HomeMy WebLinkAboutbuilding permit SECTION M ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Data 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
T LOCAM
Address: 5500 ST.LUCIE BLVD
Legal Description: 30 34 40 SW 114 OF SW 1/4-LESS ASTRIP OF LAND ON E BEING 331.2 FT ON N U AND
333 FT ON S U(OR 291 3111-1969)
Property Tax ID N: 1430-331-0002-000-5 Lot No.
Site Plan Name: SECTION M Block No.
Project Name: ROAD RUNNER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 600A, 10, 120/240V SERVICE AND METER CENTER. REPLACE EXISTING
CONDUITS /WIRE TO SITES IN "M" SECTION (60A).
CONSTRUCTION INFORMATION:
IIa�rtJiona workto e e orme under t Is permit—c heck a app"
:
lL�HVAC Gas Tank ❑Gas Piping FFn�_Sh.. ❑Windows/Doom
LY IIElectric O Plumbing Sprinklers 1:1 Generator 11 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2400.00 Utilities: Sewer ElSeptic Building Height:
OWNER/
Name ROAD RUNNER TRAVEL RESORT,U.C. Name: 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: DEANAt@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 INFORMA
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 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 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 of Owner/Lessee/Agent Signature of Contr ct.,/Dcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.wCz COUNTY OF ar.cwie
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of r'/ 20/Lby this Z,�day of IWi / .20[L by
CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND
(Nam�e of person acknowledging) q (N ame of person acknowled_ggiiin�g,I
11
(Signature of Notary Public-State of Flor' ) ISignature of Notary Public-State of Flopora I
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF9090 Commission No. FF909X0 Nabry Pu°ICSUIep Flonae
Dana MDa PUM srero aFluW ikmaMDalley
Revised 07/15/201 ;ni_WI�201p gxgnI osnzr2o19
REVIEWS FRONT ZONING SUPERVISOR PLANS .VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW- REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS