HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/20/2015 SCANNED Permit Number: �.1. M- 0330
BY
0
r� St. Lucie County RECEIVED
Building Permit Application OCT 2 0 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phode:.(772)462-1553 Fax:(772)4624578 Commercial x(Public Facility) Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: II
Address: 40392 Sout , Fort Pierce, FI 34947
Legal Description: St Lucie County Rest Area (North Bound)
Property Tax 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
Lot No.
Block No.
DETAILED'DESCRIPTIONOF WORK: III
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:
bona wor to e e orme under t—checkispermrt a apply.
IIa
HVAC. LJ Gas Tank [:]Gas Piping Shutters Windows/Doors
.Q
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 4323 S�FFtt.� of First Floor: 4323
Cost of Construction: yg'�4gi ��° , UtilitieslL Sewer ZSeptic
Building Height:
OWNER/LESSEE
CONTRACTOR:
Name Florida Departmentof Transportation (Distdct4)
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: Fl
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: E—DA 610 E
/
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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r
SUPPLEMENTAL CONSTRUCTION LIEN CAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: MlcheaMPHary
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress: 3230 west commercial Blvd, suite 100
Address:
City: Fort Lauderdale State: n
Zip: 33309 Phone: 954-733-7233
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 efOwner/ Lessee/Agent
STATE OF FLORIDA/J
COUNTY OF &iDcdiQrd(
The forgo' g instrum,,ent}+�as acknowledged before me
this/ day of IiC�9,Ael— 20 !Eby
(Name of person acknowledging)
s
Si re o Contractor/License Holder
ST TE OF FLORIDA
COUNTY OF wac ra
The forgoing instrument was acknowledged before me
this \_ day of 20 � by
(Name of person acknowledging )
d4� a JJ4A
(Signature of Nota lic- State of Florida) (Signature of N ary Public- State of Florida )
Personally Known OR
Type of Identification Producec
Commission No.. V130&-Z
Revised 07/15/2014
Personally Known --'�OR Produced Identification
e/1SE Type of Identification Produced
Notary pu Ile -State of Flodda
My Comm. Esoiras Oct 5. 2018
Commission # FF 131322
Bonded Tlroldl IlUkmw Nr A—
I'
EXPIRES November 17,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
s
COMPLETE
! /Z'
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�
Date: 7/30/2015 SCANNED Permit Number:
BY
St. Lucie County RECIEWED
0
Building Permit Application AUG1 0 2015
Planning and Development Services PERMITTING
and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982 ..
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X(Publicfacility) Residential
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 40391 Northbound 1-95, Fort Pierce, FI 34947
Legal Description: St. Lucie County Rest Area (North Bound)
Property Tax ID#: 59-3024028 -5q31IZL00J�,1QWK Lot No.
Site Plan Name: - Block No.
Project Nai¢e: 433963-1 St Lucie County Northbound and Southbound rest areas
` Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF:-WORKc
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
I.GONSTRUCTION INFORMATIONS
HVAC LJGasTank
Electric ❑✓_ Plumbing
Total Sq. Ft of Construction: 4205
Cost of Construction: $ 520,000
Piping LJShutters
nklers F-71 Generator
Sq.
��FFtt.� of First Floor: 4205
Utilities: I]Sewer WISeptic
Windows/Doors
Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
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
Zip Code: 33015 Fax:YA
Phone No. 954-699-5705 786. RS-4518161
State: FI
E-Mail:
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail: A62Olhoz-, tfQ
State or County License: 66C 7 7
r
QO
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW•INFORMATIOIN
'
DESIGNER/ENGINEER: _ Not Applicable
Name: Michael W.Pnory
MORTGAGE COMPANY:_ Not Applicable
Name:
Address: 3230 West Commerdal Blvd, Suite 400
Address:
City: FotrLauderdale 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 Reinsurance Corporadonof America
Address:
Address: 15030SW 49 Court
City:
City: Mimar, 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 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
_ Signature of w er/ Lessee/Agent
STATE OF FLORIDA 7^ , ,/
COUNTY OF %L��7�`/
The fo going instr ent was acknowledged Wore me
this,�dayof� 20/,Lby
_1.a X` Iad,�(I;mawv
(Name of person acknowledging )
(S4auf No Pi�s-State of Florida )
Personally Known 1 OR Produced Identification
Type of Identification Prod uo)Pd6m@�!� _
Commission No. c'`�-moo DE�pu6HpZU
: 6Bb)ar P State a
= o,; My Comm. Expires Oct
Revised 07/15/2014
s
ate of Co ractor/License Holder
STATE OF FLORIDA
COUNTY OF �
The forgoing instrument was acknowledged before me
this _Aday of WzV Z)J7 20 ;�(f by
m Ae-s Ntea.
(Name of person acknowledging ) -
J�
4ignalr4e'lolifNota Publ1 State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
No. I ..::i:+1 _ (LUA M siLVA
MY OommiSS ION N
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS