HomeMy WebLinkAboutHollettALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/6/2018 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 Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPRn,+.r�ca4F:Ntr, --
Address: 6003 CARLTON ROAD
Legal Description: MONTOYA 2 ESTATES (PB 41-15) LOT (8.686 AC) (OR 3997-2277)
Property Tax ID q: 3209-700-0004000-7
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No. 4
Block No.
INSTALL 100A SERVICE, ONE 30A RECEPTACLE AND TWO 20A GFCI RECEPTACLES INTO
GREEN POLE FOR AGRICULTURE POWER.
CONSTRUCTION IN
II��II r ue eI IVlnlea
0HVAC Gas Tank
ZElectric OPlumbing
unuer vus perms—coecx an
❑Gas Piping
Sprinklers
apply:
_Shutters
Generator
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1266.00
SFt. of First Floor:
Utilities: Sewer Septic
Building Height:
OWNER/LE
CONTRACTOR:
Name JOSEPH HOLLETT
Name: CHRISTOPHER W. RICHMOND
Address: 5145 WATER LILLY WAY
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Zip Code: 34981 Fax:
Phone No.
Address: 3086 ENTERPRISE ROAD
qty. FORT PIERCE State: FL
Zip Code: 34882 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: DE:ANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
It value or construction is 52500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State: _
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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
_sig ture of Owner ee/Agent
STATE OF FLORIDA
COUNTY OF sT. uc,E
The forgoing instrument was acknowledged fore me
this � day of�t,y,g . 20 W -by
signature of Contr ctor/License Holder
STATE OF FLORIDA
COUNTY OF sT. Wcie
The forgoing instrument was acknowledged before me
this -.6day of .P_ifrr. nr_. 20_Wby
CHRISTOPHER W, RICHMOND CHRISTOPHER W. RICHMOND
(Name of person acknowledging) (Name of person acknowledging I
Personally Known x OR Produced Identification Personally Known x OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Commission No. rP 9090%
Revised 07/15/2014
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS