HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 21, 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
PROPOSED IMPROVEMENT LOCATION:
Address: 5825 Ideal Holding Road
Legal Description: 10 36 38 N 779.86 FT of E 1439.95 FT of SE 1/4 -Less Rd and Canal RS/W
- (23.385 AC) (or 2622-774: 3138-938)
Property Tax ID p: 3210-411-0001-000-3 Lot No.
Site Plan Name: Robert Osteen
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 100A single phase service on green pole with (1) sixcircuitpanel, (1) 30A receptacle and (1)
20A receptacle.
CONSTRUCTION INFORMATION:
atelona wor to e Orme under tIs permit—check all appy:
LJHVAC Gas Tank ❑Gas Piping ❑Windows/Doors
_Shutters
ZElectric Plumbing 05prinklers Generator
Roof
Total Sq. Ft of Construction: 5Ft. of First Floor:
Cost of Construction:$ 1494.00 Utilities:ct Sewer 0 Septic Building Height:
0111111 NTRACTOR:
Name Ann Norvell(TR) Name: CHRISTOPHER W. RICHMOND
Address: 5825 Ideal Holding Road Company: RICHMOND ELECTRIC, INC
City. Fort Pierce State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34987 Fax: City: FORT PIERCE State: FL
Phone No. Zip Code: 34982 Fax: 772-461-1907
E -Mail: Phone No. 772-461-1951
IN 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.
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 uermit 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
//Ml- W L' / I
S
_Signatlure of ner/Lessee/Agent Signature of Contractor/Ucense Holder
STATE OF FLORIDA
COUNTY OF Br -
u -,-
The forgoing instrument was acknowledged before me
this _day of 20 _by
CHRISTOPHER W. RII
(Name of person
STATE OF FLORIDA
COUNTY OF -T wcIE
The forgoing instrument was acknowledged before me
this _day of 20_by
(Name of person acknowledging )
Notary Public -State of Florida I
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Commission No. RE ` I Commission No. EE
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Revised
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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