HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/24/2020 LzLpplicationq.
Permit Number:
CANNED
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 5500 ST_LUCIE BLVD SECTION H-5
Legal Description: 30 34 40 SW 1/4 OF SW 113 LESS ASTRIP OF LAND ON E BEING 331.2 FT ON N LI
AND 333 FT ON 5 LI(OR 2947-659:3111-1969)
Property Tax ID#: 1430-331-0002-000-5 Lot No.
Site Plan Name: MR AND MRS VOLKMAN Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side-
INK951 014. 1- No"W- Rom
ADDING SIX RECEPTACLES, TWO SWITCHES AND TWO LIGHTS IN REBUILT ENCLOSURE
ROOM ATTACHED TO MOBILE HOME.
ACICl
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itiona wor o e e orme under t ispermit—c ec a apply:
HVAC Gas Tank [—]Gas Piping _Shutters E]Windows/Doors
...{ p
ZElectric 0 Plumbing ❑Sprinklers I�1 Generator Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2,300.00 Utilities Sewer Septic Building Height:
KIMf..
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. 772461-1951
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: ECO001963
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 TITLEHOLDER; _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 ail 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,wails,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 recordin your Notice of Commencement.
Signature of Owner/Lessee/Agent Signature of Contract r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF sT.LuciE
Theo oing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this day of b, ,0_ 20,-by this day of , be -.20 QQ by
CKRISTOPHER W.RICHMOND. CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
"*N _' Al2
(Signature of Notary Public.State of Florid (SI ature of Notary Public-State of Flare)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced ___ Type of Identification Produced
Commission No. ommission No.G 3��+
ems• Notary Public$taut of ftwis ' NPaary Public Stat®of FIotSCd
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS