HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date' 2-14-18 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 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
RWDPOSEQMJNWEMENT L0
Address: 1600 N. 43RD STREET
Legal Description: SUNLAND GARDENS - SECTION 4-BLK 46 LOT 11 (0.21 AC) (OR 3388-1937)
Property Tax ID #: 2406-506-0017-000-7 Lot No. 11
Site Plan Name: Block No. 46
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE
REPLACE METER CAN & IMPROVE GROUNDING. INSTALL NEW RECEPTACLES THROUGH
OUT. INSTALL FOUR WIRE TO STOVE & DRYER LOCATIONS.
CONSTRUCTION INFORMATION:
m:
Additional WUTK toe e ore un ert apermit—c permit—check a appy
❑HVAC Gas Tank Das Piping _Shutters Windows/Doors
ZElectric Plumbing Sprinklers 0Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3713.00 Utilities: ❑Sewer 1:1Septic Building Height:
OWNER/LESSEE:
Name R & D MANAGEMENT & INVESTMENTS, INC. (TR)
Name: CHRISTOPHER W. RICHMOND
Address: 10380 SW VILLAGE CENTER DR. # 333
Company: RICHMOND ELECTRIC, INC
City: PORT ST. LUCIE State: FL
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34987 Fax:
Phone No.
Zip Code: 34982 Fax: 772461-1907
E-Mail:
Phone No. 772461-1951
Fill iIn fee simple Title Holder on next page ( if different
E-Mail: DEANAt@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: All
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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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
_ Signature of Ow er/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST. wCIE
The for oing instrument was acknowledged before me
this May of 201 -S -by
person
l/= W/ ' s
Signature of Contactor/License Halder
STATE OF FLORIDA
COUNTY OF ar WLIE
The forgoing instr�um�ent was acknowledged before me
this LLL day oftre20 LL by
or
CHRISTOPHER W. RICINIOND
(Name of person acknowledging)
State of
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014
M
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
.JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE# 4401520W14I20180,T:41i, PM
OR BOOK C09i PAGE 2002 - 2W2 Onc Type: NC
RECORDING: $1000
P'RMT '\ONNFM'
The undersigned hereby &van notice that improvement will be made In certain real property, and in accordance wish Chapter 713,
Florida stames the following information is provided in the Notice of commencement.
L DESCRIPTION OF PROPERTY (Legal description and etrrxt address) TAX FOLIO NUMBER: 2406-506-0017-000-7
SUBDIVISION s"'r'n "'"cc"`BLOCK d6 TRACT LOT 11 BLDG UMT
SUNLAND GARDENS - SECTION 4 - ELK 46 LOT 11 (0.21AC) (OR 3388-1937)
2. GENERAL DESCREMON OF IMPROVEMENT:
3. OWNER INFORMATION: a. Name R & D MANAGEMENT 81NVESTMENTS, INC. (TR)
b. Address 10380 SW VILLAGE CENTER DRIVE It 333 PORT ST. LUCIE, FL 34987 c. interest in property OWNER
d. Name and address of fee simple titleholder (if other than owner)
4.CONTRACTOR'S NAME, ADDRESS AND PHONE NUM BER: R%Cm013H CmIGINC.ema ENTERPRISE Rona FORT PIERCE. RL aWB2
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Persons within the Stare of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1)(a) 7., Florida Statutes:
NAME, ADDRESS AND PRONE NUMBER:
8.1n addition to himself or herself Owner designates the following to receive a copy of the Lienor', Notice as provided in Sattion
713.13 (1)(b), Florida Smmtes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration data is I year from the data of recording unless a different data is
specified) 20_
ge /°R45�6
Print Name and Provide Signatory's TiBe/Office
Owner§ Authorized Offtcer/Dirmer/Parturr Managae
State cf Florida
County of ST. LUCIE
The foregoing instrument was acknowledged before me this- day of 20-
LT
B1 .VfT, 1 'Bz •, QPPiTlr.r•1-r1- ,as fQlalyv
(Name f person) r (Type of aurhonry... e.g. Owner, officer, wnee, atmmey in fact
Ford i.1 I1AA /y] Fhxaga(- V�'1:Tx. a ..t ' .
(Name of parry on behal f whom insnument was executed) Personally Known_ or produced the following type of ID2—
''� T ` L'f.:2tb1-72t-7o-daH—O
11�11wH U..1YL rKJr Notaudk Saa, Filch
Deane M D811eyry P
(Printed Name of Notary Public)' (Signature of Notary Public)` My Co 0 tigion 16 aH0"
Under penalties of perjury, I declare that I have read the foregoing and that the facts in it
belief (section 92.525, Florida Statutes).
Shumaturroullf,ofOwner(.)or Owner(s)'Authorised OflcerNirermx/PaMex Mmm,F v he signed above:
By: W � BY
R...ua9rnxnr.sal