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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/27/2018 SCANNED BY St. Lucie County Permit Number: r Mils 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 =RECEIVED Residential PERMIT APPLICATION FOR: Electrical III PROPOSED IMPROVEMENT LOCATION: Address: 240 5E PC;ir a Vi Sta Blvd - Legal p ,( Description: SW C.oVhaV- of AIE P1r �nnp Vi-6 2"d SF_ Flare4a Property Tax ID #: n05-1n00-Lot No. Site Plan Name: Block No. Project Name: Wawa #5220 - FLO Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: III Install site lighting. CONSTRUCTION INFORMATION`. Ada itional work to Ue-p-e-rTo—rmea un UHVAC Gas Tank er t is permit- check Gas Piping all that app y: Windows/Doors _Shutters ZElectric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. of First Floor: Cost of Construction: $ 19,000.00 I�Ft. . Utilities: []Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Named Iealli—LL=C - - - --- -Name=-�-- Address: 76 9 Q C2okl? r_ kAVxhe I AV.— Company: Accent Electric, Inc. -City: Orlando state: FL Zip Code: 32819 Fax: Phone No. 610 888-3449 Address: /byc' IVRaba v A . City: /^ O C O A J State: FL Zip Code: 32926 Fax: 321 633-7397 Phone No. 321 632-6067 E-Mail: matthew.s.winters@wawa.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: gml@accentelectiic.net State or County License: EC0000874 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION Name: Aloha Paeiriaa L Ad dress' 605 E. Robinson Street, Suites 240 City: odando State: FL Zip: 32801 Phone 407369-6266 FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencine work or recordine vour Notice of Commencement. Signature of Owner/ Less .rC i`jtfa3ejb5�'e$tfd'Y�Owner Signature of Contra or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTYOF 131- Ah,rA The forgoing instrument was acknowledged before me this _ day of .20_ by The forgoing instrument was acknowledged before me thiQclayof f•Y ca CL= 201,_S by G. M cak_ L Name of person making statement Name of personmaking statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced l �,-- (Si�ure of Notary Public -State of Florida ) (Signature of Notary Public- State of Florida ) -Commisslon��--—(Seal) -- -Commission No: �mjune0l.2020 -CEIBFF 997844 on Expires wkl0n/ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 a SUPPLEMENTAL CONSTRUCTIOWLIEN LAW INFORMATION. DESIGNER/ENGINEER: _ Not Applicable Name: A1A&-Pau.4'ao LLC MORTGAGE COMPANY: Name: Not Applicable Address: 606 E. Robinson Street, Suilw 240 City: odando State: FL Zip: 32801 phone 4o7a69412e8 Address: City: Zip: —Phone- State: FEE SIMPLE TITLE HOLDER: _X_ Not Applicable Name: BONDING COMPANY: Name: Not Applicable 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 any applicable Home Owners Association rules, bylaws or andcovenantsthat 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 rnmmpnrino, work or rprnrdina vnur Nntirp of Cnmmencement. Signature of Owner/ lessee/Contractor as Agent for Owner Signature of Contratr/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF 8PL2-Ay COUNTYOF Bre�Jr r The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this yof 4f`A!L 20ff by�yIARK czthiQa _ day of Mrc7�- .20� by _ m� zva . G_ Name of person making statement Name of personmaking statement Personally Known � OR Produced Identification Personally Known VOR Produced Identification Type of Identification Type of Identification Produced' Produced q (Sigma Lire of Notary Public -State of Florida) (Signature of Notary -- _ -YNn UNy - _ - ' = ONNA�M-..PILLO_W-- Commission No. `- Notaryla. state of Florida _ _ _ ;�oa N E LEIB - - Commission No. 9 1 y°c �BN� S. Ion $-FF 187949 Commission X FF 997844 _COMMIS My Comm. Expires Jan 24.2019 My Commission Expires of .�;�June 01 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.s/2/v. -?F_9,M TS 41)� ZMUQieCO