HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-10-18 Permit Number:
i
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 dropboxclick arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 1805 HAZELWOOD DRIVE
Legal Description:
Property Tax ID It: 2433-502-0026-000/5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
INSTALL GENERATOR MANUAL TRANSFER SWITCH AND 30 AMP GENERATOR POWER
INLET BOX. INSTALL DEDICATED RECEPTACLE NEXT TO GARAGE PANEL FOR A
FREEZER.
CONSTRUCTION INFORMATION:
Mona workto e e orme un ert apermit—checkall
❑Happy:
VAC Gas Tank Das Piping shutters ❑Windows/Doors
I��_I
❑✓Electric ❑Plumbing Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 733.00 Utilities: Sewer Oseptic Building Height:
O .LESSEE:
CONTRACTOR:
Name NICK HOLBERTON
Name: CHRISTOPHER W. RICHMOND
Address: 1805 HAZELWOOD DRIVE
Company: RICHMOND ELECTRIC, INC
City. FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
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: DEANAQRICHMONDELECTRICINC.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:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:_
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 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
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_ Signature of Owner/Lessee/Agent o Signature of Ca tractor/License Halder
STATE OF FLORIDA
COUNTY OF ar =-
The fo oing instrument was acknowledged before me
this L day ofSf42iJ7/iuL . 20aby
STATE OF FLORIDA
COUNTY OF m_wc,E
The fo�"fyIng instrument was acknowledged before me
this j day of SCbtiern6tetJ 20 a by
CHRISTOPHER W. RICHMOND CHRISTOPHER W RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
(STgnature of Notary Public -State of Florid (Signature of Notary Public -State of Flo
ridtyj
Personally Known x OR Produced densification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced �,I�
Commission No. Fran a Commission No. FF9DsQ9Q nyfi NAFAbllc Swe a Fix
Notary Public Seta cl Floliae J Deana M Dailev
Revised
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS