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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: 12118115 Permit Number:
E � ".,..,.:
wilding Permit Application DEC 2 3 2015
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: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: Florida Turnpike Service Plaza(Mile marker 144)
Legal Description: SEE:ATTACHED
Property Tax lD#: -7I- 0 GCS l -C1Cos Lot No.
Site Plan Name: Ft.Pierce Turnpike Plaza Block No.
Project Name: Florida Turnpike Ft. Pierce Turnpike Plaza
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of the existing 2,123 sf south fueling station.
CONSTRUCTION INFORMATION:
AciditionalworKtobanefformed under this perms —check all that appy:
DHVAC Gas Tank []Gas Piping _Shutters Windows/Doors
Electric Plumbing []Sprinklers Generator Roof
Total Sq.Ft of Construction: 2128 SQ FFtt..of First Floor:
l0cluded In Permit 1307.0228 i ! (�
Cost of Construction: 2,fD40. �l_ Uti}ities 1.,�5ewer L=!Septic Building Height:
OWNERAESSEE: T� CONTRACTOR:
Name AREAS USA FLTP.LLC ./ .e"Go %me: Frank Villar
Address-5301 Blue Laqoon Dr..Suite 690 Company: OHL Building Inc.
City.. Miami State: FL Address: 7-051 12th Street
Zip Code: 33126 Fax: city: Miami Stater
Phone No.305-790-2422 Zip Code: 3$132 Fax:
E-Mail' steve.herrmannrcilareasmail.com Phone No.3051 994 9901
Fill In fee simple.Title Holder on next page(if different E-Mail: p_yrieCohlbuilding.com
from the Owner listed above) State or County License: CCC 1521229
if value of construction Is$2SUi!or more,a RECORDED Notice of Commencement Is required.
s.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _X_Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: -State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable
Name: Name: AON (via Travellers)
Address: Address: 390 North Broadway
City: City: Jericho New York
Zip: Phone: Zip:. 11753 Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
StLucie County makes no representation that Is granting a permit will authorize the permit holdertobuild 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 f
improvements to your property.A Notice of Commencement must be recorded and posted onthe i
before the first inspection. If you intend to obtain financing,consult with le der or an attorney e
commencing work or recording your Notice of Commencement.—
Signature of Owner/Lessee/Agent atu f CbritYactorlucense Holder
STATE OF FLORIDA STATE FLORID
COUNTY OF 056604A COUNTY O %ADE
The forgoing instrument was acknowledged before me Th forgc Ing strume as.*kno)vledged before me
this Z day of-br-,-CH 86 tZ 20 L�Eby t is A2day f 20 y
MAIZIC-1-Ld -7-ANIGOC141
Sign r1f C m ctor/License Holder
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STATE+OFL RI�DA
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(Name of person acknowl WRIELLA EVELYN TANIGLICH l9kTehf person acknowl MARTHA M.LOPEZ
ow NOTARY PUBLIC Notary public-state of FIWM
Commission 0 FF 20030
STATE OF FLORIDA my comm.t%pites Jun 24.201
--mN R;92202 I Ass
,19ignature o 0-—a ubt RW 9'/-2—&P201 9 (Signature of Notary Publi V1. to
Personally Known "" OR Produced identification Personally Known OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. i2:2_ Z1 (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS