HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/1/2018 Permit Number: Ig)O
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 X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 2475 MIDWAY ROAD
Legal Description: WHITE CITY S/D 04 36 40 E 150FT OF W 215FT OF LOT 62- LESS S 150FT AND LESS RD R/W
AND LESS ADDL RD R/WS AS IN OR 3746- 1135-(0.49 AC-21,225 SF) (OR 3495-344;3650-2473)
Property Tax ID#: 3403-502-0096-030-5 Lot No. 62
Site Plan Name: Block No.
Project Name:
Setbacks Front _ Back: Right Side: Left Side:
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D AILED DEKRrPTION' PFUORK
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WIRE EXISTING SUPPLY AND EXHAUST FANS TO NEW HOOD SYSTEM. WIRE EXISTING
BRANCH CIRCUIT UNDER HOOD TO SHUNT WITH NEW SYSTEM. ALL ELECTRICAL, ACCEPT
HOOD, BY OTHERS.
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NRIIJATION // 77'
Additional work to be performed under this permit—check all pat,apply: ,or
HVAC _Gas Tank Gas Piping Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers _Generator _Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1,900.00 Utilities: Sewer _Septic Building Height:
Name GIANT OIL, INC. Name: CHRISTOPHER W. RICHMOND
Address: 1806 N. FRANKLIN STREET Company: RICHMOND ELECTRIC, INC
City: TAMPA State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 33602 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.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
I 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 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 1
commencing work or recording your Notice of Commencement.
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_Signature of ner/Lessee/Agent Signature of Contr ctor/License Holder
•
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this . day of Oc, IicL. , 20d_by this 1 day of OGtobeit_ ,201-r by
CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florid (Signature of Notary Public-State of Florida)/
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced !�' Type of Identification Produced
Commission No. FF.'•o`: 1'6 Notary Pyyk�Ippp te of Florida Commission No. FF 90909') ellf4o, NotaryNgt)State of Florida
7,` -. Deana M DSiley S Deana M Dailey
'F f My
Cos mi i�n FF 909099 o3r My Commission FF 909099
ar Pl'40,pl Expires 0 811 2/2 01 9
Revised 07/15/2014 '
REVIEWS FRONT .ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS