HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/23/2017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34,982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from drop ox, click arrow at the end of line
PROPOSEDIMPROVEMENTLOCATION
Address: 420 Dakota Way / 321 S. Ede Drive
Legal Description: 33 34 40 SE 1/4 of NW 1/4 less N100 it LVG E of E RAV Cherokee AV Extended southward and less El 00
it and from center of sec at pt on a side of canal run Is 88 dog 33 min 54 sec w 789.66 ft to my r/w main canal
Property Tax ID 1f: 1433-210-0003-000-9
Lot No.
Site Plan Name: Tall Pines Mobile Home Park
Block No.
Project Name: 321 S. Ene Drive
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 30a 120/240 V Branch Circuit from existing panel to water heater. Install 60a 240V branch
circuit from existing panel to a/c package unit.
CONSTRUCTION INFORMATION:
I �dl`MIona wor to e e orme un ert ispermlt—c ec a appy:
((L� I(HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
ZElectric
Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 5qI �F[�. of First Floor:
Cost of Construction: $ 928.00 Utilities: uSewer ❑Septic Building Height:
OWNER/LESSEE: --
Name K AND D AFFILIATES INC. Name: CHRISTOPHER W. RICHMOND
Address: 314 S. ERIE DRIVE Company: RICHMOND ELECTRIC, INC
Pa
City: FORT PIERCE State: FL Address:: 3086 ENTERPRISE ROAD
Zip Code: 34946 Fax: City: FORT PIERCE State: FL
Phone No. Zip Code: 34982 Fax: 772'161-1907
E -Mail: Phone No. 772-461-1951
Fill in fee simple Title Holder on next page I 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:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
ZIP: Phone:
COMPANY: Not
Name:
Address:
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 hermit 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 jobs ite
beforeethe ^firsst inspection. Irf you intend to obtain financing, consult with lender or an attorney before
�Vl �/L trt Gtr _ ` o s
_ Signature oPOwner/ Lessee/Agent Signature of Con actor/L¢ense Holder
STATE OF FLORIDA
COUNTY OF sT wclE
The fo oing instrument was acknowledged before me
thisZdayo 20/,Lby
STATE OF FLORIDA
COUNTY OF sr.wolr
The fro oing instruMmen�t, was acknowledged before me
thi&Z&day of / 20 L7 by
CHRISTO ER W. RICHMONDCHRISTOPHER W. RICHMOND
(Name of person acknowledging I (Name of person acknowledging )
(signature of Notary Public -State of Florid 17iigna[ure of Notary Public -State of Flori
Personally Known x OR Produced IdentifcetionPersonal) Known x
y OR Produced Identification_
Type of Identification Produced
Type of Identification Produced
Commission No. FF ea r,...,..,��.:.... M.. F
M Flpka 1 I %� NOHery pul�Tc Syme of Fbara
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS