HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/8/2017 Permit Number:
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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: 2914 SHERWOOD LANE
Legal Description: SHERWOOD ACRES UNIT 1 LOT 9 (0.25 AC) (OR 1046-1947)
Property Tax ID #: 2421-701-0009-000-4
Site Plan Name:
Project Name: DONNA CURTIS
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 9
Block No.
REMOVE AND REPLACE RISER, CONDUIT AND WEATHERHEAD. METER CAN IS TO REMAIN.
CONSTRUCTION INFORMATION:
Additional work to(eee orme under this permit — check a appy: E
11 HVAC I _I Gas Tank E]Gas Piping _ Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 532.00
SFt. of First Floor:
Utilities:cnSewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FREDERICK L & DONNA L CURTIS
Name: CHRISTOPHER W. RICHMOND
Address: 2914 SHERWOOD LANE
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Zip Code: 34982 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
it value or construction is �)zsuu or more, a KtLUKUtu Notice of 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.
_ Signature of Owner/ Lessee/Agent Signature of Cont actor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this day of/�`�c�.�2014.by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Flori
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF
Revised 07/15/201
STATE OF FLORIDA
COUNTY OF ST LUCE
The forgoing instrument was acknowledged before me
this _J" day of 20/ % by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Flori
Personally Known x OR Produced Identification
Type of Identification Produced
P" Notary 6ElWi(Not
tate ofFlo6da Commission No. FF909099 Ppra�
e� Iic State of Florida Deana M Dailey, :' ^ Deana M Dailey
p; My Commission FF 909099 }� �_,_ o My Commission FF 909099
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