HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/13/2018 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 IMPROVEMENT LOCATION:
Address: 338 PANDORA AVENUE
Legal Description: BEL-AIRE ESTATES BLK 4 LOT 20 (OR 3229-1706)
Property Tax ID #: 1312-701-0077-000-3 Lot No. 20
Site Plan Name: Block No. 4
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
RELOCATE AIR CONDITIONER RECEPTACLE SO THAT IT IS ON THE INTERIOR. INSTALL GFI
OUTLET BY PUMP MOTOR. INSTALL EXTERIOR LIGHTS.
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit — check a appy:
HVAC ff Gas Tank F]Gas Piping _ Shutters ❑ Windows/Doors
RIElectric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 1200.00 Utilities:'nSewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name INVESTMENT VENTURES INC.
Name: CHRISTOPHER W RICHMOND
Address: 14930 NW 10TH PLACE
Company: RICHMOND ELECTRIC, INC
Address: 3086 ENTERPRISE ROAD
City: MIAMI State: FL
City: FORT PIERCE State: FL
Zip Code: 33168 Fax:
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
State or County License: EC0001963
from the Owner listed above)
If 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.
�l s
_ Signature of Owner/ Lessee/Agent Signature of C ntractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The for oing instrument was acknowledged before me
this day of 20 Lby
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF
Revised 07/15/201
r#, Notary Ou69,P'ttate of Florida
/ Deana M Dailey
nn„ rnmmission FF 909099
oi�«o~ Expires 08112/2019
STATE OF FLORIDA
COUNTY OF ST _UCE
The forgoing instrument was acknowledged me
this I. 3 day of Felort,�At ^ , 20 �_ by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Florjfa )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF
Notary PU is State of F&ida
Deana M Dailey
Expires 08/1212019
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