HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 II,'
Date: FEBRUARY 23, 2017 Permit Number: 00z- 0`q(0
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Building Permit Application FEB 2 3 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, F'?
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line C�L
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PROPOSED IMP,ROVEMENZFLOCATION
Address: TBD R6 S/ G,4ff LTU e?C_L-
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Legal Description: 33 36 38 THAT PART OF SEC LYG W OF W R/W OLD CARLTON ROAD LESS A STRIP OF LAND ON S
66 FT ON W END AND 99.2 FT ON E END -(322.10 AC) (OR 3718-1443, 1459)
Property Tax ID#: 3233-122-0015-000-8 Lot No.
Site Plan Name: RIDGE FARMS Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DET, IL°ED DESCR1PTION OrWO'RK yrF
REPLACE EXISTING OVERHEAD SERVICE AND PANEL FEEDING POLE BARN. INSTALL NEW
SINGLE PHASE, 100 AMP, 120-240V METER, RISER, AND 6—CIRCUIT PANEL ON EXISTING
POLE.
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itional work to❑ e e orme under this permit–check a appy:HVAC 0Gas Tank Gas Pi _ Windows
— ❑ in Piping Shutters Doors❑ /
ZElectric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction. $ 1039.00 Utilities: Sewer Septic Building Height:
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OWNER/LESSEE} ,/ °CO RAGTOR syr y,
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Name RIDGE FARMS LLC Name: CHRISTOPHER W. RICHMOND
Address: P.O. BOX 997 Company: RICHMOND ELECTRIC, INC
City: LOXAHATCHEE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 33470 Fax: City: FORT PIERCE State: FL
Phone No. 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEi1/IENTAL Ct)NSTRUCTIQN LIEN LAW iNFQRMATIQN
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 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
i 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 o O ner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The ff!o�r oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this f1> day of G> Gary 20 1-1—by this 2,_3 day of Ff� arV 20 �by
0�nf t S�nD .n.2 J t?t 6nn d IA. P ehmgrd
(Name of pers n acknowledging) (Name of person acknowledging)
.L D,&� i U -V]Z Yd-,e4,- 0y. ba,�J'
(Signature of Notary Public-State of Flo a) (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
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Commission No. ..AT 00 Nota �c State of Florida Commission No r v, Nota state Of
Deana M C�aiiey ?° 4; Deana M Dailey
`* My Commission FF 909099 c M CoAtmlfeton Z 90StOp8
*Pir-es 0842. p. . Expires 08/12/2018 fA
Revised 07/15/2014
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