HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-6-18 Permit Num
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: 470 SANDIA AVENUE
Legal Description: RIVER PARK - UNIT 5 ELK 49 LOT 10 (MAP 34/28S) (OR 408-2901)
Property Tax ID #: 3419-540-0211-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No. 10
Block No. 49
DETAILED DESCRIPTION OF WORK: III
UPGRADE EXISTING 100A SINGLE PHASE SERVICE TO 150A. REPLACE METER CAN, RISER
WIRE AND EXTERIOR MAIN DISCONNECT.
I CONSTRUCTION INFORMATION: III
Tor mea under uus permit- LI ecx do 6POY
Gas Tank ❑Gas Piping IM�_lShuttersI�II ❑Windows/Doors
Plumbing Sprinklers 11 Generator (®(Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1433.00
SFt. of First Floor:
Utilities:cn Sewer OSeptic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name MICHAEL & LORRAINE WALKER
Name: CHRISTOPHER W. RICHMOND
Address: 1120 CLUB DRIVE
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
E -Mail:
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E -Mail: DEANA(?DRICHMONDELECTRICINC.COM
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: _
Zip: Phone:
City: State:
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 Count, makes no representation that is granting a permit will authorize the permit holder to build the subject structure
bylaws that may restrict or such
which is in conflict with any applicable Home Owners Association rules, or and covenants prohibit
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
commencinF work or recording our Notice of Commencement.
_ Signature of Own r/Lessee/Agent
Signatureof Con actor/Llcense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 9T. L..
COUNTY OF a*_wcle
The for Ding instrument was acknowledged before me
this Tday Df S(JRG . 20/f—by
The forgoing instrument was acknowledged before me
this-dayof 1 z+.�. 20 /-by
CHRISTOPHER w RICHMOND
CHRISTOPHER w RICHMOND
(Name of person acknowledging)
jName of person acknowledging
\)
(Signature of Notary Public- State of Flori
(Signature of Notary Public -State of Florida )d
Personally Known x OR Produced Identification _
Type of Identification Produced
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF scs°wCommission
N Yu 11[ Sten M FIwNa
Deana M Dailey
No. FF s°e°w
Dean Pubo Step of FIdNe
2. pw Erpree OflnalaGi9
Revised 07/15/2014
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS