HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/12/2018 Permit Number:
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: 4052 GREENWOOD DRIVE
Legal Description: GREENWOOD BLK 1 LOT 27 (0.28 AC) (OR 3643-2146)
Property Tax ID g: 2421-702-0029-000-3
27
Lot No
Site Plan Name:
Block No. 1
Project Name:
Setbacks Front Back: Right Side: Left Side:
REPLACE METER CAN AND INTERIOR PANEL. LIKE FOR LIKE.
CONSTRUCTION INFORMATION:
e]
Auuitcnaj work to brtOrmcheck e un ert is permit—c ec a appy:
❑HVAC Gas Tank Gas Piping _Shutters Windows/Doors
ZElectric
ElPlumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S F�t.I of First Floor:
Cost of Construction: $ 2400.00 Utilities: — Sewer Septic Building Height:
�QWNER/LESSEE:
CONTRACTOR:
Name PATRICIA K CAPHTON
N. CHRISTOPHER W. RICHMOND
Address: 4052 GREENWOOD DRIVE
Company:
Com an RICHMOND ELECTRIC, INC
Y
City; FORT PIERCE State:FL
Address: 3086 ENTERPRISE ROAD
Zip Code: 34962 Fax:
qty. 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: 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 C ION LIEN
Name:_ ---
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not
Name:
City:
Zip:,
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING
Name:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Applicable
whichcis inoconBi it with any applicable Home OwnerstAssociationl rwill
esabylaws or and covenants that build
or prohibiit 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
commenrino wnrk nr rnrnrAi..,...... . n,,..:__ _r
_
Signature of ner/Lessee/Agent Signature of Co tmctor/License Holder
STATE OF FLORIDAI STATE OF FLORIDA
COUNTY OF ..CIE COUNTY OF sT _Co.
The forgoing instrument w,as acknowledged before me The forgoing instrument was acknowledged before me
this day of 2012 by thiS(2� dayof Jljli 20(k- by
CHRISTOPHER W RICHMOND CHRISTOPHER W. RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
he CAA n k.L a)� 3 ). 0 , ,
Isignature of Notary Public -State of F rida) (Signature of Notary Public -State of Flonof Flon l
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Commission No.
MFW"
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