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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONE ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� 9 Date: 7/20/2015 Permit Number: �� J O,8— 02 / SCANNED Building Permit Application BY Planning and Development Services St. Lucie County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (7721462-1553 .Fax: (772)462-1578 Commercial x(Public Facility) Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: 1 Address: 40392 Southbound 1-95, Fort Pierce, F134947 1335 �IPtc�©( Q� �11 ,jU Legal Description: St Lucie County Rest Area (South Bound) PropertyTax ID #: 59-3024028 Site Plan Name: Project Name: 433963-1 St Lucie County Northbound and Southbound rest areas Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. Block No. PLUMBING AND ELECTRICAL REHAB; COMPLETE REMOVAL AND REPLACEMENT OF ALL ABOVE AND UNDERGROUND PLUMBING; COMPLETE REMOVAL AND REPLACEMENT OF ELECTRICAL SYSTEM INCLUDING NEW EMERGENCY BACKUP GENERATORS. CONSTRUCTION INFORMATION: Aaarrional worK to be De orme un ert is DermiTk all t at aon v: E]HVAC Electric IiGas Tank ❑Gas Piping ❑✓ Plumbing Sprinklers UShutters Generator Windows/Doors 1:1Roof Total Sq. Ft of Construction: 4323 S.Ft. of First Floor: 4323 Cost of Construction TA Z Utilities: Lr ISewer W1Septic Building Height: _ OWNER/LESSEE:' ' CONTRACTOR: Name Florida Department of Transportation(District4) Name: John JDavis Address: 3400 W Commercial Blvd Company: IMECO, inc City: Ft Lauderdale State: FI Zip Code: 33309 Fax: Phone No.954-486-1400 Address: 20030 E Oakmount Drive City: Hialeah State: FI Zip Code: 33015 Fax: Phone No. 954-699-5705 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: ay haIL( State or County License: IC wjcrZ6 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ' � A J SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION- DESIGNER/ENGINEER: — Not Applicable Name: Micheal W.Prvry MORTGAGE COMPANY: _ Not Applicable Name: Address: 3230 West Commercial Blvd, Suite 100 Address: City: Forltauderdale State: Fl Zip: 33309 Phone: 954-733-7233 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 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 w r/ Lessee/Agent STATE OF FLORIDA,) COUNTY OF The forgoing instrument was acknowledged _before me this/4 day of Q7 `— , 20/6by s Si ure Contractor/License Holder STATE OF FLORID COUNTY OF The forgoing instrum nt was acknowledged before me this V day of 20 \ by AA, -A 4,91e S (Name of person acknowledging) (Name of person acknowledging) Personally Known - --OR-Prc Type of Identification Produce Commission No. /3 / 3Z2 Revised 07/15/2014 r340%A 74 9 (Signature of Ndtary Public -State of Florida ) mally Known J - OR -Produced Identification - - - of Identification Produced DEBORAH Z,UCKERMI,N� Notary Public $tQt�o}n l a My Comm. Ex Tres Oct 5, 2018 Bonded Through National Notary Assn, ■r1 J; Mir GOM1111881O1111 N EE147W EXPIRES Nall mbw 17.2015 WmmorowwSiewle.eem REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:7/30/2015 SCANNED Permit Number: BY St. Lucie County RECEN� i Building Permit Application /� Planning and Development Services AUG 2 0 2015 Building and Code Regulation Division PERN)i! 2300 Virginia Avenue, Fort Pierce FL 34982 St. lu ie n Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X(Public facility) Residentlaf linty, r! PERMIT APPLICATION FOR: Renovation I-•NNUNUSED¢lMF!RUVEMENT LOCATION: Address: 40392 Southbound 1-95, Fort Pierce, F134947 Legal Description: St. Lucie County Rest Area (South Bound) Property Tax ID #: 59-3024028 Site Plan Name: Project Name: 433963-1 St Lucie Col Setbacks Front Back: Northbound and Southbound rest areas Right Side: Left Side: Lot No. Block No. PLUMBING AND ELECTRICAL REHAB; COMPLETE REMOVAL AND REPLACEMENT OF ALL ABOVE -AND UNDERGROUND PLUMBING; COMPLETE REMOVAL AND REPLACEMENT OF ELECTRICAL SYSTEM INCLUDING NEW EMERGENCY BACKUP GENERATORS CONSTRUCTION INf�ORMATIOW: ❑HVAC ❑ Gas Tank ❑✓—Electric ❑✓_Plumbing Total Sq. Ft of Construction: 4323 Cost of Construction: $ 520,000 - cnecK a Piping ❑Shutters ❑Windows/Doors nklers W1 Generator ❑ Roof Sq Ft... of First Floor: 4323 Utilities: LJFttSewer W1 Septic Building Height: OWN"ER%LESSEE: CONTRACTOR. I; ' } Name Florida Department of Transportation (District4) Name: John J. Denis Address:3400 W. Commercial Blvd Company: IMECO, INC City: Ft Lauderdale State: FI Zip Code: 33309 Fax: Phone No. 954-486-1400 (Main Switchboard) Address: 20030 E Oakmont Drive City: Hialeah State: FI Zip Code: 33015 Fax: ,` A Phone No. 954-699-5705/796-7;i l 519:yo E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: 19,46s7o4oz. GAOr`"1 ^ State or County License: if6,C 7;?04, 6 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. P,,I*Ai '09 6:.00 -SURPLEMENTAL CONSTRUCTION LIEN LAUV INFORMATION': DESIGNER/ENGINEER: _ Not Applicable Name: MichaelW.Nory MORTGAGE COMPANY: X Not Applicable Name: Address: 3230 West Commercial Blvd, Suite 100 Address: City: Fotr Lauderdale State: FI Zip: 33309 Phone: 954-733-7233 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: Not Applicable Name: Endurance Reiosurancecotpomti000fAmenca Address: Address: 16080 SW a9 coin City: City: Mirmar, FI Zip: Phone: Zip: 33027 Phone: 954-699-5705 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 consultwith 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 commencine work or recording vour Notice of Commencement. _ Signature r/ Lessee Agent STATE OF FLORIDA COUNTY OF ✓'/�U/�7111/(1G The fg going instr ent was cknowledged b fore me thisydayof 20/lby PW em,� A zTtc!erina/1 (Name of person acknowledging ) (Signature of Notary p, ' -Personally Known -- Type of Identification Prc Commission No. Revised 07/15/2014 s Sig_ re ontr for/License Holder ST TE OF FLQB12A. COUNTY OF The forgoing instrument was acknowledged before me this_ day of 20 _by larn> M . 6-,\yA (Name /qof person acknowledging) ,JT Fri 2 It., lgnature of Nofary Public- State of Florida j ZUCKER p sonally-Known- ro u¢r` - rAtl - - Shto-ofFlor { of Identification P��? res9et20.B '4 # FF 131322 C mission No. �EiXPiRE�t(gyfWw 17.201517, 2015 lIO11LI 3MM53 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS