HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/2012018 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 Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IM;J';RQyF;AQEt� LOCATION:..
Address: 7007 PLUMOSA LANE
Legal Description: LAKEWOOD PARK -UNIT 11 - BLK 149 LOT 24 (MAP 13112N) (OR 3098-1846)
Property TxxlD#: 1301-613-0293-000-9 24
Lot Na
Site Plan Name: Block No. 149
Project Name:
Setbacks Front Back: Right Side: Left Side:
pETAILED DE
REPLACE DAMAGED WEATHERHEAD AND IMPROVE EXTERIOR GROUNDING.
CONSTRUCTION INFORMATION:
mono wor to e e orme on ert ispermit—c ec a appy:
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FFOFF''��1
�HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Lr 11 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 468.00 Utilities:5ewer Septic Building Height:
OWNER/L
CONTRACTOR:
Name DEBORAH C. MCBRIDE
Name: THOMAS E. RICHMOND
Address: 4310 SEMINOLE ROAD
Com an RICHMOND ELECTRIC, INC
P Y
City: FORT PIERCE State: FL
Address: 3066 ENTERPRISE ROAD
Zip Code: 34961 Fax:
City: FORT PIERCE State: FL
Phone No.
Zip Code: 34982 Fax: 772461-1907
E -Mail:
Phone No. 772-461-1951
Fill in fee simple Title Holder on next page I if different
E -Mail: DE:4N4RICHMONDELECTRICINC.COM
from the Owner listed above)
State or County License: EC0001458
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not
City:
Zip:.
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
SUPERVISOR
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
COUNTER
City:
REVIEW
Zip: Phone:
REVIEW
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 pemnit 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
beeforeethe firs�^nspection. If you intend to obtain financing, consult with lender or an attorney before
comm
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. coos COUNTY OF ar wore
The forgoing instr ment was acknowledged before me
thiQO day of 20&by
(Name of person
ack�nov
ISignatur! f Notaryes'
Personally Known x
Type of Identification P
Commission No, rrao
Revised 07/15/2014
The forgoing instrument was acknowledged before me
thisZO day ofA:p-r, 1 20 Lk' by
CHRISTOPHER w RICHMOND
(Name of person acknowledging I
plgnacure m Notary Public -State of FlojKa )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. PP Somva
,yn NMI Public SlateWfloneir
2-
N Deana M Dalley
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS