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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf ALL APPLICABLE INFO MUST BE COMPLETED F APPLICATION TO BE ACCEPTED Date: G�ANNEL) Permit Number: G Z0 /' 0 3 � St Luce Count, RECEIVED Building Permit Application OCT 2 3 2617 Planning and Development Services PERMITTING Building 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 Residential PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: III Address: D., Fort Pierce, FL. Legal Description: See Attachment Property Tax ID #: 2408-211-0001-000-3 Lot No. Site Plan Name: Family Dollar (Angle Rd & Ave D) Block No. Project Name: Family Dollar (Angle Rd & Ave D) Setbacks Front 25 Back: 20 Right Side: 20 Left Side: 10 DETAILED DESCRIPTION OF WORK: 1, 111 Construct 8,186 SF of Commercial Retail Building, along with all associated site improvements ( i.e. stormwater area, parking lot, landscaping), to be used as a Family Dollar Store. CONSTRUCTION INFORMATION: Additional work to e e orme un ert -checkispermit a apply. ❑✓ HVAC 11 Gas Tank Gas Piping _Shutters Windows/Doors ❑✓— Electric Z Plumbing []Sprinklers Generator ❑✓— Roof Roof pitch Total Sq. Ft of Construction: 8.186 S Ft. of First Floor: 8,186 Cost of Construction: $ $430,000 Utilities: Ir ISewer Septic Building Height: 24'-6" 0 W N ER/LESSEE:. CONTRACTOR: Name Angle Properties LLC Name: T= -P,�V 4 W ::P^ �IDAD Address:7999 N Federal HWY Ste 200 Company: M> Q%;e-_ aaALZ:S 0 e=(P112 Address: M5 t su C- 1>JS Y . -1E5W D City: Boca Raton State: FL Zip Code: 33487 Fax: Phone No.407-286-2610 City: Stater, Zip Code: ,157-7D7 Fax: Phone No. }Q'/- C/.'�5- /(p/ Z E-Mail: salikhan@stephensbarrios.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: �qA 0-Q:p CL— L- cowl State or County License: "C� 9S, IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I utatuivtn/timui IN ctn: . ivo>;Appucaoie MORTGAGE COMPANY: x _ Not Applicable Name: cellos Bamoa P.E. Name: Address: eae Delaney Ave Saito o Address: City: odando State: Pt City: - State: _ Zip: 32801 Phone: 407-2862610 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: _ Zip: Phone: Name: _ Address: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Counttyy 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 as STATE OF FLORIDA COUNTY OF PAC-r-,q ,3yG4E The forgoing instrument was acknowledged before me this [day of 20 [( by EFC�Gf�dif-ti. STATE OF FLORIDA COUNTYOF bc(a%Q, The forgoing instrument was acknowledged before me this--(Ddayof O)MQh�'_C .2011by p/"y n acknowJedg71 �_- (Name of (Signature of Notary Public-Statg of F(oQ6i,60 a=i y0'I'll, (Signature of Notary Public -State of Florida I Personally Known v OR-e s ' Personally Known OR Produced Identification T pe-a9W aH t'f t( P •+ a.l �- �_ • 011end T,; f+�rf'deBs_ifmLiorrPred�s�eH 3; Commission NO, � y(5�ai�a trl O N v: Z Commission N 5 a ���•'+d NOZ-LL-WvO .�::n'^r •.,.. SHANNANICDLEALKHAN ix �l'' le1101� �` Commissions GA4129.7 Revised 07/15/2014 4,aaaaaaaasassN ±;a? �,p; My Comm. Expires Mar29,702f wn"` ' Bondedth=gh Na%ra1NwaryASm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS l ALL APPLICAByt INFO US�"JTBE COMPLETED FOR APPLICATION TO BE ACCEPTED '• �� I ^ �� Date: A jL ANNED Permit Number. _' St. Lucie Countv Building Permit Application Public works Planning and Development Services St. Lucie county, FL Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 3214 Avenue D., Fort Pierce, FL. Legal Description: See Attachment Property Tax ID #: 2408-211-0001-000-3 Lot No. Site Plan Name: Family Dollar (Angle Rd & Ave D) Block No. Project Name: Family Dollar (Angle Rd & Ave D) Setbacks Front 25 Back: 20 Right Side: 20 LeftSide: 10 DETAILED DESCRIPTION OF WORK: Construct 8,186 SF of Commercial Retail Building, along with all associated site improvements ( i.e. stormwater area, parking lot, landscaping), to be used as a Family Dollar Store. CONSTRUCTION INFORMATION: rtiona wor to e e orme un er t Is permit- c ec a apply: ❑✓HVAC LlGasTank DGasPipingIn _Shutters ✓QWindows/Doors ZElectric 0 ❑Sprinklers El Plumbing Generator Roof Roof pitch Total Sq. Ft of Construction �� q3,� 5q� Ft.of First Floor: 8,186 Cost of Construction: $ $4 00(,il�`�!• - Utilities: LJ Sewer Septic Building Height: 24'-6" fC OWNER/LESSEE: CONTRACTOR: Name Angle Properties LLC Name: TBD Address:7999 N Federal HWY Ste 200 Company: City: Boca Raton State: FL Address: ac3S Zvi Drc25AVn. Zip Code: 33487 - Fax: City: State:L Phone No.407-286-2610 Zip Code: loZ %D 7 Fax: E-Mail: salikhan@stephensbardos.com Phone No. -/f 0 7--7-/ yc�— 6 W Fill in fee simple Title Holder on next page (if different E-Mail: r-A et.n & from the Owner listed above) State or County License: If value of construction is $2 60 or more, a RECORDED Notice of Commencement is required. IAUP MENTAL`CO RUCTION LIEN LAW INFORMATIONS ut3MIM tytNullVttl : • Not Applicable MORTGAGE COMPANY: x Not Applicable Name: caa-BaalasP.E. Name: Add Tess' eas Delaney Ara suite c Address: City: odwdo State: FL City: State: _ Zip: 32801 Phone: 407-28e-2510 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Nat Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name' Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. Not Applicable 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 oc recording vour Notice of Commencement. ]ignature or uwner/Lessee/L onrractor as Agent tor uwner I ]I�netdre or OC rrtracjor/Llcenje Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ps-f..af Fes+c i- COUNTY OF — The �C',Jk The forgoing instrument was acknowledged before me The forgoing instr en as acknowledged §efore me this ay day of bcEE>r�9IV— . 20 [( by this1�3 day of _ 20 �1-r1/—by person acknowledgi7 ) \ q,( PI f� tuuwr J� (Signature of Notary Public- Stat (of F'0<06 ,�0 o� �.(Signature of Notary Public- State of Florida ) Personally Known V ORRsodu�d-Id�wii icatlon '�'•'•. - Personally Known OR Produced Identification Type orlde *'r• -r o a �_ o I e n d Type of Identification Produced �( , rW � . 3•^ �� Commission No. (4 a Ut,. oN <: Commissi S. NIE [aU o:' /, �•':`?`,yo-LLlw.N4: ar%� _ �� Commission M FF 115637 7e Revised 07/15/2014 �r� �1101�s.`p, . r ±," June 12. ZOt B REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW I REVIEW REVIEW REVIEW DATE COMPLETE INITIALS