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
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?• 'o; EXPIRES:November4,2021
'•',aaano„p Bonded ThN NO PUCrStun&r bM
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Rev. 8/2/17