HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JANUARY 25,2018 Permit Number:
l .
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 x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 2901 SAlA -
Legal Description: 18 3541 GOVT LOTS 6, 7 AND 8 LYG WOE Al LESS TO ST LUCIE CO AS INOR
444-2886-(24.37 AC)(OR 544-1390: 576-35, 39)
Property Tax ID#: 2518-324-0001-000-8 Lot No. 6, 7&8
Site Plan Name: MOSQUITO CONTROL-PUMP#2 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
RESECURE EXISTING PUMP SERVICE TO POLE.
CONSTRUCTION INFORMATION:
Aaanionai work to L[]rrorme on ert is permit—c ec a app y:
❑HVAC Gas Tank ❑Gas Piping II��_II Shutters Windows/Doors
❑✓ Electric ❑Plumbing 05prinklers LI Generator 0 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 600.00 Utilities: sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name TR INT IMP TRUST FUND Name: CHRISTOPHER W. RICHMOND
Address: 3900 COMMONWEALTH RI VD Y
Com an RICHMOND ELECTRIC, INC
Company:
City: 7ALLAHASSEE State: F� Address: 3086 ENTERPRISE ROAD
Zip Code: 32399 Fax: City: FORT PIERCE State:FL
Phone No. Zip Code: 34982 Fax: 772-461-1907
E-Mail: Phone No. 772-461-1951
Fill 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:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State:_ City: State:_
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 Coun{v 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 R"ord 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
commencina work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Con ctor/LI<ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT.maa COUNTY OF sr wce
The forP��ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 25 day of TO-b 20(�by this .Cday of 20�by
CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
k.q nj AAL r
(Signature of Notary Public-State of Flor ) (Signature of Notary Public-State of Flori
Personally Known x OR Produced Identification_ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF eo Commission No. FFWNN
Noun uNlc uuaFb00a Deana
sure aFwNw
F Deana M DOrley MYe c.nxx Dailey
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E.pires 0BHMtat9 E.peM DNt]2m9
Revised 07/15/20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS