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HomeMy WebLinkAboutBuilding permit application i ALL APPLICABLF INFO MUST BE C LETED FOR APPLICATION TO BE ACCEPTED rh �/ (� Date: Permit Number: �l l- 0 ; 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 IMPROVEMENT LOCATION: Address: 5500 Saint Lucie Blvd. Fort Pierce, Florida 34946 Legal Description: 30 34S 40E 30 34 40 SW 1/4 of SW 1/4-Less a strip of land on a Being 331.2 Feet on N LI &333 Feet on S LI (or 322-2003) Property Tax ID#: 1430-331-0002-000/5 Lot No..- Site Plan Name: Road Runner Travel Resort Block No. Project Name: I Setbacks Front Back:�0 Right Side:�, �) Left Side: [DETAILED DESCRIPTION OF WORK: Remove grass, form and pour concrete 4 inch deep with 3000 psi fibermesh concrete aprox 640 square feet as per plan. CONSTRUCTION INFORMATION: Additional work to e orme under this permit-check a apply: E. 11HVAC o Gas Tank ❑Gas Piping _Shutters a ',Windows/Doors Electric ❑_Plumbing Sprinklers E Generator 11 Roof Total Sq. Ft of Construction: `'( S . Ft.of First Floor: Cost of Construction: $ s�-U� Utilities:cnSewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Sean-Minix-,- Lori Williams ;fVame' :Narr�e' Address: 5500:;_Sa'int Lucie_BI`vd:,: :' Company: .D..&.M Concrete Constuction Inc. -City: Foifi Pierce State: FI Address .331 Sunris,p Dr: p 34946 772 464-0987 City:-Forf.Pierce` State: FL Zi Code. Fax: ( ) Phone No. (772)464-0969 Zip Code: 34945 Fax: E-Mail: sean@roadrunnertravelresort.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. I 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 first inspection. If you intend to obtain financing, consult with,lender or an attorney before commencing work or recording our Notice of Commencement. Y , W'X'L� 9J2A_ 4m_t' W s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA / STATE OF ri G/1� COUNTY OF FLORIDA COUNTY OF ST L U c t->°(� The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this }�da of 20?Db this Z day of G( ZD l y ©�� _ y / y � , 20 by Lov-il 631 1hgY-5 (Name of person acknowledging) (Name of person acknowledging) �n (Signature of Notary Public-State of Florid (Signature of Notary Public-State of Florid ) Personally Known OR Produced Identification Personally Know OR Produced Identification�I Type of Identification Produced Type of Identification Produced Commission NoGA Qq^ aqa "i�' of Florida* « 1� ( public Stab of Florida mmission Noto awdy �P t 4h Keryn G Drawdy s spy erdmlutn GG 282585 My ommisoon GG 292585 1?l 11`11*0211112023 1162 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS