HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/29/2018 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: 129 QUEEN BESS COURT
Legal Description: QUEENS COVE-UNIT 1 -BLK 16 LOT H (OR 1948-1103)
Property Tax lD#: 1414-701-0153-000-3 Lot No. H
Site Plan Name: Block No. 16
Project Name:
Setbacks Front Back:Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL ONE SUB PANEL NEXT TO THE METER CAN. INSTALL ONE TESLA ELECTRIC
CHARGER IN THE GARAGE.
CONSTRUCTION INFORMATION:
llr�nlIlona war to e e orme under t Is —checkpermit a apply:
FL:IHVAC Gas Tank ❑Gas Piping _Shutters ❑windows/Doors
Lei Electric OPlumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cast of Construction: $ 495.00 Utilities:cn Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DEMETRIOS&VVONNE KOUTSOFIOS Name: CHRISTOPHER W. RICHMOND
Address: 129 QUEEN BESS COURT Company: RICHMOND ELECTRIC, INC
City. HUTCHINSON ISLAND State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34949 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: 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:
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 a permit will authorize the hermit 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
commencinA work or recording our Notice of Commencement.,/ ,�rr� AA
l/C/!�I /N/!ir t� S
_Signature of Owner/Lessee/Agent Signature of Contr ctor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -wCle COUNTYOF sT_wcle
The f��orQQoIng instrument was acknowledged before me The forgoing instru ent was acknowledged before me
this;�'�j day of gu.c�1 . 2fll�by this2�day of eta"C/� 20 Le_by
CHRISTOPHER W.RICHMOND CHRISTOPHER W RICHMOND
(Name of person acknowledging I (Name of person acknowledging I
ISignature of Notary Public-State of Flor')I (Signature of Notary Public-State of Florid
Personally Known x OR Produced Identification_ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF 9s NoWq FVM4%W m FbrMa Commission No. FFwD039 a
Deana M Dailey Nolery ublc Sbte,x FWda
My Commission FF 909099 Deana M Dailey
an pIre
Revised 07/15/20 an E%Flna 001t2301D
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS