HomeMy WebLinkAboutbuilding permit section c ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 24,2018 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
PERMITAPPLICATI0N FOR: To Select from dropbox. click arrow at the end of line
PROPOSE4kMPROVEMENTLOCATION:
Address: 5500 ST. LUCIE BLVD
Legal Description: 30 34 40 SW 1/4 OF SW 114- 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: SECTION C Block No.
Project Name: ROAD RUNNER
Setbacks Front Back: Right Side: Left Side:
K:
REPLACE JAWS IN EXISTING METER CAN.
CONSTRUCTION INFORMATION:
Itlona workto e e orme un ert Is permit-checka appy
❑�I :
HVAC 11Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
ZElectric ElPlumbing Sprinklers 1:1Generator ®Roof
Total Sq. Ft of Construction: SQI�Ft.of First Floor:
Cast of Construction: $ 150000 Utilities:Cn Sewer ElSeptic Building Height:
E: CONTRACTOR:
Name ROADRUNNER TRAVEL RESORT. LLC. Na,,: CHRISTOPHER W. RICHMOND
Address: 5500 SAINT LUCIE BLVD Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34946 Fax: City: FORT PIERCE State:FL
Phone No. Zip Code: 34982 fax: 772-461-1907
E-Mail: Phone No. 772-461-1951
Fill in fee simple Title Holder on next page(if different E-Mail: DE:ANA@RICHMONDELECTRICINC.COM
from the Owner listed above) State or County License: EC0001963
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State:_ City: state:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 concurrenry 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 our Notice of Commencement.
_Signature ofOwner/Lessee/Agent Signature of Contr ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUPF COUNTY OF SIT Lucre
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of�/r/ 201 eby this Zy day oI / .20 L by
CHRISTOPHER IN RICHMOND CHRISTOPHER W RICHMOND
(Name of person acknowledging I (Name of person acknowledging I
ll AQwn AI
(Signs ure of Notary Public-State of FI a Iature of Notary Public-State of FI da I
Personally Known x OR Produced Identification— Personally Known x OR Produced Identification—
Type of Identification Produced Type of Identification Produced
Commission No. FF VCommission No. FF9P9P
NOuiry PUI Suite a FbrMa �n Notary PUric Suite OI FRxM
Deana M Daiky P Deena M Deiky
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Revised 07/15/201 w Exlxrx 0ln312019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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