HomeMy WebLinkAboutBuilding Permit ApplicationE
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J��� Permit Number: 5,
y
RECEIVED
- Building Permit Application
. Nov 2 j 2019
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 Residential X
PERMIT TYPE: Covered Patio on Existing Concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 5500 St. Lucie Blvd. Lot P-2
Property Tax ID #: 1430-331-0002-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Covered Patio on Existing Concrete
CONSTRUCTION INFORMATION:
Lot No.
Block No.
u y. v�S�,) Gc,-i-f.cQ r D o� ��e_Q_ - f'tl ��✓l I i
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _ Wi doves/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator oof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sr z
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Road Runner Travel Resort LLC
Name: Gary Whigham
Address: 5500 Saint Lucie Blvd.
City: Ft. Pierce State: _
Zip Code: 34946 Fax:
Phone No.
E-Mail:
Company: South Florida Aluminum Products
Address:4807 So US Hwy 1
City: Ft. Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0699
E-Mail sfapbooks@soflalum.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CRC1330712
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN, LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: FAP1 I,q -✓M 44 /Nc.
Address:5ggo
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: „ rY+Pn-
Zip: �3 -Phone _TJ3-9ZY
State: F.-
-,AVQ3
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 YPUOROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED N THE JOB SITE BEFO E E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT"ArO R LENDER OR AN ATTO EY BEFORE RECORDING YOUR NOXW OF COMMENCEMEENT."
45��
ure of Owner Lessee Contractor as —Agent for Owner
Sig o ense Holder
STATE OF FLORIDA /
STATE OF FLORIDA
2;—A Z UCi �P
COUNTY OF Gy _I
COUNTY OF
The fo Ing instru e t was acknowledged before me
The for oing instrument was of knowledged before me
this ay of _im 204 by
this day of J *,)a, ,VYI, I2Pn , 20d by
w ►
�� �`� w ham,
_
Name of pers n making statement.
Name of person m ing statement.
Personally Known OR Produced Identification
Personally Known V/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
( ignat a Notary Public- to n�f Fl�r��
(Sig
_
ti�a ALB ., M PZY ANN MATONT!
:?a•P" °° RY ANN MATONTI
Commissi °N �,�oe,ecl(�,N F )3S
Com
i s MY COMMISSION # FF9531�G
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EXPIRES January 24, 2020
EXPIRES January 24. 2020
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19