HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE7LIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: / S Z 0,0-
RECEIVED
, 7-
Budding Permit Application JULPlanning and Development Services UL C 3 2015
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical
'OC
ATION:
Address: 5500 ST. LUCIE BLVD., FORT PIERCE, FL 34946 (A SECTION) A I�0
Legal Description: 30 34 40 SW 114 of SW 114-Less astrip of land on E being 331.2 ft on N Li&333 ft on S Li(or 2947-659:3111-1969)
Property Tax ID#: 1430-331-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
0t �RKY
Replace existing single phase, 120-240V 0 �" 4
600A Meter Center with New Meter Centerc
Additional work tone e orme�� er un t is permit—check a appy:
HVAC F]Gas Tank ❑Gas Piping _Shutters F�Windows/Doors
Z✓ Electric F]Plumbing O Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2150.00 Utilities:0 Sewer a Septic Building Height:
CONTRACTOR,
Name Road Runner Travel Resort,LLC Name: Christopher W.Richmond
Address:5500 Saint Lucie Blvd Company: Richmond Electric, Inc.
City: Fort Pierce State:FL Address: 3086 Enterprise Road
Zip Code: 34946 Fax: City: Fort Pierce State.FL
Phone No.772-464-0969 Zip Code: 34982 Fax: 772`461-1907
E-Mail: Phone No. 772-461-1951
Fill in fee simple Title Holder on next page(if different E-Mail: deana@richmondelectricinc.com
from the Owner listed above) State or County License: EC0001963/17642
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
STRUM'N LIEN LAVA/ INFORMATION:
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 thepermit 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 recording our Notice of Commencement.
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_Signature of O(vner/Lessee/Agent Signature of ontractor/License Holder N a
STATE OF FLORIDA STATE OF FLORI r w�
COUNTY OF a+ :- COUNTY OF n�
s
mom._
The f r oing inst ent was acknowledge�i�fore m °��, he forgoing instrument was acknowledged befo
thisday o 24 by i day of 24 lb ��n.%
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(Name of person acknowledging) w''IWO � me of person acknowledging)
(Signature of ary Public-State of Flori a) (Signature of NotM Public-State of Flori )
Personally Known '_ OR Produced Identification Personally Known /OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS