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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr � . ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: __c�,_ BY Ki NA St. Lucie(nnnh RECC-jVErj Building Permit Application Planning and Development Services APR 16 2017 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: Gas tank PROPOSED IMPROVEMENT LOCATION: -I Address: Approx. 252 SE Prima Vista Blvd, Port St. Lucie, FL 34983 Legal Description: See attached. ftthz Property Tax ID #: See attached. 0 - _ — Lot No. See attached. Site Plan Name: Block No. 45 Project Name: Wawa Prima Vista & Floresta Setbacks Front 15 Back: 15 Right Side: 15 LeftSide: 10 DETAILED DESCRIPTION OF WORK: Installation of 3 gas tanks. Quantity of 2- 22,000 gallon gas tanks and 1- 20,000 gas tank. CONSTRUCTION INFORMATION: Additional work to be ne orme unclertruspermit—c I�HVAC LJ Gas Tank ec Gas Piping all apply. _ Shutters ❑ Windows/Doors Electric OPlumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 1,836 SF S Ft. of First Floor: Cost of Construction: $ $250,000 Utilities: Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Wawa, Inc. Name: Address:260 West Baltimore Pike Company: City: Wawa State: FL Zip Code: 19063 Fax: Phone No. 610-358-8000 Address: City: State:_ Zip Code: Fax: Phone No. E-Mail: Fill in fee simple Title Holder 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. I SUPPLWENTAL CONSTRUCTION LIEN' LAW'. INFORMATION: -= DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: BohlerEnginemng Name: Add resS: 2255 Glades Road Suite 305E Address: City: Boca Raton State: FL City: State: Zip: 33431 Phone: 551-571-0280 - Zip: Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: _Not Applicable _ Name: 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 O� s Signature of Owner/Less a/Contractor as Agent for Owner Signature of Contractor/License Holder - STATE OF ��nns�U STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was qcknowledged before me . . this Z day of - 20 J ?by . �.�:r� (Name of person acknowledge g ) (Signature of Notary Public- State of Florida. Personally Known v OR Type of Id , tifecatioh Pr ucei Commission No. --��/ )Revised.07/15/2014... The forgoing instrument was a �cknowledgedybefore m_e_- this day,of 20 by (Name of person acknowledging) (Signature of Notary Public -State of Florida ) n - ersonally.Known OR Produced Identification ype of Identification Produced ,OUNTY ommission No. " " (Seal) 25, 2919 REVIEWS FRONT- ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE % COMPLETE INITIALS ALL APPLICABLE INFO MUST BE APLETED FOR APPLICATION TO BE ACCL.-. _'-) Date: 6(' BY Ep Permit Number: St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553Fax: (772)462-1578 Commercial x Residential PERMIT APPLICATION FOR: Gas piping Address: 260 S.E. Prima Vista Blvd. Legal Description: Property Tax ID #: 3419-540-0057-000-8 Site Plan Name: Project Name: WAWA 5220 Setbacks Front Back: Right Side: Left Side: Gas piping 30iuonai worK to oe �HVAC Electric errormea unaer Gas Tank Plumbing finis W]Gas permit— cnecK an Piping _ Sprinklers apply: Shutters Generator _ 1:1 Total Sq. Ft of Construction: ^^nn Cost of Construction: $ J V _600,00 S Ft. of First Floor: _ Utilities: Sewer O Septic Lot No. Block No. QWindows/Doors Roof = Roof pitch Building Height: �..�A ���1�.� % +u Mak o RA, ^y�f�9Y P�yi :'., F .H .� JefA d �4F 9p•. }S S^Y?�.�.r'�•l p9;; F t, i x'21:! b4 '.4 i y Name WAWA Inc. Name: MikeZarrella Address: Z60 W. Baltimore Pike Company: Wilsons Petroleum Equip. Inc. City: WAWA Zip Code: 19063 Fax: Phone No. State: PA Address: 1803 S. 31 st St. City: Ft. Pierce State: FL Zip Code: 34947 Fax: Phone No. 772-468-3689 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: State or County License: PCC045049 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. r I' fe"��p};-��.rer��.,1'-3'ec�hjA�f�3p3�3;Try'n-.. �/"„ » 4 �aD,'y+Jr- Fp^�Jp'�� r�1$��' �kyT��� $S FJ"Bil: L+r?5'S1)kt_�C {+© ,1�1'Y VT 01.�,ei+�ii b`�{1:lF1yY�,Y�r eu:dk ..�tbx�?,E`�iA}!+nTr'S it iz %R✓sk" 4^�i:4u,n ,$YdY. er �?h.m-lMti<r+a.en 3;ep j�e���yd,Td .p�i•'yvWi .x �j.{`'g' y�!. `i�- � L 3,w t'31—i 'vati�u uyx/^ .F^h a'-.u✓.xiw+.✓ m'.3R.+ DESIGNER ENGINEER: _ Not Applicable Name: BoNerEneineenns MORTGAGE COMPANY: Name: _ Not Applicable Address:2255 Glades Road suite 305E Address: City: Boca Raton State: F1 Zip: 33431 Phone: -571-0231 1 City: Zip: Phone: - .State:_ FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not Applicable 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 atSorney before commencing' work or recording Vour Notice of Commencenjenj� A /I �'�_ O s Sgnature of Owner/Less a Contradtor as Agentfor Owner Sig ature of Contractor/ 'cense Hoider STATE OFfik1Ri PennaQ STATE OF FLORID, 44, COUNTY OF COUNTY OF St • L-1(Gl Z. The forgoing instrument was acknowledged before me this Z4�dayof 20•� —?by (Name or person acKn0W1e081r (Signature of Notary Public -St Personally Known OR Type of Identification Pro utei Commission No. ��7. Revised 07/15/2014 COUNTY i 25. 2019 The forgoing instrument was acknowledged before me this S*day of f eb r_ __. K� 20 _LP by 7arre-04- (Name of person acknowledging) of Notary Public- Make of Florida I ✓ OR Produced Id§entification N ,4 3 Produced N/I� WIM: November 19, 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE _ COMPLETE INITIALS