HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-12-2019 Permit Numb r
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Building Permit Applicatio JUL 12 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue,Fort Pierce FL 34952 yr
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
1
Address: 5500 ST LUCIE BLVD
Legal Description: 30 3440 SW 114 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_ Block.No_
Project Name:
Setbacks Front Back: Right Side_ Left Side_
NO
REPLACE EXISTING SINGLE PHASE 600 AMP - 12/240V LIKE FOR LIKE.
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Additional work to m"Gas
orme un er t is permit—c ec a appy:
❑HVAC Tank Gas Piping Shutters L1 Windows Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq_ Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 600.00 Utilities:"nSewer 0Septic Building Height:
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Name ROAD RUNNER TRAVEL RESORT LLC. 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 siniple Title Halder on next page(if different E-Mail: DEANA@RICHMONDELECTRICINC.COM
from the Owner listed above) State or County License: EC0001983
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
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 Count 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,1 do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and 5t.Lucie County Amendments.
The following building permit applications are exempt from undergoing a foil 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
commencin work or recording our Notice of Commencement.
Signature of owner/Lessee/Agent Signature of Contra— cto—r/ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT.Lucie COUNTY OF S'.UuQs
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_tL day of 20by this.(_day oftit1 20 by
CHRISTOPHER W.RICHMQNA CHRI&TOPHF-R W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
/ b�"
r
(Signature of Notary Public-State of Florid (Signature of Notary Public-State of Fio '
Personally Known X OR Produced identification Personally Known.x OR Produced Identification
Type of identification Produced Type of identification Produced
Commission No.r-r?r1Commission No.�9r'9t� �
Notak$tate of F1.6dar
x° R Reana M Dailey ` Notary Public stagy of Fulda
< o ."Nsion FF 909098 Deana M Dailey
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q! Exptras t78/12/Zitt$
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR FLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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