- If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea. SUP,FIIitVIIV�iLC'A NSTRU I.®IV II tV'`WINFO TION: '. At-P�Y�.aG aY �v}a yt�.nnY'YKd�'T+�*T..�'.'tST':�'�R.�'.' � xiihni'i '9l'r .tv. M'R' •t DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: = Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: 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 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 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 owne Lessee/Contfactor as Agent for Owner Signature of Contractor/Licerfse Holder STATE OF FLORIDA S'� V�C�-2- STATE OF FLORIDA COUNTY OF COUNTY OF The for g instrum//��nt w�aste�' riowled before me this The for g instrum nt was acknowledge}�fore me l.6y ay of 20 y thi ay of 20 (Name o person acknowledging) (Name of person acknowledging ) / 1 1 (Signature of Notaf . -) (Sign ure, of Nottry Public- State of Florida ) ANGELA M HUFF - Personally Known pr�8�dl�AH2n9famblV2 Person�F�'a ern R:Produced Identification Type of Identlficatii Co misalon a FF 234730 o m Typeof• d� tir l 64A _ - Produced - pins May 27. 2019 Produ R -4ed1111uagh National Notary Assn s ° F; m;.`'�M ts4f to Commission No.c� (Seal _ Comm s8rr $woCgmmxp23q 3pda al) " OhryaLO�Notyy �78 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. !/Lul4 ALL APPLICABLE NFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permf j"umber _r_ria �c�'red�Tt�nP�t44s ( Rl'nJ5 Building Permit Application t 8 bPbc�L Planning and Development services SCANNED Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 BY Phone: (772) 462-1553 Fax: (772) 462-1578 Cornrn tciaileie County Residential PERMIT APPLICATION FOR: Gas piping PROPOSED. IMPROVEMENT LOCATION: Address: 8630 S US Highway 1, Port Saint Lucie, FL 34952 Legal Description: See attached legal description Property Tax ID N: 3414-501-1915-160-1 Lot No.15 Site Plan Name: Savanna Club RaceTrac Block No. 3 Project Name: Savanna Club RaceTrac Setbacks Front 32.25 it Back: 347.6E R Right Side: 130.04 ft L Side: 159.39 It DETAILED DESCRIPTION'OF WORK. Construction of two 10,000 gallon tank, one 15,000 9dion tank, and one 20,000 gallon tank INFORMATION: _ HVAC Gas Tank as Piping _Shutters ❑ Windows/Doors Electric Plumbing Sprinklers ❑ Generator ❑ Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ 55,000 Utilitles:n Sewer OSeptic Building Height: 25 it OWNER/LESSEE: ESSEE: CONTRACTOR: Name Bdan Thornton (Racer cPelroleum lna) Name: .S•Q�/r2 0. Address: Cumber) d Ave, Ste100 Company: Great Dane Petroleum Contractors City: Atlanta State: GA Zip Code: 30339 Fax: Phone No. (770 31-7600 Address: 1330 South Andrews Ave City: Pompano. Beach State:, Zip Cade: 33069 Fax: CiSu--101 32 Phone No. (954) 792-1334 E-Mall: dbro @raretraacom fill In fee pie Title Holder on next page If different from th Owner listed above) E-Mail: d , ) . Y P Ol i OI OLt 2 t✓t yv� ) State or County License: -C C O S (.006 ,uv,c, c ,¢{•ynucu nume of Commencement is required. 11 � I r - �5� is SUPPLEMENTAL CONSTRUCTION. L•IMLAW INFORMATION: DESIGNER ENGINEER: x Not Applicable Name: MdrswPatemen•P•E• MORTGAGE COMPANY: Name: X Not Applicable Add ress: 4450 west Eau GaUie Blvd, Sts 232 Address: City: Melbmme State: FL Zip: 32934 Phone: (321)255.5434 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: Name: x 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 Count makes no representation that Is granting a permit will authorize the permit holder to build the subject structure which Is in con4lct 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 commencing work or recordine vourNotice of Commencement. Signature of Holder STATE OFFk MU* 1 il STATE OF FLORIDA COUNTY OF FLI I COUNTY OF13YOWO-YCJ The forgoing instr�rt�ent was acknowledged�efore me The for oing instr ment was acknowledged before me this ,.19 day of J/r7n� 20 L by this f day of ,, 26S by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State)j„ R, (Signature of Notary Public- State of Florida ) v—�,� r4�'f�t' Personally Known X OR Pra d�,l�J6a�%}tPersonally Known % OR Produced Identification Type of Identification Produce - -�y Type of Identification Produced rjro+,9% Commission No. Cr & 16�1� 0 Commission No. =SCO A m = -t' �� m �� Win BL10 Q2 Revised07/15/2014 kS ;r°rn EW .ttntrsote 02� NCH 7 9.00t C1Q�� ✓'r* REVIEWS FRONT Z614WIIN 6t1 ERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETE INITIALS