HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-26-18 Permit Number:
s 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
T LOCATION: - -
Address: 3011 BENT PINE DRIVE
Legal Description: MONTE CARLO COUNTRY CLUB-UNIT THREE-THAT PART OF LOT 73-LESS W 55 FT-AND ALL
LOTS 74 THRU 85(TOWNHOUSES AT WHIPPOOR WILL RUN UNIT 701)MPDAF:FROM SW COR SEC.27-3s-39 RUN N 0 DEG 55 MIN 02 SEC E
Property Tax ID#: 1327-701-0043-010-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
RELOCATE EXISTING BRANCH CIRCUIT BREAKERS TO ACCOMMODATE NEW 30A
GENERATOR BREAKER.
CONSTRUCTION IN
itiona worK to bf]rtormecl uncierthIS perm —Checka apply:
❑HVAC Gas Tank ❑Gas Piping llam�_Shutters ❑Windows/Doors
✓ Electric Plumbing ❑Sprinklers 11 Generator ❑Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,120.00 Utilities: —Il Sewer❑Septic Building Height:
Name CYNTHIA L. BRYANT Name: THOMAS E.RICHMOND
Address: 3011 BENT PINE DRIVE Company: RICHMOND ELECTRIC, INC
City. FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No. Zip Code: 34982 Fax: 772461-1907
E-Mail: Phone No. 772461-1951
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: EC0001458
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALCO 'LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State:_ City: State:_
Zip: Phone: 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 County makes no representation that is granting apermit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and 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 concumency 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
commencing work or recording our Notice of Commencement.
_Signature of Owner/Lessee/Agent nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT.WCE COUNTY OF Sr uxlE
The forgoing instrument was acknowled ed efore me The forgoing instrument was acknowledged before me
thi5,b—day of cTLLjbj 20by this day of�T .20&—by
MOWS E.RIOHAgND THOMAS E RICHMONO
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Fled—.)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification_
Type of Identification Produced Type of Identification Produced /� 1
Commission No. FF tOaDaa fission No. FF 606099 .rr•W NMe ela slely atFprlea
N nPush:Sbte MFlod Y; Deana M Dailey
Deana M Dailey ` My CommlawnFF 90008a
eq
Revised 07/15/2014 wA E� �izp'r
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS