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Home My WebLink AboutYOUNGALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/10/17 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: 2540 JERNIGAN ROAD Legal Description: FORT PIERCE GARDENS OF 21-35-39 BLK B S 183.25 FT OF N 368.5 FT OF LOT 7 -LESS RD R/W (1.21 AC) (OR 3850-1973) Property Tax ID #: 2321-501-0019-050-1 Lot No. 7 Site Plan Name: Block No. B S Project Name: CARLA YOUNG Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: INSTALL SINGLE PHASE 200A METER CAN, ONE 200A MAIN BREAKER PANEL, AND ONE GFI RECEPTACLE ON HORSE BARN. UTILITY WIRE AND CONDUIT BY UTILITY. Iaitional work to 1) ertormed HVAC Gas Tank under this permit — check all F]Gas Piping h _ apply: Shutters �LOY �`` ❑ Plumbing Address: 3086 ENTERPRISE ROAD D A 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: 2540 JERNIGAN ROAD Legal Description: FORT PIERCE GARDENS OF 21-35-39 BLK B S 183.25 FT OF N 368.5 FT OF LOT 7 -LESS RD R/W (1.21 AC) (OR 3850-1973) Property Tax ID #: 2321-501-0019-050-1 Lot No. 7 Site Plan Name: Block No. B S Project Name: CARLA YOUNG Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: INSTALL SINGLE PHASE 200A METER CAN, ONE 200A MAIN BREAKER PANEL, AND ONE GFI RECEPTACLE ON HORSE BARN. UTILITY WIRE AND CONDUIT BY UTILITY. Iaitional work to 1) ertormed HVAC Gas Tank under this permit — check all F]Gas Piping h _ apply: Shutters Address: 15200 Sallys ALY Electric ❑ Plumbing Address: 3086 ENTERPRISE ROAD City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-461-1907 Phone No. 772-461-1951 Sprinklers Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Generator Total Sq. Ft of Construction: Cost of Construction. $ 2380.00 S Ft. of First Floor: Utilities: Sewer []Septic ❑ Windows/Doors Roof Building Height: OWNER/LESSEE: CONTRACTOR: Name Carla Young (TR) Name: CHRISTOPHER W. RICHMOND Address: 15200 Sallys ALY Company: RICHMOND ELECTRIC, INC City: Loxahatchee State: FL Zip Code: 33470 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 of construction is $2500 or more, a RECORDED 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. s _ Signature of Owner/ Lessee/Agent Signature of Contr ctor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me this /V day of 20 / %by CHRISTOPHER W. RICHMOND t1vame OT person acknowledging ) (Signature of Notary Public- State of Flo Personally Known x OR Produced Identification Type of Identification Produced Commission No. FF909 Q,p` P'Je Notary(gft State of Florida war Deana M Dailey = o My Commission FF 909099 Revised 07/15/2014 STATE OF FLORIDA COUNTY OF ST. LUCIE The forgoing instrument was acknowledged before me this A0_ day of 20 /4by CHRISTOPHER W. RICHMOND (Name of person acknowledging ) (Signature of Notary Public- State of F#ida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No. FF 909099 ro&s Notar`�11� State of Florida r 4^ Deana M Dailey My Commission FF 909099 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS