HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January 25, 2018 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 x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6851 S OCEAN DRIVE
Legal Description: 8/9/15/16/172122 36 41 (ENVIRONMENTALLY ENDANGERED LANDS)ALL THAT PART
AS IN OR 537-2412(527.84 AC)
Property Tax ID#: 3508-111-ODO1-020-2
Lot No.
Site Plan Name: MOSQUITO CONTROL-PUMP#8C Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE BREAKERS
CONSTRUCTION INFORMATION:
Aaartionai wor to b orme un eir is permit-c ec a app y:
�I El
<
O'�HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
ZElectric ElPlumbing Sprinklers Generator L1 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 200.00 Utilities: Sewer❑Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name FLORIDA POWER AND LIGHT COMPANY Name: CHRISTOPHERW. RICHMOND
Address: 700 UNIVERSE BLVD PSX/JB Company: RICHMOND ELECTRIC, INC
City: JUNO BEACH State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 33408 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 TITLE HOLDER: _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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in convict wIth any applicable Home Owners Association rules,bylaws or ano covenants that may restrict w 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 concumency 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 our Notice of Commencement.
_Signature of Owner/Lessee/Agent P Signature of Con actor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.wclE COUNTY OF R.WGE
The ff�o,r�$$44ing instrument was acknowledgedAefore me The forgoing instrument was acknowledged before me
this 11 day of;5 u J . 20 Why this? day of 20 (E-by
CHRISTOPHER W RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flo Ada I (Signature of Notary Public-State of Florify I
Personally Known x OR Produced Identification_ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF%XxW 00O N^Ifg[®1WIc SuroaFlwlUr Commission No. FF�9 ft% Na(4ft61ic smbdFlwMe
% Deana M Dailey DeanaMOslley
My C.nvr. n FF 9xxxa c My CommraMon FF 009099
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS