HomeMy WebLinkAboutBuildingPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q- / 3 - Zy 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 Residential X
PERMIT TYPE: Residential
PROPO�ED IMgPROVEMENT LOCATION:
Address: 5500 St. Lucie Blvd.
Property Tax ID #: 1430-331-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Road Runner Office Windows
DETAILED DESCRIPTION OF WORK:
Replace windows with impact. 6 openings
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,500 Utilities: —Sewer _Septic Building Height:
OWNED%,
CONTRACTOR"r.'.
Name Road Runner Travel Resort, LLC.
Address: 5500 St. Lucie Boulevard
Name: Ronald Kromhout
Company: Ronald Kromhout General Contractor, Inc.
City: Ft. Pierce Stater
Zip Code: 34964 Fax:
Phone No. 772-464-0969
Address: 4500 5th Place SW
City: Vero Beach State: FL
Zip Code: 32968 Fax:
Phone No 772-473-4597
E-Mail:Jessica@roadrunnertravelresort.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail kromhoutron@gmail.com
State or County License CGC 023856
n vawe or construction is >zSuu or more, a KLCUKDLD Notice of Commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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FEE SIMPLE TITLE HOLDER:
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BONDING COMPANY: Not Applicable
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 thepermit 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 IMPROYEMENTS 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Ccptractor as Agent for
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STATE OF FLORIDA"
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