HomeMy WebLinkAboutRAYMONDALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-22-18 Permit Number:
e
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
Address: 4609 PINETREE DRIVE
Legal Description: INDIAN RIVER ESTATES - UNIT 04 - BLK 36 LOT 7 (MAP 34/02N) (OR 3930-2225)
Property Tax ID 11: 3402-605-0072-000-5 Lot No. 7
Site Plan Name: Block No. 36
Project Name:
Setbacks Front Back: Right Side: Left Side:
INSTALL UNDERGROUND PVC WITH A 20 AMP CIRCUIT TO A FACTORY PRE -WIRED SHED.
INSTALL ONE LIGHT AND RECEPTACLE TO THE SOUTH CARPORT.
INSTALL ONE RECEPTACLE AND TWO FANS TO THE NORTH CARPORT.
HOOK ELECTRIC TO 50 AMP HOT TUB
ATIO
jj""��lona war o e e Orme un ert Is permit-- checka apply:
OHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
ZElectric Plumbing Sprinklers Generator Ll Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 1,200.00 Utilities: Sewer Septic Building Height:
CONTRACTOR:
Name RAYMOND D WRIGHTJR. Name: CHRISTOPHER W. RICHMOND
Address: 10607 PINE NEEDLE DRIVE Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34945-2200 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: DEAN; �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 LA
71111111111111
MATION:
ZONING
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
VEGETATION
Address:
Address:
City: State:_
Zip: Phone:
City: State:
Zip: Phone:
TEE SIMPLE TITLE HOLDER: _Not Applicable
Na
Name:
BONDING
Name: COMPANY: _Not Applicable
REVIEW
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.
is inoconflicmt with any representation
OwnerstAssociationl rul lesabylaws or anScovenants that maydrestrict 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
4�4
_ Signature o� ssee/Agent Signat� of Contr ctor/Li E Holder 5
STATE OF FLORIDA
COUNTY OF sT.woE
STATE OF FLORIDA
COUNTY OF. sr ---
The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me
thiday of '-filar. ZO LW -by this 22.day of �, 20[Tby
CHRISTOPHER W RICHMOND CHRISTOPHER W. RICHMOND
(Name of person acknowledging I (Name of person acknowledging I
Yk . Q i_i�
(Signature of Notary Public - State of Flari ) (Signature of Notary Public -State of Florida
Personally Known x OR Produced Identification Personally Known x OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Commission No. rr9amI 2 I Commission No.
_ Ng91 Y 54RdFbnOa
Revised
W1212019
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
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INITIALS