HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 6-19-18ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-19-16 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
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: 5620 HEMINGWAY COURT D-06
Legal Description: TROPICAL ISLES (OR 2786-2163) UNIT D-06 (OR 2836-1311. 3822-283)
Property Tax ID #: 3410-508-0083-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
ADD RECESSED LIGHTING IN CEILING. INSTALL ELECTRIC TO CODE IN REMODELED
KITCHEN. INSTALL TWO CEILING FANS IN LIVING ROOM.
CONSTRUCTION INFORMATION:
A00morun work to be eorme un ert Is Permit—c ec c a appy:
❑��IlHVAC Gas Tank [:]Gas Piping Windows/Doors
ZElectric Plumbing Sprinklers []Generator ❑Roof
[]Generator
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3,324.00 Utilities:SewerSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name VINCENTCIMINO
Name: CHRISTOPHER W. RICHMOND
Address: 5620 HEMINGWAY COURT# D- 06
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
Zip Code: 34982 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 I 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:
Name:
Address:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
City:
Zip:.
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:_
Zip: Phone:
Name:
Address:
Zip:
COMPANY:
I certify that no work or installation has commenced prior to the issuance of a permit.
which is in confli makes
wlth any applicable Home Owners Asssociationl rulesaby bylaws or and covenants that build
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 owndr/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF sr. was
The forgoing instrument was acknowledged before me
thisLlj� dayof –'5j.ne_ 201-8–by
i::;!f w �o� s
Signature of Contra ar/L�cense Holtler
STATE OF FLORIDA
COUNTY OF m. —,-
The fo oing instrument was acknowledged before me
this day of,53"__ , 20 tb�_ by
CHRISTOPHER w RICHMOND CHRISTOPHER W. RICHMOND
(Name of person acknowledging) (Name of person acknowledging I
Public -
Notary Public -
Personalty Known x OR Produced Identification _ Personally Known x OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Commission No.
Revised
Commission No. rr Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS