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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COI,`,„ << ITED FOR APPLICATION TO BE ACCEPTEL, ' Date: 5f7I2108 SCANNED Permit Number: t BY St. Lucie County 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 Residential PERMIT APPLICATION FOR: Mechanical III I PROPOSED IMPROVEMENT LOCATION: III Address: Legal Description: W RPARX-0NRS BL 45 LOTS 1.2.3.4.5.46,47.0.49 AND 56(2.272 AD-96.967 SF)(M 3 N)(OR 39S M7RY41.2735.2739,27 .047. 2751.2765,2769,2763: 3961-14T7) Property Tax ID #: 3419-540-0055-000-4 Site Plan Name: Wawa Project Name: Wawa# 5220 - Construction Setbacks Front Back: Right Side: Left Side: Lot No. Block No. I DETAILED DESCRIPTION OF WORK: III Refrigeration Installation for new Wawa Construction under Permit# 1704-0135. I CONSTRUCTION INFORMATION: III 11HVAC U Gas Tank ❑Electric 11Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 39,200.00 Piping LJShutters ❑Windows/Doors nklers 11 Generator ❑ Roof S Ft. of First Floor: _ Utilities: Sewer O Septic Building Height: Roof pitch OWNER/LESSEE: CONTRACTOR: Name Name: TnAj MOru Gn Address: C 1/Ic• Company: Ct7MnrGh4nL:1/Y. En&e!gy Seri SLe'q' City: State: FL Zip Code: Fax: Phone No. 70 Address: i7�nn{,iAiFr City: Lo 10 State: FL Zip Cod 'Y�16 o Fax: Ltn- (-QYA -:0 bG Phone No. %n- (yam .- 1311 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: MeganR@CESMechanical.com State or County License: C PA(0°Jq S'rI If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUC•r`rvfN LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone . Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 1 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 commencing work or recording our Notice of Commencement. Signature of Own essee/Contractor s Agent for Owner Signature of Contractor/L' ense-Holder STATE OF FLORI is STATE OF FLORIDA COUNTY OF 5Q v.; uJ\Z COUNTYOF y malt The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _'Rl'?Iay of M+,f 20_lk by this day of (VAtit by -4.1 mor, 74.d,1 ('00, A&,n Name of personDliaking statement Name of persbn making statement Personally Known V� OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signs of Notary Public- (Sign a of Notary Publi =5 to MEGAN RAE RISINGE RAE RISINGER Commission # FF 22147 Mission 'g M Commission No. �E 'd .; scion # FF 221473, ommission No. ? '�41K� 3 ea9 Tres August 15, 2019 %` 15, 2019 ',ilr ' ytyat soma nvu rprrwM. .eroaes•ro: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 i-'l ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �c / Date: �- Permit Num C) V — U Y_(40 KLILI VED • Building Permit Applicatio MAY 01 2018 Planning and Development Services ZPermill�lng PBuilding and Code Regulation DivisionDe artment 2300 Virginia Avenue, Fort Pierce FL 34982 X Ue Count , FL Phone:(772)462-1553 Fax:(772)462-1578 CommercialY I PERMIT APPLICATION FOR: Mechanical-2er_:. .ram III PROPOSED IMPROVEMENT LOCATION': Address: 2L0 SE rl)rinna V.j Q>)VZ Legal Description: RNFR RAR NR5 BM 45 LOM 1,2,3,4,5,46,47,48,49 AND 60(22MAC-90,9VSF) (M 3428N)(OR 3950-27272731,2M2739,27432747,27512755,27592763:3%1-14T) Property Tax ID #: 3419-540-6055-090-4 Q� 5`j Cm�� V` 6(r—P GP Lot No. Site Plan Name: Wawa Block No. Project Name: Wawa#'5220.- New Construction Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: III Refrigeration Installation for new Wawa Construction under Permit# 1704-0135. CONSTRUCTION INFORMATION- l'.- III LIHVA(�161_t')• ❑Gas Tank ❑ctri Elec El Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 39,200.00 Piping ❑_Shutters ❑Windows/Doors nklers ❑ Generator ❑ Roof = Roof pitch S FtFt.I of First Floor: _ Utilities: Sewer []Septic Building Height: OWNER/LESSEE: CONTRACTOR: - Name 176W 'PAme, ui3lq FlOrr,-A9 ll-L Name: -Co��, Mnrann Address: 37ofr I,sy, 5L'LAnC�AAjp- 57E 20D Company: �n r hw5; N Cn ic.. `� tcorl City: L(tnnoc Zip Code: �C.o`j Fax. _ Phone No. State: FL Address: -7-)D i�nne3Y City: State- FL Zip Code: -ba-75_9 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: MeganR@CESMechanical.com State or County License: Cy( (_ g-34 S-?- ) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. pL 3 6 .`)