HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ? Permit Number: 4e /.z— r)
0 3 N N VOR RECEIVED
Building Permj�ft�cation DEC 25 2016
Planning and Development Services
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie COWAV
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial CVS Residential
I PERMIT APPLICATION FOR: Plumbing 1-1 111
Address: 4780 Kings Hwy, Ft Pierce, FL 34951
Legal Description: 13 34 39 S 258 FT OFE 291 FT OF W 362 FT OF NW 1/4 OF SW 1/4 (1.72 AC) (OR 1126-1398)
Property Tax ID #:--1 313-322-0002-000-7 Lot No.
Site Plan Name: CVS Block No.
Project Name: CVS, 4780 Kings Hwy, Ft Pierce, FL 34951
Setbacks Front Back: _ Right Side: LeftSide:
Replace existing drive up equipment
JAUU I UU11d] WVIN LU UC uiiumitu unuer L1115 pernVIL—cneCK all apply:
1-1 HVAC Gas Tank []Gas Pip _ Shutters Windows/Doors
R1Electric Plumbing F]Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $497zroo- Utilities: 0 Sewer 0 Septic Building Height:
NEN
NameCVS
Name: Robert Soravilla
Address:Cne CVS Dr
Company: The GVM Group Inc
City: Woonsocket State:Rl
Zip Code: 02895 Fax:
Phone No.
Address: 733 Commerce Dr, Ste 3
City: Venice State. FL
Zip Code: 34292 Fax: 941-488-5203
Phone No. 941-484-1213
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E-Mail: kristina.rohl@thaplatinumgroupinc.com
State or County License: CFC057975
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
IN01 ApPliCaDie PANY: x
MORTGAGE COM Not Applicable
Name: Name:
Address: Address:
City: State: City: —State:
Zip: Phone: Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: x NotApplicable
Name:
Address:
City:
BONDING COMPANY:
Name:
Address:
Zip: Phone: Zip:'_ Phone:
I certify that no work or installation has commen.ced prior to the issuance of a permit.
x Not Applicable
St.LucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conwict 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 Nuilding Codes and St. Lucie County Amendments.
The following iiuildlng permit applicatitins are exempt from undergoing a full concurrency review: roorfi-�dcfitions,
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.
FT. PIERFORPER71�ESL�IMITED R TNERSHIP, LLP
BY: � YM E 0 GANT
Signature of Owner/Cessee/Contra orasAgentforOwner
R
1. WILLIAM BERGE , PRESIDENT
51 A. E OF FtORM COMMONWEALTH OF VIRGINIA
COUNTY OF CITY OF VIRGINIA BEACH
The forgoing instrument was acknowledged before me
this -21Way of DECEMBER 20 16 _by
�Dor,,Xl� tn. —
(Name of person acknowledging)
State
Personally Known X OR
Type of Identification Produce
CommissionNo. �7o0o�3-7
VA
Revised 07/15/2014
LTH
STATE OF FTAZySn-r*
COUNTYOF
The forgoing Instr4inent was acknowledged before me
this2�0 day of OFC- 20 & by
RDt0T SOR-A-OLL4
(Name of person acknowledging)
9�� RX
(Signature 3f Notary Public- State of Florida
OR Produced Identification
KXTIT ROHL
Commission No. I , 1 1
A% I No I I late of Florida
" 0 1 Commission# FF 199353
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