Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPL D FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: BY - St. Lucie County RECEIVED Building Permit Application MAR 2g Z018 Planningand Development Services Permitting Department P Building and Code Regulation Division St. Lucie county 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 tQROPOSED,71 PROVEIVIENT LOCATIONS Address: 7620 SOUTH US HWY 1 PORT ST. LUCIE, FLA. Legal Description: PRIMA VISTA NUMBER ONE (PB 40-37) LOT 1 (1.64 AC)(OR 1547-477) Property Tax ID #: 3422-802-0004-000-5 Lot No. Site Plan Name: Block No. Project V�ame: WALGREENS REFRIGERATION REPLACEMENT Setbacks Front Back: Right Side: Left Side: DETrAILE© DESCRIPTION OF WORK: REMOVE AND REPLACE THREE COMPLETE REFRIGERATION SYSTEMS FOR WALK IN COOLER, WALK IN FREEZER, AND LIQUOR STORE WIC CONSTRUCMTION INFORMATION: rtiona work to e e orme un ert Ispermit-c ec a apply: 11HVAC Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors 11 Electric El Plumbing Sprinklers ElGenerator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ $31,996.48 Utilities: Ln� Sewer D Septic Building Height: �O,WNER�,LTESSEE: COMP` T CT,O,�R: Name WALGREEN-CO-------------- — - --- -Ram e-.-SEBASTIAMMC0RE-__ Address:ATTN REAL ESTATE TAX DEPT. PO BOX 1159 Company: TWC SERVICES City: DEERFIELD State:IL Address: 7950 CENTRAL INDUSTRIAL PKWY STE 101 City: RIVIERA BEACH State: FL Zip Code: 60015 Fax: Phone No. :2 S 4 3 Zip Code: 33404 Fax: E-Mail: 'ro h!✓ • M•rt o (J SOSra WA 1orazt- 5 Phone No. 1(561)246-8542 Fill in fee simple Title Holder on next page ( if difference E-Mail: pat.mesmer@twcservices.com State or County License: CAM815169 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPP.LEI1/IENTAL CONSTRU.CTIp. ffl- E- LAW 1NFORMATI©N: DESIGNER/ENGINEER: _ Not Applicable Name: WALGREENCO MORTGAGE COMPANY: _ Not Applicable Name:SEBASTIANMOORE Address:7620 SOUTH US HWY I PORT ST. LUCIE, FLA. Address: ATTN REAL ESTATE TAX DEPT. PO BOX 1159 City: DEERFIELD State: Zip: Phone City: RIVIERA BEACH State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Add ress:7950 CENTRAL INDUSTRIAL PKWY STE 101 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 applic/fenc empt from undergoing a full concurrency review: room additions, accessory structures, swimming pooails, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your facord a Notice of Commencement may result in your paying twice for improvements to your propereof Commencement must be recorded and posted on the jobsite before the first. inspection. If yto obtain financing, consult lender an att�Tey before commencing work or recordinice of Commencement. // ���`JJ Signature of Owner/ Lessee/Coot or as Agent for Owner Signature of Contractor/License Holder STATE OF - ��1t1C STATE OF FLORIDA COUNTY OF COUNTY OF The forg`.ng instru Ent was ac nowledged before me The forgoing instrument was acknowledged before me this � day of ro h 201& by this Ll day of kA1LCN 20 11 by iD SE6ikr)'tw 1. A10dIte Name of person m k g statement Name of person making statement Personally Known ✓✓ O Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificat' ���� L t (UJII Produced Produced 4 V (Signature of o ary Public - St f )� 116OiS ._ (Signatu of Notary P y -. _:. NotaY PuNic-Stateaf Florida -Commission No. = =&A—S ag1P08466P= _ A 26.2021 _ _ =Commission No. OFFIf�IP�1I;EAL = MAYRAVAZQUEZ�pFMd' My Comm. F)iNs Jun NOTARY PUBLIC -STATE OF ILLINOIS -- - - fimammagxaxmsy�%a ' - REVIEWS FRONT ' " COI N� PLANS VEGETATION SEATURTLE MANGROVE UPERVIS0R COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 3-30jo RECEIVED DATE COMPLETED Rev. 8/2/17