HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: FEBRUARY 24, 2017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 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
J?FROPOSED IMPROVEMENT LOCATION:,
Address: 8701 NORTH BLVD
Legal Description: LAKEWOOD PARK - UNIT 8 - BLK 95 LOT 19 (MAP 13/02N) (OR 462-2840:1039-2861)
Property Tax ID n: 1301-608-0207-0004
Site Plan Name:
Project Name: JAMES V REED JR.
Setbacks Front Back: Right Side:
I DETAILED
Left Side:
Lot No. 19
Block No. 95
REMOVAL OF WIRE DOUBLE LANDING ON LINE SIDE MAIN BREAKER TERMINAL.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name JAMES V REED JR
Name: CHRISTOPHER W. RICHMOND
wor to a erorme undert —checkapermit
a appy:
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772468-2144
Itjiona
L ]HVAC Gas Tank
❑Gas Piping
_Shutters
In
Windows/Doors
✓Electric OPlumbing
Sprinklers
1:1Generator
Roof
Total Sq. Ft of Construction:
SqI Ft.I of First Floor:
Cost of Construction:$ 125.00
Utilities: Sewer E] Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMES V REED JR
Name: CHRISTOPHER W. RICHMOND
Address: 8701 NORTH BLVD
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772468-2144
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772461-1907
Phone No. 772461-1951
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
n value or construction Is $z5uu or more, a RECORDED Notice m 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 TITLEHOLDER:
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 Owner/ Lessee/Agent Signature of Co ractor t cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. LDCIE COUNTY OF ST waE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _day of 20 _by I this _day of 20 _by
CHRISTOPHER W. RICHMONO CHRISTOPHER W. RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public -State of Florida I I (Signature of Notary Public -State of Florida)
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No. rrmaosa (Seal) I Commission No. FF901111111S (Seal)
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
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INITIALS