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,
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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
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DATE
COMPLETE
INITIALS