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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ! Date: 02.3 Permit Number: aO ^© Tr � f Building Permit Application' SCANNEL Planning and Development Services - - - - St. LureY Building and Code Regulation Division ��P' 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 ;. • , COrgrfl'ercial X Residential PERMIT APPLICATION FOR: Alteration' PFlin06cC n111VIPiz nvx,MFNT, I (1fATloN _ A • 5 S US Highway 1 Legal Description: zw> . xiYxouJw mNm?, J, liJa y Po :%N CM31 EM. n P... A E 1)10)nne8 W 0J9t E10211nPHEYLYEi51t P80 Property Tax I D #: 3414-501-1902-400-2 Site Plan Name: Project Name: Speedway Remodeling #6596 Setbacks Front Back: Right Side:"" Left Side: 351IDWe11NIJ39A1nbWIdbJ.P5Cp31 p]EeIp WYYIlllnb fly14W1 �. imbs l.bxnYw W Exw,xl YsnwvoE�xa l,cExy JvuMb JYI-wll . Lot No. pM mbb 3. 3, 14&15 Block No. 3 ( DETAILED DESCRIPTION OF WORK Interior alterations including new counters, equipment; interior finish upgrades, cooler modifications, and adjustments to interior store walls. ,:CONSTRUCT(ON,INF•ORMATION:',; itiona wor to e e orme un E1HVAC Ga'sTank iert is permit — check ❑Gas Piping all that appy: Shutters ❑Windows/Doors. Electric ❑✓_ Plumbing []Sprinklers Generator Roof Total Sq. Ft of Construction: 2,520 S Ft. of First Floor:• 2,520 Cost of Construction: $ 150,000 UtilitiesSewer Septic ' Building Height: 1tstoiy OWNER/LESSEE: CONTRACTOR:' Name Hess Realty, LLC - Name: Steven M. Nale Address:1 Hess Plaza Company: Great Dane Petroleum Contractors City: Woodbridge State: NJ Zip Code: 07095 Fax: Phone No.937.863.7252 Address: 1330 S. Andrews Ave City: Pompano Beach State: FL Zip Code: 33069 Fax: Phone No. 954-214-4087 E-Mail: tesmith@speedway.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: ma(o@greatdanepetroleum.com State or County License: CBC045595 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. r 14 SUPPLEMENTAL CON STRUCTIONIIEN.LAW INEO$MATION' DESIGNER/ENGINEER: ': _ Not Applicable Name: Richard tBowen&Associates Inc MORTGAGE COMPANY: Name: .. x - Not Applicable Address: 13000 shaker Blvd - Address: City: Cleveland State: DN 44120_Zip:,.,..' Zip Phone:. slsan.3aso _..'Phone: City: - State. .. •. FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: Name: NA _Not Applicable Address: Address: City: LCity: Zip: Phone:.'.; ....... .Zip: .. Phone: I certify that no work pr installation has comrii@need pnor,.to,the issuance of a permit. St. Lucie Counttyy makes no representation tFiat'is grant ng'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 Assoeiationand review your deed for any. restrictions which mayapply _ In consideration of the granting of this requested permit, l do hereby agree tfiat I will, in all respects, perform the work in accordance with the approved plans, the. F.lorida'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 61e66rd-a Notice of Commencement may result in your paying twice for e=' 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 commencine work or recordine vour NOtice of Commencement.' n A.. A 1 "■.31��L� _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF B,nwanl The forgoing instrument was acknowledgedbefore me thisly day of of-oel 204Sby Damon J. Bastin 1 (Name of person acknowledging j (Signature of Notary Public- State of Florida ) Personally Known V-1,011 Produced Identification Type of Identification Produced - - - - nT ■ s Sig -nature Contractor/License STATE OF FLORIDA COUNTY OF B—arc! The forgoing instrument was acknowledged before me thiso?-?day of � 20 1-4 by Steven M. Nile ' .(Name of person acknowledging) (Signature. of Notary-Pubie State. of Florida v/l) Personally Known OR Produced Identification Type of Identification Produced _ Commission No. /:: 'r`.`_ Comm FF034473 Commission Expire ovImber4, 201T 'Zpj �;;4` BOMedlhuTm/FtlnNmvug09J9S1419 Revised 07/15/2014 MARIO A. GOMEZ Commission # FF OW Expires November4, 2017 BWOd Thni TWFanI ws a90W951919 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS