HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/10/2018 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 IMPROVEMEN
Address: 5017 SILVER OAK DRIVE
Legal Description: INDIAN RIVER ESTATES - UNIT 05 - BLK 26 LOTS 64 AND 65 - LESS W 100FT
(MAP 34/02S) (OR 1737-2415)
Property Tax ID p: 3402-606-0219-000-1 Lot No. 64 & 65
Site Plan Name: Block No. 26
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 2 -POLE, 30A BREAKER INTO EXISTING PANEL.
INSTALL GENERATOR INTERLOCK CLIP ONTO EXISTING PANEL COVER.
INSTALL 30A, 120/240V POWER INLET BOX ADJACENT TO EXISTING PANEL.
CONSTRUCTION INFORMATION:
Itlona work to y]nornneci under tIs perm It—c ec a appy:
❑HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
II��_II II��II
✓Electric OPlumbing Sprinklers 11 Generator 1_J Roof
Total Sq. Ft of Construction: 5Ft. of First Floor:
Cost of Construction :$ 62300 Utilities: Sewer Septic Building Height:
CONTRACTOR:
Name BRIAN A GUETTLER
Name: CHRISTOPHER NJ. RICHMOND
Address: 6017 SILVER OAK DRIVE
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.
Zip Code: 34982 Fax: 772461-1807
E -Mail:
Phone No. 772461-1951
FIII in fee simple TiNa Holder on next page I if different
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
from the Owner listed above)
If value of construction Is $2500 or mare, 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 Coun((yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflictwith any applicable Home Owners Association rules, bylaws orantl 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 O ner/ Lessee/Agent Signature of Conn ctor/Lulense Holder
STATE OF FLORIDA
COUNTY OF sr alar
The foIr$$�ing instrument was acknowledged fore me
this day of�_ 201-tby
STATE OF FLORIDA
COUNTY OF s, wcie
The forgoing instrruum_ent was acknowledged ebefore me
thisj-Q day of"N" q
.20 by
CHRISTOPHER RICHMOND
(Name of person acknowledging) (Name of person acknowledging J
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF -111C I) Commission No. FE
y NWry u�CSup M Fbaaa
Revised
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS