HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L
Date: 07/20/2015 Permit Number:
Building Permit Application SCANNED
Planning and Development Services St. Lucie Countv
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial yes Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line II
PROPOSED IMPROVEMENT LOCATION: A.
Address: 100 North Kings Hwy.
Legal Description: 12 35 39 SW 1/4 OF NW 114-LESS ORANGE AV RNV AND LESS 1-95 R/W AND LESS KINGS HWY•AND LESS CANNALRIW i
AS IN OR 246-2371,247-2861, 240-2170 AND 3122-1299-[ 19.60 AC I [ OR 1077-606: 608: 609
Property Tax ID #: 2312-231-0003-000-5 LotrNo.
Site Plan Name: FLYING J
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left.Side:
Replacement of [ 1 ] existing evaporator coil -in a walk-in cooler [ owner supplied ]
Installation of 11 ] new condensing unit for the same walk-in cool [ owner supplied ]
Reuse existing electrical
'Block No.
CONSTRUCTION INFORMATION:
Additional work to e e orme un ert —checkIspermd a apply:
11HVAC Ei Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑✓1 Electric 0 Plumbing ❑Sprinklers Generator 1:1 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 2495.00
5 Ft. of First Floor: _
Utilities:Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CFJ PROPERTIES / %PILOT TRAVEL CENTERS LLC
Name: Louie F. Wise III
Address: PO BOX 54470
Company: Climate Control Mechanical Services
City: Lexington Stater
Zip Code: 40555 Fax:
Phone No.
Address: 2695 NW 4th ST
City: Ocala State: FL.
Zip Code: 34475 Fax: 352-351-0219
Phone No. 352-291-0185
E-Mail:
Fill in fee simple Title Haider on next page (if different
from the Owner listed above)
E-Mail:
State or County License: CMC056921
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
01 ti
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _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 thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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
/ E OF LORIDA STATE OF FLORIDA
COUNTY'OF Ma r ) e r`. COUNTY OF m a.. r I o r\ .
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisc-LC7%%lay of w( 2015-by thuZC day of 7u-11 20 L.5— by
LoL.-11s Wise• 'r1j Lau is wiSe
(Nameofperson acknowledging ) (Name of person acknowledgi°t
_1* ate k At _1;l
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida J
Personal] Known OR Produced Identification Personally Known OR Produced Identification
Type o— f Idef cation Produced ar. Type of Identification Produced wro
? � Stf9A1t8BRBSS—
COMMISSION / FF 21981 * My ��QQMMMISSION I FF 219813
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Commission No. 4 SCaT Commission No. fS�iI IMFES:Apfd13,2019
°4 ?a BXPIRES: Apu1132019 '—WedThm 114dNotarySentn
Revised 07/15/2014
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