HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 018 SCANNED Permit Number:
17O 1� BY I
St. Lucie C�iyi���\pUFnDEC
IVED
Building Permit Applicati 4 2018
Planning and Development Services
Building and Cade Regulation Division nty, Permitting
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Building
f PROPOSED IMPROVEMENT LOCATION: _
Address: 3163 Hammond Road, Fort Pierce 34946
Legal Description:
Property Tax ID #: 1430-311-0002-000-3
Lot No.
Site Plan Name: Missionary Flights International Recreational Vehicle Park Block No.
Project Name: Phase 2 Clubhouse and Accessory Garage
Setbacks Fronak S Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Two new freestanding accessory structures (phase 2 of 3). Phase 1 for all site improvements is currently underway.
— � 9o�m�tor� B�wlrS�nq •�heo� 2 , cicc,ra
vp-rm -.t= -- -- -- Itao ?erM,�sf one
CONSTRUCTION INFORMATION:
Additional work to e e orme under tispermit—checka apply:
OHVAC E] Gas Tank Gas Piping _ Shutters ✓❑ Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator Z Roof 6 In 1 Roof pitch
Total Sq. Ft of Construction: 9,82��� S Ft. of First Floor: 9,827
Cost of Construction: $ Utilities:ZSewer OSeptic Building Height: 10101. '
OWNER/LESSEE:
CONTRACTOR:
ame Mi s(onL�`_Rs`ndService, I c.Name:
Richard.K Davis Construction Corpotation
rjve/•" �:" ✓n .
Companyitq:.FprtLl�iere
State:FI
31.01M M9ndCity:
Phone No. 772 4622395
Address:
Fort Pierce State:FI
Zip Code: 34954 Fax:
Phone No. 772 461 8335
E-Mail:joek@missionary flights.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: CGCO13084
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1-9
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: .Not Applicable
Nam e: Claren Architecture + Design Name:
Add reSS:6400 Congress Avenue suite 2150 Address:
City: Boca Raton State: FI City: State:
Zip: 33487 Phonee619614884 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:_
City:
Zip:
BONDING COMPANY:
Address:
Phone: I Zip: Phone:
_Not Applicable
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 contlict 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 re=ding vourNotice of Commencement.
�^+1
Signatyr ner/ Lessee as Agent for Owner
Signature oV Contractor/License Holder
STATE OF FLORID 1
STATE OF FLORIDA
COUNTY OF�� . k. uc,C �
COUNTY OF —A-
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this7day-oft1 �iC3'n/e-m�`eP by
this-o`dayof 2011Y by
I20J-6.
Namb of person king statement
Name of person making statement
✓
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
k ,
(Signature of N
(Signature of Notary Public- State of Florida )
,; a�;i;: LORIWILLIAM
:e, Nota Publi NRf'F rida
Commission No ry �6?9 4
EB
""••. KEBNEN
Commission No. .••Tw•°�d••.
mission»
My Comm. Evotres May 1. 2021
'�
`#; Notary c • of Florida
i • • n
• •E Commission N tO 047693
P.Lh.•'' Bondedpnuehaao'eranrotaryAase
M Comm. Es I e o
•u,
�h•`• Bonded throug
National Notary Assn.
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETA
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17