HomeMy WebLinkAboutBuilding permit app I
ALL APPLICABLE INFO MUST BE C PLETED FOR APPLICATION TO BE ACCEPT
Date: Permit Number: V v pCr C�
DOV
m
P
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 XXX Residential
PERMIT APPLICATION FOR: Concrete
PROPOSED IM:P�R@�UQM,ENT LOCATION:
Address: 5500 Saint Lucie Blvd. Fort Pierce, Florida 34946
Legal Description: 30 34S 40E 30 34 40 Beg at SE Cor SW 1/4 of SW 1/4 Run W on S li of SD SW 1/4 of SW 1/4
333 Feet, Th N to PT on Li of SW 1/4 of SW 1/4 331.2 feet W of NE Cor of SW 1/4 Continued on Tax Roll
Property Tax ID#: 1430-331-0001-000/8 Lot No.
Site Plan Name: Road Runner Travel Resort Block No.
Project Name:
Setbacks Front Back: _Right Side: 2 Left Side: _
DETAILED DESCRIPTION OF WORK:
Remove grass, form and pour concrete 6 inch deep with 3000 psi fibermesh concrete 22' by 63.'
with ada approved sloping on driveway.
CONSTRUCTION INFORMATION:
Additional work to bfjrformed under this permit—check a apply:
E1HVAC _Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ Co- Utilities: Sewer F—]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Sean Minix Name: Lori Williams
•-Addresss: 5500-Saint-Lucie Blvd. Company: D & M Concrete Constuction Inc.
_ _ -
•City: Fort`Pierce :';,.' State: F� 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: (772)468-8667
E-Mail: sean@roadrunnertravelresort.com Phone No. (772)465=4355
Fill in fee simple Title Holder on next page(if different E-Mail: little4bit331@yaho.o.com
from the Owner listed above) State or County License: #24764
i
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
I