HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
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ALL APPLICABLE INFO MU BE QIOMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: I 1 I SCANNED Permit Number: ` COO
�I
BY
e — — St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
PROPOSED IMPROVEMENT LOCATION: III
Address: 7600 S. US HIGHWAY 1 PORT SAINT
Legal Description: 3422-801-0003-000-5
Property Tax ID tt: 3422-801-0003-000-5
FL 34952
Lot No.
Site Plan Name: 7 Eleven Carwash Upgrade Block No.
Project Name: Carwash Equipment Upgrade
Setbacks Front Back: . Right Side: Left Side:
1:'DETAILED DESCRIPTION OF WORK: III
Remove existing Carwash Equipment from Bay. Existing Stand alone dryer to remain. Install new
Equipment -(Like for Like).. No Electric load change. Disconnect existing plumbing water connection
and re -connect to new Equipment.
CONSTRUCTION INFORMATION: III
HVAC L, J Gas Tank UGas Piping
Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 14.580.00
Shutters Windows/Doors
Generator Roof = Roof pitch
S Ft. of First Floor: _
Utilities:`2 Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 7 ELEVEN,INC.
Name: Joseph P Sexton
Address:1722 ROUTH STREET STE-1000
Company: JOSEPH P SEXTON,INC.
City: Dallas Stater_
ZipCode: 75201 Fax:
Phone No.(214)-236-7643
Address: 1624 Smithfield Way STET-1114
City: OVIEDO State: FL
Zip Code: 32765 Fax: 407-366-7723
Phone No. 407-366-6781
E-Mail: david.niven@7-11.00m
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: joe@jpsexton.com
State or County License:
•• -•••-� -•--••�•• •...•..•• •� ,.�.,......• ��•���, a ncwnucu mutice or Lummencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name:-. ?an4e
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:,'
Address:') 4,X4- St.,,rh*,c/
tn/,z4- E/il¢
Address: '
City: '0 V /OD o
Zip: 3z79 Phoneao»8ano37
State.V'4.
City: _ State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: XNotApplicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:-.,--- - _
City:
Address:
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.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
SignatupfofContfactdr/Liceffsf Holder
STATE OF FLORIDA
STATE OF FLORIDpA
COUNTY OF )„,I;�v` R�verr
COUNTY OF )�d;cx, A)\le�r
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _Q'�t day of 9 20L by
this Q5 day of 201 Z by
Q 1A)A N:ver
7J'0S-" Sex�0r2'
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
N" a - ,
_
(Signature of Nota • ,Bub! a on a
AUSTERFIELD
(Signature of Notary
t k e o on a J
"Ue"�•,, NADINE AUSTERFIELD
NADINE
State of Flori'a
Commission No. +°� . '.°'=, Notary F�on Ezplres Nov 7, 2017
- • -c
Commission No.
ro4WY
�* _ Notary pg&I{ State of Florl-a
My Commission Nov 7, 2017
Nry Commission
�9' Commission a FF 55651
Aires
?...OFF .° ComMssion ` FF 55651
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ZONING
SUPERVISOR
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MANGROVE
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DATE
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Rev.8/2/17