HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr•�
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dated 9I1 11,0\ Permit Number: N * 09 - 0011
bUANNED
BY Lon
ECEIVED
St. Lucie Connfii, P 0 6
Building Permit ApplicatPlanning and Development5ervices e County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Building l v
PROPOSED IMPROVEMENT LOCATION:
Address: 3163 Hammond Road, Fort
Florida 34946 -C
PropertyTax lD #: 1430-311-0002-000/3 Lot
Site Plan Name: Missionary Flights International - Phase 3 Block No.
Project Name: Missionary Flights International - Phase 3
DETAILED DESCRIPTION OF WORK:
new cottages at Missionary Fliqhts International RV Park
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply: /
J/Mechanical //Gas Tank _Gas Piping _Shutters Windows/Doors
Yl Electric V Plumbing _SSpptriinklers _Generator V/V Roof :l2 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: /I 077. D 0
Cost of Construction: $ &�O0 000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Missionary Flights and Service, Inc.
Name: Douglas Davis
Address: 3170 Airman's Drive
Company: Richard K. Davis Construction Corp.
City: Fort Pierce, Florida State: _
Zip Code: 34946 Fax:
Phone No. 772-462-2395
Address: P.O Box 186
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-465-7665
Phone No 772-461-8335
E-Mail: joek@missionaryflights.org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail ddavis@rkdavis.com
State or County License CGC013084
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.rnt�� Q V15-
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SUPPLEMENTAL CONSTRUCTION LIEN'LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Garen Architecture +Design Inc.
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 6400 Congress Ave.
Address:
City: Boca Raton State: FL
Zip: 33487 Phone 581-961-4884
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
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 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ev.
Sign re caner/Lessee/Contractor as Agent for Owner
Signature o Contractor/License Holder
STAT OF FLORIDA``_ �`
STATE OF FLORIDA
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COUNTY OF `��F-
COUNTY OF c:• -
The for oing instrument as acknowledged before me
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The forgoing instrument was acknowledged before me
this day of 204 by
this�'dayof�-.er..Lx ,20 �S by
KC\C/J
Na of p n making statement.
Name of person aking/statement.
Pers Wally Known �OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary P
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Commission No. 3'✓�9
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