HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-19-2018 Permit Number:
N RECEIVED
Building.Permit Application � NOV 19 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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: S. ERIE DRIVE
Legal Description: 33 34 40 SE 1/4 OF NW 1/4-LESS N 100 FT LYG E OF E RAN CHEROKEE AVE EXTENDED SOUTHWARD
AND LESS E 100 FT AND FROM CENTER OF SEC AT PT ON E SIDE OF CANAL RUN S 88 DEG 33 MIN 54 SEC W ALG E-W
Property Tax ID#: 1433-210-0003-000-9 Lot No.
Site Plan Name: TALL PINES MOBILE HOME Block No.
Project Name: 321 OTTAWA WAY-319 OTTAWA WAY-311 S. ERIE DRIVE
Setbacks Front Back: Right Side: Left Side:
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REPLACE EXISTING UNDERGROUND 200 AMP SINGLE PHASE SERVICE TO EXISTING
PEDESTAL, WHICH IS EFFECTING 321 OTTAWA WAY, 319 OTTAWA WAY AND 311 S. ERIE
DRIVE. APPROXIMATELY 12 FT.
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Additional work toe pertormed under this permit—check a appy:
HVAC - 1:1 Gas Tank Gas Piping M
Shu ❑tters Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1,031.00 Utilities:0Sewer 0Septic Building Height:
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Name BEDROCK TALL PINES, LLC. Name: CHRISTOPHER W. RICHMOND
Address: 650 5TH AVENUE FL 1601 Company: RICHMOND ELECTRIC, INC
City: NEW YORK State: NY Address: 3086 ENTERPRISE ROAD
Zip Code: 10019-0015 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
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
commencing work or recording our Notice of Commencement.
_Signature of 0 ner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forgoing instrument was acknowl edge d1),efore me The forgoing instrument was acknowledged before me
this /19 day of_A&VeA/!jkWA., 20 LKby this day of 20 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 Flori )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Pro44%c,'.
6+O"Y°o Notary(�uht,r Ile ul Florida
Commission No. FF 909 9 Se ) Commission NO. FF90sos� �� Deana?1edl „o
tea, e Notary ublic State of Florida s-:. �� 'My Com•.nsa;c•r FF 909099
Deana M Dailey "or c�Q° Expire&jbt,,2/2ro
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'1'op71e Expires 08/12/2019
Revised 07/15/M14-
REVIEWS
7/15/014REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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