HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-20-2019 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
Address: 1915 S. 33RD STREET
Legal Description: WESTWOOD MANOR BLK 3 LOTS 16,17 AND 18 (0.51 AC) (OR 290-2899:782-565:1110-987:
2134-1140:2644-1135;3743-1789)
Property Tax ID #: 2417-702-0042-000-7 Lot No. 16.17 8 18
Site Plan Name: Block No. 3
Project Name:
Setbacks Froni Back: Right Side: Left Side:
Install PVC Conduit from exterior panel to kitchen. Install a 4 wire range receptacle, breaker and
wiring for a stove outlet replacing an abandoned 3 wire receptacle.
CONSTRUCTION INFORMATION: Ill
ZElectric _ _bingu uc OSprinklers
t�J ❑Plu
Total Sq. Ft of Construction:
Cost of Construction: $ 1.163.00
Shutters Windows/Doors
Generator Roof
5Ft. of First Floor:
UtiIities:n Sewer D SeptiC Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Viola Kay Rodgers (LF EST)
Name: CHRISTOPHER W. RICHMOND
Address: 1915 S. 33rd Street
Company: RICHMOND ELECTRIC, INC
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No.
Address: 3086 ENTERPRISE ROAD
City; FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
1— m wm,nena.emenus re9umrea.
SUPPLEMENTAL CONSTRUCTION LIE
ATION:
Personally Known x
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
MANGROVE
REVIEW
Address:
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in congict with any applicable Home Owners Association rules, bylaws or antl 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
_Signature of Owner/ Lessee/Agent Signature o Contract r/License Holder G�S
STATE OF FLORIDA
COUNTY OF. sT. lack
The forgoing instrument was acknowledged before me
this Y day of t,I 2019 --by
STATE OF FLORIDA
COUNTY OF ST. EucIE
The forgoing instrument was acknowledged before me
this X& day o 20 (5-- by
CHRISTOPHER W RICHMOND CHRISTOPHER W RICHMOND
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public -State of lUnda )
(Signature of Notary Public -State of FlondA I
Personally Known x
OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
VEGETATION
REVIEW
_
Type of Identification Produced
MANGROVE
REVIEW
a1J^°' Notary Public Slate a l%ixa
Commission No.
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Commission NofF NOWyPIg Ma"'n"
909099
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INITIALS
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Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
I REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS