HomeMy WebLinkAboutBuilding Permit Application ' I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/12/2018 Permit Number: ( �n �
Building Permit Application per�n;�t; r2?o�p
Planning and Development Services sr,4t
Building and Code Regulation Division e�Gv>ry'Anr
2300 Virginia Avenue,Fort Pierce FL 34952
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To'Select from dropbox, click arrow at the end of fine
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Address: 5500 ST. LUCIE BLVD
Legal Description: 30 34 40:5W 114 OF SW 114-LESS ASTRIP OF LAND ON E BEING$31.2 FT ON N
LI AND 333 I=T ON S LI(OR 2947-669:3111-1969)
Property Tax ID#: 1430-331-0002-000-5 Lot No.
Site Plan Name: ROAD RUNNER TRAVEL RESORT Block No,
Project Name: SECTION E
Setbacks Front Back: Right Side: Left Side:
INSTALL NEW 600 AMP SINGLE PHASE 120V/240V SERVICE FOR E SECTION.
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Wona wor t"ene"Irmed uncler t is permit—c ec a t at appy.
❑HVAC Gas Tank ❑Gas Piping. ❑Shutters ❑Windows/Doors
I�JElectric ❑Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1200.00 Utilities Sewer❑Septic Building Height.
MIR• t of� � �; '� •^
Name ROAD RUNNER TRAVEL RR-SORT,LLC: Name' OHRISTOPHER 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: DEANA@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.
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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 job-site
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 Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT.wcle COUNTY OF ST.LUCIE
The forgoing instr mens was acknowledged before me 'The forgoing instrument was acknowledged before me
this L day of 20/ by this l?, day of!�e_ ,204�f_by
CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND _
(Name of person acknowledging) (Name of person acknowledging)
Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced _ -Type of Identification Produced
Commission No. FF 609 . Notary(ifag State of Florida Commission No. FF 909099
IV Deana M Dalleyy yp "�' Notary Pubiie state of Florida
My Commission FF 906098 Deana M C1811e
aF!>r xp • ac Expir09 08117JPt)19 e0A099
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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