Loading...
HomeMy WebLinkAboutBuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n1 Dater r Permit Number: ��� _ ti _- 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 I PERMIT APPLICATION_ FOR: Concrete Q 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 114-Less a strip of land on a Being 331.2 Feet on N LI &333 Feet on S Ll (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- 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 De r3ertormed under t ispermit—check all appy: E1HVAC Gas Tank,' ank ❑Gas Piping _Shutters a Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: J D� S . Ft.of First Floor, Cost of Construction:$ Utilities:Sewer Septic Building Height: OWNERf LESSEE: CONTRACTOR: .Name;Sea.n Minix Name: Lori Williams rAddress: 55MSaint Lucie:Blvd:' Company:' D & M..Concrete,Constuction Inc. City:`°Fort-Fierce 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@roadrunnertraveiresort.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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 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 fi inspection. If you intend to obtain financing, consult with lender or an attorney before commenci w rk or rec9rding your Notice of Commencement. _Signature of Owner essee/Agent Signature9 Contra cto Icense Holder STATE OF FLORIDA ( STATE OF FLORIDA COUNTY OF y 0C l`e COUNTY OF 57r L yC'�-e The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this /Zday of Gf` 20 zG�y this day of ©�_ 20 20 by t (Name of person acknowledging) (Name of person acknowledging) a.v (Signature of Not\aryl Public-Sfate'of Florida ) (Signature of Notary y'Public-State of Florida ) Personally Known OR Produced Identification Personally Known � OR Produced Identification Type of Identification Produced Type of Identificaattiioon� cPrroduced Commission NO. mmission NO'ClQ Np � jcSteteofFloride ri Notary Public State of Florida M ryn G Drawdy �• Ka G Drawdy fiAy Commission GG 2925f35 Revised 07/15/2014 +mow Ems'°2 12"o2a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE _ COMPLETE INITIALS