HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 20, 2017 Permit Number:
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5500 SAINT LUCIE BLVD
Legal Description: 30 34 40 SW 1/4 OF SW 1/4 - LESS ASTRIP OF LAND ON E BEING'331.2 FT ON N LI AND 333 FT
ON S LI (OR 2947-659: 3111-1969)
Property Tax ID #: 1430-331-0002-000-5 Lot No.
Site Plan Name: ROAD RUNNER TRAVEL RESORT LLC Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING OVERHEAD SINGLE PHASE 120 - 240V 600A SERVICE AND METERS.
REFEED FROM UNDERGROUND.
Additional work to be ertormed
❑ HVAC Gas Tank
under this permit — check all
F]Gas Piping
j appy:
u Shutters
Ll Windows/Doors
❑✓— Electric ❑ Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 2380.00
SFt. of First Floor:
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROAD RUNNER TRAVEL RESORT, LLC
Name: CHRISTOPHER W. RICHMOND
Address: 5500 SAINT LUCIE BLVD
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No.
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
IT value OT construction is $ZSUU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: 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:
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 cbncurrency 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 vour Notice of Commencement.
s
_ Signature of wner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST.LUCIE
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ZD. day of :t _,-' _ 20174- by thisW day of MA- 20 by
CHRISTOPHER W. RICHMOND CHRISTOPHER W RICHMOND
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Floga )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF
Revised 07/15/201
Notary 6131ai tate of Floricla
Deana M Dailey
My Commission FF 909099
(Signature of Notary Public- State of Flo
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF 9090 ra Notary ]State of Florida
N , c: Deana M Dailey
o` My Commission FF 909099
or f,o xpires 01:17 Ulu
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS