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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE CG,4", ETED FOR APPLICATION TO BE ACCEPTL';U—' Date: Permit Number: r - - — — - RECEIVED Building Permit Application OCT 1.5. Zozo Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XXX Residential PERMIT APPLICATION FOR: PRO;POSED..IMPROVEMENT 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. :5 ` 7 e Site Plan Name: Road Runner Travel Resort Block No. Project Name: Setbacks Front Back:. sight Side: Left Side: DETAILED. DESCRhPTION OF WORK. F,�*rm­ cf- 3 0 60 `CO.NSTRU,CTIO:N I,N.FORIVIATION: x dclitional work to be nertormed under this permit —check a pp y: a _ M E:IHVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors LJ Electric ❑ Plumbing OSprinklers Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ [�C/Q Utilities: _ Sewer Septic Building Height: OVUIER/LESSE'E: CONTRACTOR: Name Marilyn Minix Name:- Lori Williams Address: 5500 Saint Lucie Blvd. Company: D; &.M Concrete Constuction Inc. City: Fort Pierce 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: (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: liftle4bit331@yahcio.com 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. _ CONSTR'UCYi-LM" LIEN LAW DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: _ Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 vour Notice of Commencement. s Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA �� Ly c l -e COUNTY OF STATE OF FLORID COUNTY OF f C. oerl:5, The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of ©Cr 20 9n% this day of I C3GT , 20 20 by z6r.? -.,f Z'a� (Name of person acknowledging) (Name of person acknowledging) Fo� A��& '41—lo ( ignature of Notary u c- tate of Florida) (S gnature f Notary Public- S to of Florida) Personally Known OR Produced Identification ersonally Known OR Produc d Identificationy Type of Identification Produced N e of Identification Produced L Commission No. �Q.`b�o`a�83•�131 o ission No. (Seal) Q;p -\aa' GG ��Q RF 0 Q�C �{1 i• Revised 07/15/2014 Z 's- �� Feb \yPLe�;�,s�somc��o�c��s9oe ;r, 01 \Ijj111\\REVIEWS FRONT NE SUPERVISOR PLANS VEGETATI n;g `E. MANGROVE COUNTER VI/ REVIEW REVIEW REVIEW IEw REVIEW DATE COMPLETE INITIALS