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Building Permit package
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED do, Date: 7-16-2021 Permit Number. RECEIVED Building Permit Application JUL 2 8 2021 Planning and Development Services at,iueie Cunt Building and Code Regulation Division Perm6nq 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial xxx Residential PERMIT APPLICATION FOR: Concrete 'P OPOSED �R ,IMPROVEMENT LOCAThON 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. -P-3 D Site Plan Name: Road Runner Travel Resort Block No. Project Name: Setbacks Front Back: Right Side: Left Side: aDETAILED`D�ESCRIPTION Remove grass, form and pour concrete 4 inch deep with 3000 psi fibermesh concrete aprox 1810 square feet as per plan. .fig, rnr2 v' a IMW6 C®NSTRUCTIQN INFORMATION Additional workto b e er orme`� un der t is permit-c eck a apply: ❑HVAC Gas Tank _ Windows/Doors — ❑Gas Piping g Shutters ❑ 11Electric 1:1 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: //I © S . Ft, of First Floor: Cost of Construction: $ 1�0d0 Utilities:cn Sewer Septic Building Height: O\NNER/LESSEE < ' „' CONTRACTOR ; � '+ �,.. _. Name Sean Minix Name: Lori Williams Address: 5500 Saint Lucie Blvd. Company: D & M Concrete Constuction Inc. City: Fort Pierce ' State: F1 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@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 1f value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION L°IEgN'`LAW INEFx ORMATION 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 recoxding your Notice of Commencement. _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA v�i� STATE OF FLORIDA COUNTY OF ST L COUNTY OF The forgoing instrument,was acknowledged before me The forgoing instrument was acknowledged before me this _17 day of fJ o L!/ , 20 2 tby this 2 2- f day of J 0 j ,20 "by Lc,,; W► l G m- Lour-J 1 l 1 qrVN5 (Name of person acknowledging) (Name of person acknowledging) (Signature o Notary Public-State of Florida) (Signature of N ary Public-State of Florida) Personally Known OR Produced Identification Personally Known v OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No.� �'1 ( eal mmission No. 3 �tl NJ&"I blic State of Florida sty_ Nota Public State of Florida r° Ke G Drawdy Karyn G - 6- y a _ My C rr jsaion GG 292585 My rommNa a Expires 02/11/2023 or w Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i ROAD in front of P-30 East 32' Concrete must be a minimum of off 5' from your left property lot line. I, Sean Minix owner of the Road Runner Travel Resort give permission to install concrete on P-30 with the req irements fisted above and have pr p red t 1 t plan. 22 A 4-�� Sean Minix 16L2021 Scale 1" = 10' North ♦- 80' 0 Serwer connection is 1/2 inch lower than concrete and 4 feet from 2 foot bump out 24' Electric box is 20 feet from west driveway ,0 GYP�� CYNTHIA BAKER MY COMMISSION#GG366608 �FOF, EXPIRES:August 18,2023 �a- OAD in front of P-30 �1 I a RECEIVED West JUL 2`8 7.0''1 ST. Lucie County, Permitting