HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: Permit Number:
SCANNED
BY
RR 1�ST LUCIE COUNTY
•I
Building Permit Application MAR m 9 2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 452-1578 Commercial x Residential
PERMIT APPLICATION FOR: Fence - Pre _a 3,- �� I
[PROPOSED�IMPROV�M ENTILOCATION:;
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, according to the plat or map thereof
As recorded in Plat Book 11, Page 31, Public Records of St. Lucie County. FL
Property Tax ID k: t/ - 0/ r Lot No.
Site Plan Name: Block No.
Project Name: Wawa Market
Setbacks Front 193•B' Back: 131-W Right Side: 100.9 Left Side: 131.8'
CD_ETAILfED DESCRIPTION(OFaIIVaRK:•
721 LF of 6' Precast Wall 15-12x13" columns
a IONiINFORfVIATION
Ado�CONSTiR_U
j nona wor to e e rme under tispermit-check all apply:
GasTank ❑Gas Piping In ❑Windows/Doors
L IHVAC _Shutters
11 Electric El Plumbing []Sprinklers El Generator � Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
36Useptic
Cost of Construction: $ ,�0 s: o� Utilities Sewer Building Height:
OiNNER`/LESSEE: LESSEE`— -_—
Name Wawa Florida LLC
Name: Richard StAes
Address: 7022 TPC Drive, Suite 200
Company., Precast Wall Systems, Inc.
Address: 1888 NW 22nd Ct
City: Orlando State:FL
City: Pompano Beach - — State: FL
Zip Cade: 326M Fax: Na -
Phone No. 610-358-8000
Zip Code: 33069 Fax: 954-973-7772
E-Mail:
Phone No. 954-973.8488
E-Mail: debbie@precastwalls.com; Rihard@precostwalls.com
FlII in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CBC1252163
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
11
SUP,�PLEMENTA (+gqR- TRU_CTION UEN�W41NHORMA i ON;,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name: jan— B,¢Mne
Name:
Address:mium tatbreance
Address:
City: PanpanoBeach State: FL
City: State:_
Zip:33W Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
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 DDertnit will authorize the rmit holdef to build the subjectstructure
which is In conflict with any applicable Home Owners Associetion rules, bylaws or anr�pceovenants 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 r in you aytng twice for
improvements to your property. A Notice of Commencement mu��tt-Ife r d, sted on the jobsite
before the first inspection. If you intend to obtain financing, confult or n attorney before
commencine work or recordine vour Notice of Commencement. t /
Signatureer/ Lessee/Contractor t for Owner
natu a Contractor/Li� Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF RQt 4-t',n
COUNTY OF �rnWC&K: C\
The foQrging instrument was acknowledged before me
'
The forgoing instrument was acknowledged before me
+^ dayof 20AL by
thl I day of r�i`^^•- j 1 20_& by
this X mcch
L3tCJLK--a<5
O:rNry-' -\ le Sj-\\N'-,
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known V OR Produced Identification
_
Type of Identification
Produced "an'' JODILPETE160N
Type of Identification
Produced WY O� Notary Public State of Fb 0
rypb_gnbalp�y
• ConvMsston/G60R�0
< elissa Nicole Adams
My Commission GG 043326
e�q ��,r•� MYGmm6pittrrtb12,21Q1 `
`"�..0.;.5^''
i 0�
OF Expires 1112412020
emietlu�x,mulxetpr+im
ignature of Notary PubliErstam OT Fror-ida-)(Signature
of Notary Public - State of Florida)
Commission NA§Diawrl (Seal)
Commission No. (Seal)
REVIEWS
PLANS
VEGETATION
SEATURTLE
MANGROVE
FRONT
ZONING
SUPERVISOR
COUNTER
REVIEW
REVIEW
REV EW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
I
Rev. 8/2/17