HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST eE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/7/2019
r.
COUNTY
lF L O R t D A..._
Permit Number: 1907-0047
Builrliits Permit ApplicatQbrOANNED
Planning and Development Services BY
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: ..(772)462-1578 Commercial_xxxxx Residential
' PERMIT TYPE: Interior alterations
FPROPOSFG ItviPROVEMENT LOCATION: RX Area Entire store Refresh
Address: 4780 N. King Highway Ft Pierce, FL
Property Tax ID #: 1313322-0002-000.7 • Lot No.
Site Plan Name:
Project Name: CVS Pharmacy Inc #5151-01
I DETAILED DESCRIPTION OF WORK:
RX 8 ReFresh ComDlete store
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
`zechanicai Gas Tank _Gas Piping _Shutters _Windows/Doors
'NfElectric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 10,908 Sq. Ft. of First Floor: 10,908
Cost. of Construction:$ 120,006.00 Utilities: x Sewer _Septic Building Height: 39'
OWNERJCESSEE CVS 5151
CONTRACTOR,
Name CVS # 5151
Name:
Address: CVS 1 CVS or
Company Awesome Construction,
City: Woonsocket State: RI
Zip Code: 02895-0000 Fax. 407-303-0639
Phone No.40T-322-6841
Address:3766 NW 124thAvenue
City: Coral Springs State: FL
Zip Code: 33065 Fax: (866) 201-7222
Phone No (9554) 345-6776
E-Mail: swatt@cphcorp.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail'Cpk43tIlR�a,Lk)PSomeotlfl�
an•[
State or County License C (71ta 5'071 t , 3
If value of construction is $2500 or mare, a, RECORDED Notice of Commencement: is required.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name: BbotxtAm
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 60014'mtFenon Stteet
Address:
City: Sentaa State: FL
Zip:32m Phone407-322-6841
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x 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 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 Iwill, 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
"YARNING TO GWIOEI.: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR I€ rElOVEMEM TS TO YOUR PROrEPTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED OW ThE JOR SffE BEFORE THE FRR25f INSPECTION. IF YOU INTEND TO OBTAIN .FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINEi UR OTICE OF COMMENCEMENT."
- Signature of Owner esse@ Contractor as Agent for owner
Signature of Contractor/License Holder
STATE OF RHODE ISLAND
STATE OF FLORIDA
/
COUNTY OF Providence
COUNTY OF J3 l7St
C)Q(CX
The forgoing instrument was acknowledged before me
The fo Ding instry(nent was
acknowledged before me
this 13t}tfay of August
.2o 19 by
this day of d;J_
.20,]a by
Matthew Giacchi
Name of person making statement.
a of person making statement.
Personally Known X OR Produced Identification
Personally Known f� OR Produced Identification
Type
/
Type f
Pjk�c�dent`ification t
N N kv
`,``tt`t%YIII1111 `''
dentification
y. Qct':�t55ip
( ature of o ary -fate of &h @,%1246LIC W g
(Signatb a of Notary P b' -
katle of Florida)
Commission No. 762612
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%.y ea :?8.2 �'\yv`�.?
Commission No. _
t d EUZABETHJ
' n'q�eaQ�m GGALfLgE3l�,
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m Expires FabNaryB,
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. L/!/lY
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J
Date: 9 � G Permit Number: III
SCANNED RECEIVE
�BY
• St Lucie County JUL 0 2 2019
Building Permit Application
Planning and Development Services ST. Lucie County, Permit
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XXXXX Residential
PERMITTYPE: Interior alterations
PROPOSED IMPROVEMENT LOCATION: RX Area Entire store Refresh
Address: 4780 N. King Highway Ft Pierce, FL
Property Tax ID #: 1313-322-0002-000-7 Lot No.
Site Plan Name:
Project Name: CVS Pharmacy Inc #5151-01
DETAILED DESCRIPTION 'OF WORK:
RX & ReFresh Complete store
Block No.
1,CONSTRUCTION INFORMATION: = ;
Additional work to be performed under this permit -check all that apply:
mechanical Gas Tank, _Gas Piping _Shutters _Windows/Doors
Electric JPlumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 10,908
Cost of Construction: $ 120,000.00
Sq. Ft. of First Floor: 10,908
Utilities: x Sewer _Septic Building Height:39'
OWNER ESSEE CVS 5151
CONTRACTOR;
Name CVS # 5151
Name: HQa% Pe%ex$
Address: CVS 1 CVS or
Company: GLR , Inc
City: Woonsocket State: Ri
Zip Code: 02895-0000 Fax:407-303-0639
Phone No.407-322-6841
Address: 3-795 Wyse. Rd.
City: 1]aV�11 State:OF1
Zip Code: 45414 Fax: 93-1`e[90 -3094
Phone No 9S1-890-n510
E-Mail:swatt@cphcorp.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail heathC@�\rinc•net
State or County License C$CA5`1"102
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVACis $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN. LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Bing Liu.AIA
MORTGAGE COMPANY: x Not Applicable
Name:
Address: soO west Fulton street
Address:
City: Sanford State: FL
Zip: 32771 Phone 407-322E841
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x 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 coNict 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:"
ignature of Owner esse Contractor as Agent for Owner
Signature o se Holder
STATE OF RHODE ISLAND
STATE OF fLeRtB*OhiO
COUNTY OF PROVIDENCE
COUNTY OF Mciy%lanm"
The ng instr was acknowledg efore me
th' yOf. 20Eb
The forgoing instrument was acknowledged before me
this 31Sfday of MB�� 20A by
Nip�V*
Matthew Giacchi
```````N%\u1YININ
.•cam•
Name of person making statement. �: OtD �;•• .4
V NOTARp *'. ftt
jJame of person making s atement. %%%";iSONG.
S 3.N1 AgpA
Personally Known OR Producei3ldel.�fic�tnw ma
-1. /�/
Bersonally Known ro uc� 4 t t,. y
Type of Identification B U ' VBLt
3ype-ef4clearifiEation
Pro u d 2
produced c °
F
lgn6fiuir6 JMiaYy P blic- aofZetide-) 09
(Signature of Notary li-State ffiortAa,,�ttVAX9I%'CsL.%%'
Commission No. 762612 (Seal)
Commission No. 9/3f20 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19