HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: APRIL 24, 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: 395 SE ABETO LANE
Legal Description: RIVER PARK- UNIT 5 BLK 49 LOT 17 (MAP 34/28S) (OR 963-2880:1073-948)
Property Tax ID#: 3419-540-0218-000-5 Lot No. 17
Site Plan Name: Block No. 49
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE WEATHER HEAD AND RISER WIRE. IMPROVE GROUNDING WITH SECOND
GROUND ROD.
CONSTRUCTION INFORMATION:
—Additional work to b ff
r orme un er t is permit—c ec a app y:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 497.00 Utilities:cn Sewer Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name GEORGE L HORNER Name: CHRISTOPHER W. RICHMOND
Address: 395 SE ABETO LANE Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34983 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@RICHMONnELECTRICINc.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 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 our Notice of Commencement.
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST wce COUNTY OF ST WCIE
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this.?day of 20/�b}' this�day ofAP
r� / 20 by
CHRISTOPHER W.RICHMOND CHRISTOPHER W RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
1 1
(Signature of Notary Public-State of Flor ) (Signature of Notary Public-State of Flo a )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. IFF 90(: Yi Commission No. FF909099
=°11 "�i�r Notary Public State of Florida "}" NMary Public State of Florida
Deana M Daile 3 d�ana M Dailey
c y ommission 9
Revised 07/15/201 Exptres08/12/2019 ar�� �tptrI0811212019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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