HomeMy WebLinkAboutBUILDING PERMIT APPLICATION11. APPLICABLE INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCANNED Permit Number:
Date: BY
` _ St. Lucie County N� Li (1,5
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 V Residential
PERMIT APPLICATION FOR: Building III
I PROPOSED IMPROVEMENT LOCATION: I III
Address: 6598 S US Highway 1, Port St Lucie FL 34952
Legal Description: WHITE CITY GARDENS -AN UNRECORDED PLAN IN SEC 15-36-40 LOTS 11, 12, 13. 14 AN
(1.21 AC-52,708 sf)
Property Tax ID #: 6415-502-0011-000-4 Lot No.
Site Plan Name: Block No.
Project Name: New Burger King store #29752
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK` III
Dumpster Enclosure for New BK #29752
CONSTRUCTION INFORMATION: 111
HVAC
1J Gas Tank
❑Gas Piping
HShutters
❑Windows/Doors
Electric
El
Plumbing
Sprinklers
Generator
0Roof
=
Roof pitch
Total Sq. Ft of Construction: Z15SS Ft. of First Floor: _
Cost of Construction: $ a/Po7� Utilities: USewer D Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Seven Real Estate Holdings, LLC
Name: Robert W. Smith
Address: 117 Hidden Glen Way
Company: Southport Construction Corporation
City: Dothan State: AL
Zip Code: 36303 Fax:
Phone No.
Address: 1782 Calumet Street
City: Clearwater State:R_
Zip Code: 33765 Fax:
Phone No. 727-441-1813
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
suzanne.lasky@spoonstructon.com or
E-Mail:®.r m
State or County License: CGC1512872
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
LE:
SUPPLEMENTALCONSTRUCTION LIEN.LAW INFORMATION:
Name: R. Wulbern Architect PA Robert C Wulhem (A4-0009431)
Address: 4454 Swilcan Bridge Lane
City: Jacksonville State: F_
Zip: 32224 Phone 904-329-2510
FEE SIMPLE TITLE HOLDER: _s/ Not Applicable
City:
Zip: Phone:
MORTGAGE COMPANY: __V Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _NotApplicable
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 wit�*nder or an attorney before
as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA-�% �.`' nQ STATE OF FLORIDA/—/
COUNTY OF V —C "� COUNTY OF . Oc t C
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Type Identi5yn {�
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Commission
DAWN
EXPIR98: Me= 22.2021
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