HomeMy WebLinkAboutBUILDING PERMIT APPLJICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/6/2017 Permit Number:
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
Address: 420 DAKOTA WAY
Legal Description: 33 34 40 SE 1/4 OF NW 1/4 - LESS N 100 FT LYG E OF E RM CHEROKEE AV EXTENDED SOUTHWARD AND LESS
E 100 FT - AND FROM CETNER OF SEC AT PT ON E SIDE OF CANAL RUN S 88 DEG 33 MIN 54 SEC W ALG E -W 1/4 SEC LI 329.9
Property Tax ID 1t: 1433210-0003-000-9
Site Plan Name: TALL PINES MOBILE HOME
Project Name: 321 S. ERIE DRIVE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 321
Block No.
REMOVE EXISTING 4 -SPACE ELECTRICAL DISTRIBUTION PEDESTAL AND REPLACE WITH
2 -SPACE PEDESTAL. INSTALL 2 -POLE 120/240V 125 AMP BREAKER IN PEDASTAL TO FEED
LOT 321.
onai Worxwenormea
of
HVAC
Gas Tank
unuer mis permit -cnecx an
❑Gas Piping
apply:
_Shutters
❑Windows/Doors
Electric 0
Plumbing
Sprinklers
11 Generator
11 Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,710.00
SqI Ft. of of First Floor:
Utilities:) ISewerElSeptic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name KAND DAFFILIATES INC
Name: CHRISTOPHER W. RICHMOND
Address: 314 $ ERIE DRIVE
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No.
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
E -Mail:
Fill in fee simple Title Holder an next page I if different
from the Owner listed above)
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
n wine on construction is W5uo or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Ut]Ib NIR/LNbINLLK: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State:_ City: State:_
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Zip: Phone:
I rectify 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 antl 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 Signatureof Contractor/Ucense Holder
STATE OF FLORIDA
COUNTY OF sr. waE
The f9�rgoing instrument was acknowledged before me
this'C�—day ofirVJ rr0}1 20 JIyby
person
STATE OF FLORIDA
COUNTY OF ar.waE
The forgoing instrument was acknowledged 1 before me
this ta day of�flfPh A
. 20 srz by
(Name of person acknowledging)
Notary Public- State of
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
Revised
Commission No.
Notary Pul
Deana M
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