HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/1712018 Permit Number:
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 IMPROVE TION: r .
Add res.: 230 WEST ERIE DRIVE
Legal Description: 33 34 40 SE 1/40F NW 1/4 LESS N 100 FT LUG E OF E R/W CHEROKEE AV EXTENDED
SOUTHWARD AND LESS E 100FT AND FROM CENTER OF SEC AT PT ON E SIDE OF CANAL RUN S 88 DEG
Property Tax ID #: 1433-210-0003-000-9 Lot No.
Site Plan Name: RUSSELL GAGNON Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE 200AMP MAIN BREAKER PANEL LIKE FOR LIKE. PANEL WILL BE LOCATED
OUTSIDE OF EXISTING CLOSET LOCATION.
CONSTRUCTION INFORMATION:
II�artIiona workto e e Orme under tis Permit-c ec a appy:
Gas Tank ❑Gas Piping _II Shutters ❑Windows/Doors
FFLv�IIHVAC
ZElectric El Plumbing []Sprinklers LI Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1,735.00 Utilities:'n Sewer❑Septic Building Height:
`...:
CONTRACTOR:
Name RUSSELLGAGNON
Name: CHRISTOPHER W. RICHMOND
Address: 230 WEST ERIE DRIVE
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No.
Zip Code: 34982 Fax: 772461-1907
E-Mail:
Phone Na. 772-461-1951
Fill in fee simple Title Holder on next page I if different
E-Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
from the Owner listed above)
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
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone:
COMPANY: _Not
Name:
City:
Zip; Phone:
I 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
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 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
�w `�
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF w wclE
The fo Ding instrymer7t was acknowledged before me
this day of e .YID. 20 U—by
Signature of Contra r/License notues
STATE OF FLORIDA
COUNTY OF sr wc,E
The forgoing instr7ent was acknowledged before me
this 11 day of !71A I J ,20/p_by
CHRISTOPHER w RICHMOND CHRISTOPHER w RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu lic- State of Florid (Signature of Notary Public -State of Flom i
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF Commission No. FFwWW ryy N Suteo/F1x*Mi
NMa bR Rr.r.,vFww 4 .._
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS