HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: FEBRUARY 1, 2017 Permit Num
• Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
217 RIOMAR DRIVE
Legal Description: RIVER PARK - UNIT 2- BLK 10 LOT 22 AND N 15FT OF LOT 23 (MAP 34/225) (OR 708-1644:23752188)
Property Tax ID #: 3419-510-0056-000-8
Site Plan Name:
Project Name: LEPIANKA
Setbacks Front Back:
Right Side: Left Side:
Lot No. 22
Block No. 10
DETAILED DESCRIPTION OF WORK: III
REPLACE EXISTING SERVICE WITH NEW METER CAN AND ELECTRIC PANEL.
CONSTRUCTION INFORMATION:
_j Gas Tank
❑Gas Piping
LiShutters
❑Windows/Doors
0 Plumbing
Sprinklers
1:1 Generator
1:1 Roof
Total Sq. Ft of Construction: S Ft.
of First Floor:
Cost of Construction: $ 2228.00 Utilities: Sewer Septic Building Height:
Name FARAD LEPIANKA
Address: 217 RIO MAR DRIVE
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: 772361-1907
Phone No. 772361-1951
E -Mail: DEANA@RICHMONDELECTRICINC.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRISTOPHER W. RICHMOND
Company: RICHMOND ELECTRIC, INC
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772361-1907
Phone No. 772-461-1951
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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
_ Signature of Owner/ Lessee/Agent o Signature ofContract r/License Holder
STATE OF FLORIDA
COUNTY OF_Sr_wmE
STATE OF FLORIDA
COUNTY OF ar. waE
The forgoing instDIment was acknowledged before me The forgoing instrument was acknowledged before me
this —I— day of Atjlww,if . 241Zby this day of uny./ . 20 17 by
CHRISTOPHER W. RICHMOND CHRISTOPHER W. RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
.l wa An Iii. DQ.j�
(Signature of Notary Public -State of Florid
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
N.R, Public Stall W Fk da
Deana M Dailey
Commission No. FF90I
Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS