HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date cNI9)i 1A SCANNED Permit Number:
St. Lurlpi7UW RECEIVED
• BuildingPermit A li ati
pp °�P 0 6 %�,9
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permltting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Building
Address: 3163 Hammond
Fort Pierce, Florida 34946
Property Tax ID #: 1430-311-0002-000/3
Lot No.
Site Plan Name: Missionary Flights International - Phase 3 Block No.
Project Name: Missionary Flights International - Phase 3
DETAILED DESCRIPTION OF WORK:
Building new cottages at Missionary Flights International RV Park
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
,Mechanical Gas Tank _Gas Piping _Shutters / Windows/Doors
/
J Electric ?Plumbing _Sprinklers _Generator V Roof :I7- Pitch
Total Sq. Ft of Construction: � ; Ob I I14z Sq. Ft. of First Floor: D 7 7 . DO
Cost of Construction: $ 1564 6 o a 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-Maii:-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.
301 \
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Claren Architecture + Design Inc. Name:
Add ress: 6400 Congress Ave. Address:
City: Boca Raton State: FL City: State:
Zip: 33487 Phone 561-961-4884 Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
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 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON TflE-JOJB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
'L WITH YOURENDEOR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature o ontractor/License Holder
Si t re Ow ssee/Contractor as Agent for Owner
STA E OF FLORIDA�^.,�! 1
COUNTY K
STATE OF FLORIDA p
COUNTY Z5� ; a
OF . I u11G1
OF 044c
The forgoing instrument was acknowledged before me
The for�ggoing instrument was acknowledged before me
this day of 20 by
thisJ"dayof h � .20_ by
1
Na o so ng statement.
Name of person making statement.
Personally Known V/' OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si atrt "$eilpta Pu ic, t p6 )
&i ��°�f I
(Signature of Nota u tcpS,tate of F g1Jidd1].IAMS
Notary Poblir State of Florida
;�o ��, N41
`. •. ' Commission N GG 047893
Commission No. • ; commislp@aa 099784
My Comm. Ores May1,t921
•_
Co o xpues_Nov 15, 2 I)
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BUtlNMruU Aati.rzlAGxry ASN'.
''aF of �,�°,".`O Bonded through National Notary Assn.
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