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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. o — boo — 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