HomeMy WebLinkAbout5500 St lucie Blvd P8ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 12126t17 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2j00 Virginio Avenue, Fort pierce FL 34982
Phone: (772) 462-1553 Fax: (tl2) 462-1,578 Commercial Residential x
Legal Description:
Property Tax lD #:
Site Plan Name:
1 430-331 -0002-000-5 Lot No.
Block No.
Projerct Name:
Setbacks Front Back Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
J2 TCIN 14 SEER 5 KW PACKAGE A/C SYSTEM
r rs perm
Eltuo.
f]r,".,,,.
Gas Tank l-lcas Riping S h utte rs
Generator
[-l *,noo*s/DoorstrPlumbingSprin klers tr l-l noor t] Roorpitch
Total Sq. Ft of Construction:Sq, Ft. of First Floor:flnUtilities: I lSewer I lseptic Building Height:Cost of Construction. S 4085.00
PEFIMITAPPLICATION FOR: Mechanical
PROPOSED I.M P,ROVEMENT LOCATION :
Address: 5500 ST LUCIE BLVD p-8
COI\ISTRU CTION I N FOR MATION :
lf value of construction is $2500 or more, a RECORDED Notice of Corr"n."r_o,t i, 1."quir"d.
DTTAILED DESCRIPTION OF WORK:
OWN ER/LESSEE:CONTRACTOR:
1136p ROAD RUNNER TRAVEL RESORT LLC
Address:5500 ST LUCIE BLVD
cir'' FT PIERCE
7in r'nA^. 34946
phone 11s. (((RICHARD CREWS 722-971-4903)))
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CtllRlS LANGEL
Company: !E4 sor9]49
Address: 3108 INDUSTRIAL 31st STREET
City: FT F'IERCE State: FL
Zip Code: xM9__ pur' 772-4ei6-3053
phone \1s. 772-466-2400
E-Mait: DANISEACOASTAIR@AOL.COM
State or Countv License: CMC03S421
SUPPLEM ENTAL CONSTRUCTION
DESTGNER/ENGtNEER:
Name:
Ad d ress:
City:
Zip: Phone
_ Not Applicable MORTGAGE COMPANY: Not Apolicable
Name:
Add ress:
City:State:Zip: Phone
FEE SIMPLE TITLE
Name:
HOLDER: _ Not Applicable
Add
City
7ip:
ress:
Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
I certify that no work or instaf lation has commenced prior to the issuance of a permit.
St.. Lucie County makes no representation that is granting a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with any dpplicable Home owhers As5oclation rules, bviiwi-;i;;d;;vA;;;i;ih;t m;v restr'rci;iirro-tii6it sucnstructure' Please consult With'your Home owners AsioCiatfon anO Gvi6w'voilr de;d'foiany'resiriitirins i'ihi;h'm;y ;riply.""
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approyed plans, the Florida Building Codes and 5t. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimmilE pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
: lour failure-to Record a Notice of Commencement may result in your paying twice forproperty. A Notice of Commencement must be recoided and losted brr-the jobsite
iop, lf you intend to obtain financing, consult with lender or an attornev bef6re
com menctng worK or record in r Notice of Commencement.
Revised 0711512014
STATE OF FLORIDA
COUNTY OF srLUcrE
Signature of Owner
ef,nrs rnrucel
Type of ldentification Proouce
comnrission [\9, FFs6145e
Produced ldentification
STATE OF FLORIDA
lluit[i:w;liti"J.''
(Name of person acknowledging )
ignature of Notary Public- Stafe of Florida )
ally Known x OR Produced
of ldentification Pr
orteu15"*o*tliPi, EEFPf{ff, -' --^^r,,rgtsstu'l$gp[) 2920
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