HomeMy WebLinkAboutCCFALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-19-18 Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierre FL 34982 X
Commercial Residential
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 4823 SHINN ROAD
36 39 THAT PART OF NW 1/4 LNG S OF SR 70-LESS OKEE RD WIDENING AS IN OR
Legal Description: 6
330-1428 AND LESS WIDENING AS IN OR 1738-76 AND LESS ROAD AND CANAL RSAN- 172.56 AC) (OR 4010-2177)
Property Tax ID N: 3306-210-0002-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING 3 PHASE 200 AMP/240V OVERHEAD SERVICE AND HOOK 30HP
IRRIGATION MOTOR.
CONSTRUCTION INFORMATION:
AdUrtionaiworl(10be]MUFTTIeUun ert Ispermn—c eC a appy: Ll
EJ
❑HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
LI_
Z✓ Electric 0 Plumbing Sprinklers II I Generator l I Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Height:
Cost of Construction:$ 2400.00 Utilities: Sewer Septic Building
OWNER/LESSEE:
CONTRACTOR:
Name BUTTERFLY ENTERPRISES LLC.
Name: CHRISTOPHER W. RICHMOND
Address: 4903 S. HEADER CANAL ROAD
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
Zip Code: 34946 Fax:
City: FORT PIERCE State: FL
Phone No.
Zip Code: 34962 Fax: 772-461-1807
E-Mail:
Phone No. 772-461-1951
Fill in fee simple Title Holder on next page (if different
E-Mail: DEANA@RICHMONDELECTRICINC.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:
VEGETATION
REVIEW
Name:
MANGROVE
REVIEW
Address:
Address:
State:_
City:
State: _
City:
Zip: Phone:
COMPLETE
Zip: Phone:
FEE 511
Name:
City:
Zip:
TITLE HOLDER: _ Not Applicable
COMPANY: _Not
Name:
Address:
Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun%makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure Please consult any
Home Owners Associationtandrreview your deeaws or d dfor any retrictio s which may applyhibit such
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
I
s
_ Signature of Ow er/ Lessee/Agent Signature of Contractor/License Moltler
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF eT cucle COUNTY OF SrLuc,-
The forgoing InstrytmEnt was acknowledge fore me The forgoing instr,�mEnt was acknowledged before me
this � day of 2P 9 . 20 1_0-bY this day of '��L • 20 (� by
CHRISTOPHER W RICHMOND CHRISTOPHER W RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Flori (Signature of Notary Public-StatQJt Flonaa I
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. IT
Revised
aFgnoa C I Commission
of FbMa
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS