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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1704-0137 ---- �`ByNE® LucieC Building Permit Application Sto Planning and Development Services anty 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 . Address: SW corner 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, as As recorded in Plat Book 11, Page 31, Public Records of St. Lucie County, FL Property Tax ID #: Site Plan Name: Project Name: Wawa #FLO (Gas Canopy) Setbacks Front193•8' Back: 131.8' Right Side:100.8' LeftSide: 131.8' to the Dlat or maD thereof Lot No. Block No. 45 ['DETAIL'ED (DESCRIPTION' ©F WORK: I New construction of Wawa Gas Canopy .Yuwuuuuiwulnwue cnunnau uuuci uun pcnuu—uicUn au apply.. OHVAC Gas Tank ElGasFill- _Shutters ❑Windows/Doors Electric ✓❑_Plumbing [:]Sprinklers ❑Generator Roof Roof pitch Total Sq. Ft of Construction: 5280 Sq. Ft. of First Floor: Cost of Construction: $ Utilities: Sewer 0 Septic Building Height: 262" TOR OW E MUSS -E: --_,'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: 32S22 Fax: n/a 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. 'j�a-aos- 9bD3 �.,a > btQ 'UP' MM, � EIUTAL C(7NSTRtUCTI77, IMEMIXAMT 17 FOR AT ION DESIGNER/ENGINEER: Not Applicable Name: wawa Florida, uc MORTGAGE COMPANY: Not Applicable Name: Address: Address: 7022 TPc Drive, Suite 200 City: Orlando State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 anyapplicableHome 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 vour Notice of Commencement. Z" S' Hato e of Owm'eF/ LEr ss.ee"/GnntracfnrasA ent forOwner Signature of Contractor/License Holder STATE OF FL RIDA, STATE OF1ieMRlkRMKS31v01Nfe COUNTY OF t.e latAua.o-e COUNTY OF KGCIiv. The forgg�oing instrument was acknowledged before the Kay The fooing instrument was acknowledged before me �tpo this of NXLc_a �c V , 20 1- by this day of 20_12 by TVA, e. MI 'Z'- r-0,ti Name of person raking statement C/ Name of pers making statement Personally Known OR Produced Identification Personally Known �/ OR Produced Identification Type of Identificatiopp //�� Type of Identification Produced �La"SLI T Produced //J (Signature of Notary Pu . - (Signature of Notary Pub ft- NOTARIAL SEAL Commission No. MIcIfWaNbAlOCCO ommission No. �•°� •.; d0 ILPETERSON si°, F. Notarryy��u,blSlS-`State of Florida .' Co ?IPaf#Ia GGW2280 Notary Public i rHFSTFR HEIGHTS BORO, DELAINARE COON ) ' ;' My Comm. Expires Feb I Z, 2021 •`OG.`.`• Bondedthnugh National NotaryAssn. . "a: Cmml—Onn fx i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.B/2/17 21 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3 boll, Permit Number: 1 70Y — U/37 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: Address: SWC of NE Prima Vista Blvd 8 Floresta Dr Legal Description: Property Tax ID #:W1 I Site Plan Name: &W A Project Name: Wawa 4FLO (Gas Canopy) l Setbacks Front. Back: �• Right Side: Left Side 7 i New Construction of Wawa Gas Canopy Lot No. Block No. HaamonatworKroDe errormea unaermispermit— cnecKan apply: OHVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑✓_ Electric 0 Plumbing []Sprinklers D Generator W1 Roof Roof pitch Total Sq. Ft of Construction: 5,280 Sq. Ft. of First Floor: Cost of Construction: , 0 tilities: 0 Sewer 1:1Septic Building Height: .OWNER/LESSEE: .CONTRACTOR: NameBOMM& Name: TBD /I /A'Sat Address: 370T �. 51AiiAA Ay4, SatK 20n Company: City: �cibO 6b State: Zip Code: 3,3 o9 _ Fax: Phone No, V3 00 Address: City: State:_ Zip Code: Fax: Phone No. E-Mail: t-t-sel Fill in fee simple Title Hold 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X rs Name: cuhac!&PeteonArchitects —CIOLRAC NotApplicable /h e 11MQ/- MORTGAGE COMPANY: x Not Applicable Name: Address:1925 P-spact Ave Address: City: orlanao State: FL Zip: 32814 Phone: 407-881;o0 .I(o0-1 r carxn=a City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Name: Not Applicable BONDING COMPANY: = 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 1 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 COUNTYOF 1�1IlSIOOY-C)!11 s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 1 day of 5i:.bVu �, 20 &—by this _ day of 20 _by �t�id. �urnlcr-S (Signa�re of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. H. of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced on mission No. (Seal) `i'pp4MISSION #FF1111198 EXPIRES May 13, 2018 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW RE EW REVIEW REVIEW REVIEW DATE �1 COMPLETE ( INITIALS