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Home My WebLink AboutBUILDING PERMIT APPLICATION/01 1 -ALL APPLICABLE INFO MUST BE COMPI_ �'D FOR APPLICATION TO BE ACCEPTED Date: —D 11.115 Permit Number: A S1 1 -(3 14 RECEI "D NOY 0 9 '2015 SCANNED Building Permit Application BY 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 Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ,FRbPOSED IMPROVEMENT LOCATION: Address: 100 N KINGS HWY FORT PIERCE FIL 34945 Legal Description: Property Tax ID #: 2312-231-0003-000-5 Site Plan Name: FLYING J TRAVEL PLAZA Project Name: FLYING J REROOF Setbacks Front Back: Right Side: Left Side: Lot No. Block No. ,,DETAI LED 0ESCRI PTION Of WORIK: ' 11 REROOF OF TILE ROOF: TEAR OFF, RE -NAIL, DRY -IN PEEL AND STICK DIRECT TO DECK 111a: r-a --oz'z3 -7 - , SeL4�,_ Cf�IzAj) rAo ss 61,zeL, WA: I c .19 5&PetfS fC 1% 7 64+eA-% Z CCre_w5. Per t;L-f— CONSTRUCTION INFORMATION:, Adclitional worK to Ofelertormed under this permit - check all apply: IIHV; — GasTank F—]GasP, - In Shutters Windows/Doors 11 Electric El Plumbing []Sprinklers D Generator F!�]Roof Total Sq. Ft of Construction: 6600 Cost of Construction: $ 33000 S Ft of First Floor: Utilitlescn Sewer OSeptic Building Height: 20 OWNER/LESSEE' CONTRACTOR: NameCFJ PROPOERTIES Name: G. E. GOMEZ Address: PILOT TRAVEL CENTERS LLC PO BOX 54470 City: LEXINGTON State:KY Zip Code: 4(�555 Fax: Phone No.704-363-2453 Company: GOMEZ ROOFING Address: 1015 31 ST AVE City: POMPANO BEACH State: FIL Zip Code: 33069 Fax: 954-974-4148 Phone No. 964-974-4848 E-Mail: Fill in fee simple Title Holder on next page if different from the Owner listed above) E-Mail: GOMEZROOFING@BELLSOYTH.NET State or County License: CCC033707 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRLICTIC�'TN�JEN LAW INFORMATibN: DESIGN ER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: Address: City: Zi p: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: —Not Applicable 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, co suit wit lender or an attorney before commenciniz work or recordinp vour Notice of Commencemeni of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OFBROWARD The forgoing instrument was acknowledged before me this — day of 1 20 ---�by JOHN BOLTON 1 (Name of person acknowledging) (SignaYure of Notary PMI!c- Sta(��Floricla Personally Kn Ow Type of IdentIfica Commission No. Revised 07/15/2014 STATE OF FLORIDA COUNTY OF BROWARD The forgoing instrument was acknowledged before me th is 6 day of Nov 20 _by G. E. GOMEZ (Name of person ackn I d (Signature of Notary PuNic- StateGalorida Personally Known x Type of Identification Produll ...... TRISM I Jam Z 2019 Commission No. WAR =PM - I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL AFFULABLE INFO MUST BE, 01PLETED FOR APPLICATION TO BEACCII�, "D Dat4: lilt 15 Permit Number: Nov 0 9 206 RECEI. :D ZCAMYED Planning and Development Services Building Permit Application 13Y Building and Code Regulation Division 3t LUde Colygy 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line - PROPOSED IMPROVEMENT LOCATION: Address: 100 N KINGS HWY FORT PIERCE FL 34945 Legal Description: Property Tax ID #: 2312-231-0003-000-5 Site Plan Name: FLYING J TRAVEL PLAZA Lot No. — Project Name: FLYING J REROOF Block No. Setbacks Front_ Back: — Right Side: _ Left Side: DETAILED DESCRIPTION OF WORK: REROOF OF TILE ROOF: TEAR OFF, RE -NAIL, DRY -IN PEEL AND STICK DIRECT TO DECK ie- seL4�r (J�IoA) ll%Aoss l wA: lg-- ozla 3. 13 5creLd5 L)d&6JftAf : PO 11 �IOS3 T-/0 P(vL Z 6cr--�s Per CTION INFORMATION: Additional NorKto be �:1 1:111l : 111 1 11 11 1 1JHVAC Gals Tank OGas Piping L-1 Shutters Windows/Doors 11 Electric Plumbing OSprinklers InGenerator Roof Total Sq. Ft of Construction: 66.00 Cost of Construction: $ 33000 OWNER/LESSEE: Narl PROPOERTIES S Ft of First Floor: Utilities:cn Sewer D — Septic Address: PILOT TRAVEL CENTERS LLC PO BOX 54470 City: LEXINGTON State:KY Zip Code: 40555 Fax: Phone No.704-363-2453 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height. 20 CONTRACTOR: Name: G. E. GOMEZ Company: GOMEZ ROOFING Address: 1015 31 ST AVE City: POMPANO BEACH State: FL Zip Code: 33069 Fax: 954-974-4148 Phone No. 954-974-4848 E-Mail: GOMEZROOFING@BELLSOUTH. NET State or County License: CCC033707 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRI'-7JON LIEN LAW INFORMATION 0E;5lUNtK/ENGINEER: Name: Address�: City: ZIP: Phone—: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: P one: te: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: City: State: ZIP: -Phone: BONDING COMPANY: Name: Address: Zip: — Phone: —Not Applicable I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Coun t makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in con4lict 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, co Suit with lender or an attorney before commencing work or recording your Notice Of Commencempny I of Owner/ Lessee/Agent STATE OF FLORIDA COUNTYOFBROWARD The forgoing instrument was acknowledged before me this _ day of 1 20 —by JOHN BOLTON 4 (Name of person acknowledging (Signa�ure of Notary P6`61ic- Staey Florida Personally Known x Type of Identificati . on iroa EXPIRES: June 2, 2019 Commission No. I "I MPubkUrNderw�ntem wg� Revised 07/15/2014 STATE OF FLORIDA COUNTY CIPBROWARO The forgoing instrument was acknowledged before me this I day of NOV 20 by G. E. GOMEZ (Name of person acknowledging (Signature of Notary Pu ic- State lorida Personally Kri owrt x Type of Identifica ion Produ 1111" IERR Ju � 19 r um2,2019 Commission No. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROV7E COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS