HomeMy WebLinkAboutCCE07312017_0003ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/31/17 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: 2889 Rainbow Drive
Legal Description: 5 36 40 from NE Corner of N 375 ft of S 1/2 of NE 1/4 of SE 1/4 Runs 254 ft, TH W 400 ft, TH Run N 67
Deg 29 Min W 108.4 ft, TH W 700 ft to POB, TH Cont W 125.6 ft, TH S 162.5 ft, TH E 125.7 ft, TH N 162.5 ft to POB
Property Tax ID #: 3405-413-0008-000-6 Lot No.
Site Plan Name: Swain Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new breaker panel 200 amp replacing existing fuse panel. Re -feed existing sub panel located
next to meter can properly.
aditional work to bffrformed un er t is permit — c ec a
HVAC Gas Tank []Gas Piping
Electric ❑ Plumbing Sprinklers
CONTRACTOR:
app y:
Shutters a Windows/Doors
Generator ❑ Roof
Name: Christopher W. Richmond
Total Sq. Ft of Construction:
Cost of Construction: $ 1,264.00
SFt. of First Floor: _
Utilities: Sewer DSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Swain
Name: Christopher W. Richmond
Address: 2889 Rainbow Drive
Company: Richmond Electric, Inc.
City: Fort Pierce State: FL
Zip Code: 34981 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 on next page ( if different
from the Owner listed above)
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
-� �� �• I -VV U1 1111JIC, a ncwnuru imil or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
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 your Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this day of , 20 _by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x
Type of Identification
Commission No. FF
Revised 07/15/2014
OR Produced Identification
x"$11 F`e� Notary Publictate of Florida
Deana mIIy
My Commission FF 909099
r'Forr�ov` Expires08112/2019
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this day of 20 by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced _
Commission No. FF 9090 o`r" ',&*, NotaryReq tate of Florida
Deana h71�a�ey
> My Commission FF 909099
ora° Expires 08/12/2019
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