Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,��11 ) Date: Y i l 9-g/�"l Permit NuV? er: 12_0r7, ©y ` ` IRVIN�i ' 6 Building Permit Applicati n a"-' lc-- Planning and Development Services Permitting D e p a rtm e n t Building and Code Regulation Division St. Lucie �Ount ' �L 2300 Virginia Avenue,Fort Pierce FL 34982 Y Phone: (772)462-1553 Fax: (772)462-1578 Commercial XXX esl e PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION , Address: 5500 Saint Lucie Blvd. Fort Pierce, Florida 34946 Legal Description: 30 34S 40E 30 34 40 SW 1/4 of SW 1/4-Less a strip of land on a Being 331.2 Feet on N LI &333 Feet on S LI (or 322-2003) Property Tax ID#: 1430-331-0002-000/5 Lot No. — Site Plan Name: Road Runner Travel Resort Block No. Project Name: {' Setbacks Front_ Back: Right Side: Left Side: DETAILED DESCRIPTION'OF WORK L r pCI�cw&' polki6l fix/ ©�c rI>r�way 8�r�c 1 S`���' `Iw'/�.� Cull C4 r-ate -T0 J>✓° CONSTRUCTION_INFORMATIbN t Additional work to be performed under this permit check all appy: HVAC .Gas Tank Gas Piping Shutters ❑Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: // S . Ft. of.First Floor: Cost of Construction:$ s.- tl(ri Utilities:Sewer Septic Building Height: OWNER/LESS.EE CONTRACTOR: Name Marilyn Minix Name: Lori Williams Address: 5500 Saint Lucie Blvd. Company: D & M Concrete Constuction Inc. City: Fort Pierce. ..... ._, ._.._. _ State: FI Address: 331 Sunrise Dr. Zip Code: 34946 Fax: (772)464-0987 City: Fort Pierce State: FL Phone No. (772)464-0969 .Zip Code: 34945 Fax: E-Mail: sean@roadrunnertravelresort.com Phone No. (772)465-4355 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: #24764 If value of construction,is$2500 or more,a RECORDED Notice of Commencement is required. l r .SUPP,LEMENTQL CONSTRUCTION LIEN LLAW INFORMATION DESIGNER/ENG. !NEER: 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 Noti encement. avo 1111C �..—. 5 _Signature of Owner/Lessee/Agent (9S Signature of Contractor/License Holder � x �2 STATE OF FLORIDA a STATE OF FLORIDA COUNTY OF G oet e m �' I COUNTY OF oma _ The fooin instrument was acknowledged befor v The forgoing instrument was acknowledged before me this/ day of d 20/�by this is?day of > y 20 f by ' . (Name of person acknowledging) a�•'` (Name of person acknowledging) ' i "" 11 Si nat re of Notary Public-State of Florida} (Signature of Not Public-State of Florida) ( g Personally Known OR Produced Identification Personally Known ill OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No. rr 9:3 (Seal) ymTMA, A MY COMMISSION#FF231S10 Revised 07/15/2014 p " EXPIRES:1e29,2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS