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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:' ' j �� Permit Numb �`��o� SCANNED St. Lucie Count 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 �Yb. _M- r RECEIVED MAR 2 S 2018 ST. Lucie County, Permitting Residential PERMIT APPLICATION FOR: Other _PROPQSI DIIVIPROVE{VIENI IODATION_ , w Address: 5000 Feeder Rd. Fort Pierce, Florida Legal Description: Please see attached Property Tax ID #: 130161501970002 Site Plan Name: Mobil 823 Project Name: Mobil 823 Setbacks Front Back: Right Side: Left Side: Lot No. Block No. CAR WASH RENOVATIONS w1ai1_ sEp�jOC °� ¢u i sy A C9 v'P "Ze`zrat�zn;flcc; G'o�t2:n,int' `►1,.''i�"' HUUMV1101 WUIN W U ❑HVAC C11U1111CU Gas Tank UOUC1 a1D PU1111R-.U1MKd11 dppry: []GasPipin Gas ❑Windows/Doors _ g _Shutters Electric Plumbing []Sprinklers❑_Generator ❑Roof ❑ Roof pitch Total Sq. Ft of Construction: Fyn Cd S Ft. of First Floor: .. Cost of Construction: $ Utilities: Sewer ❑Septic Building Height: Name Sunshine Real Estate Holdings LLLP Name: STEVEN M. NALE Address1650NW 87TH AVENUE Company: GREAT DANE PETROLEUM CONTRACTORS City: Doral State:FL Zip Code: 33172 Fax:305-503-9292 Phone No.305-477-5800 Address: 1330 S. ANDREWS AVE City: POMPANO BEACH State: FL Zip Code: 33069 Fax:;,- Phone No. 954-214-4087 E-Mail:.mzamora@sunshihegasoline.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: mario@greatdanepetroleum.com State or County License: CBC045595 it value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable N ame • sunshine Real EsWta Holdings LLLP MORTGAGE COMPANY: _ Not Applicable Name: Address:5000 Fonder Rd. FortPierce, Ronda Address: City: Dotal State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 permit will authorize the permit holder to build the subject structure which is in contlict 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 youyinterrdto obtain financing, consult with lender or an attorney before commencing work or reecirdint6vour No ice of Commencement. � . Signature of as Holder STATE OF FLORIDA STATE OF FLORIDA������D COUNTY OF COUNTYOF The for ing instr ent y_as acknowledge�j before me this day of.ME • 20a by M014;mo leIV&yv Name of pemaking statement rso Personally Known OR Produced Identification Type of Identification The fo�rgg,oing instrument was acknowledged before me thiday of 20/8by S%�!/Ean� iGl, /�liFLC Name of persyn making statement Personally Known V OR Produced Identification Type of Identification VANESSA PALAOIC S �- OB,y'_Lts TARYPUBLIC ( ignature of Nota Publ' o it1SE) OF FLOOR Dlt-- (Signature of Notary Public- State of Florida I ` aComm#FF214213 •• CommissiomNo.- - - - '—gy312812of9 — ••• ........... -- ----MARIOA.c I1 -Commissio I"t '....i - a weemw ?• 'o; EXPIRES:November4,2021 '•',aaano„p Bonded ThN NO PUCrStun&r bM REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17