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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TCt BE ACCEPTED Date: Permit Number: 1704-0135 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential Address: SW comer of NE Prima Vista Blvd and SE Floresta Drive Legal Description: Lots 1, 2, 3, 4, 5, 46, 47, 48, 49, and 50, Block 45, River Park- Unit 5, ac As recorded�irr Plat Book 11, Page 31, Public Records of St. Lucie County, FL Property Tax ID #: Site Plan Name: Project Name: Wawa #FLO (Convenience Store) Setbacks Front 193.8' Back: 131.8' Right Side: 100.8' Left Side: 131.8' New construction of Wawa convenience store CONSTRUCTION INFORMATION: ❑✓_ HVAC LJ Gas Tank ❑✓_ Electric ❑✓_ Plumbing Total Sq. Ft of Construction: 5911 Cost of Construction: $ IIL - U ICL N Oil Opply. Piping _Shutters nklers Generator S�Ft. of First Floor: Utilities: LJ Sewer Septic Spoe �� &)e to the olat or maD thereof Lot No. Block No. 45 Windows/Doors' W1Roof flat Roof pitch Building Height: 33'4" TOR OWNER LESSEC: CONTRACTOR: Name wawa Florida, LLC Name: Steven C. Hooks Address:7022'TPC Drive, Suite 200 Company: Hooks Construction Co City: Orlando State:FL Zip Code: 32822 Fax: nla Phone No. 610-358-8000 Address: 2211 South Kanner Highway City: Stuart State: FL Zip Code: 34994 Fax: 772-237-3757 Phone No. 772-419-8828 E-Mail:— Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: steve@hooksconstruction.net State or County License: CGC #061217 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Name: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 your Notice of Commencement. Sol, n3(Gantraetor. A ent for Owner Signature of Contractor/License Holder STATE OF STATE OF FLORIDA COUNTY OF L1�lawau� COUNTY OF Macd,' , The forggoing instru ent was acknowledged before me S*" The Voing instrument was acknowledged before me thislJ day l7eser.do¢r by this day of LILCgjm6t2011 by of 2011 Terfi c- wa—L yL Vie- ►Macs Name of personaking statement Name of person making statement Personally Known ✓ OR Produced Identification Personally Known ./ OR Produced Identification Type of Identification, n Type of Identification Produced Produced OFPENNSylyML1 ,NOTARIAL SEA (Signature of Notary Pu ic- State of Sieiature cT Notary Publi St.te . „• ricia JODI L PETERSON oh�rylPo Ile CHESTENHEIOHT p,FCommission No. W ommission No. ;,o,w NotaryPobllc-state ofFlada$$f (gnl�ione00072280 ommlBBl, :•a�°•4�; 0MyCommares Fab 1,21 '••°p;',';••' • BonaedMnugh National NolaryAsm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION. SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 ALL APPLI ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `/ Date: 3 /ram /7 _7 Permit Number: /D — dlis­ Building Permit Application Planning and Development Services 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: r Address: SWC of NE Prima Vista Blvd & Floresta Dr Legal Description: Property Tax 7 ID#:agICk—S(IO 005 Site Plan Name: WayV61 Yt I mn, \21 Project Name: Wawa #FLO (Convenience Store) II==i Setbacks Front!9k-?J Back 4'Q OETAILED'DESCRIPTION`OF WORK: RightSide:�•LI Left Side: New Construction of Wawa Convenience Store CONSTRUCTION INFORMATION: LtJHVAC LEI Gas Tank UGas Piping ❑✓_ Electric ✓❑_ Plumbing Sprinkler Lot No. Block No. Shutters ❑ Windows/Doors Generator Roof = Roof pitch Total Sq. Ft of Construction: 5,911 J(X 7 S Ft. of First Floor: Cost of Construction: $ 888,000.00 Utilities.. Sewer ElSeptic Building Height: OWNER/LESSEE E: CONTRACTOR: Name LV_ Name: TBD Address: 76 2DO Company: City: Q�_ Zip Code: 6 Phone No. 7/3 State: L Fax: Address: City: State:__ Zip Code: Fax: Phone No. E-Mail: Fill in fee simple Title Hol er on next page (if different from the Owner listed above) E-Mail: State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Qe VW4 `i SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION: DESIGNER/ENGINEER: Name: Cuhaci$Petersen Architects -Clarence.Qimph( X Not Applicable MORTGAGE COMPANY: XNot Applicable Name: Address: 1925 Prospect Aye Address: City: Orlando State: FL Zip; azeta Phone: 407661-9100 Ex},((/0T— City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: x Not Applicable BONDING COMPANY: x 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 as Agent STATE OF FLORIDA COUNTY OF 1 h1�sbWOUyU The forgoing instrument was acknowledged before me this 15'"" day of f-e81^.'z.J , 20 Lby jV-k_' X00.1VIS (name or person acKnowiedgmg )•wewa-or- vgau+e Pe Cf c�icrt.�..J r'-Q-A&J -P Qit"'S ru-G (Signatdrk of Notary Public- State of Florida) Personally Known ✓ OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 AgALEY H. GUYT( MY COMMISSION #FF711 STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _ day of 20 _ by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced 91mmission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW RE IEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS