HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3-5-2019 Permit Number: POS-1 XYLSCI�_
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: 4400 METZGER ROAD
Legal Description: 6 35 40 SE 1/4 OF SW 1/4 OF SE 1/4-LESS S 519 FT OF W 450FT AND LESS RD R/W AND LESS BEG AT A PT ON N
R/W METZGER RD 1544.04 FT WILY OF E SEC LI, TH ELY ALG SD R/W 14.22 FT TH NLY 204.21 FT,THNWLY 20.81 FT
Property Tax ID#: 2406-434-0001-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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HOOK ELECTRIC TO NEW VEHICLE GATE.
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Additional work to be nertormed un er t is permit—c heck a appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
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Electric 0 Plumbing Sprinklers ElGenerator 1:1 Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1758.00 Utilities:'nSewer Septic Building Height:
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Name STEPHEN&RUTH STROMAK Name: CHRISTOPHER W. RICHMOND
Address: 9621 KNOLLWOOD LN Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34951 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
.Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
IFEE 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.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST_LUCIE
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 7 day of Mazth 20�.by this day of /n xd-N 20 by
CHRISTOPHER,W.RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flo da) (Signature of Notary Public-State of FI ida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF9 99-0 PNotary PdAez �teofFlorida Commission No. FF909099 Seal
a Deana M Dailey
Q My Commission FF 909099 Notary Public State of Florida
of�° xplro°U01 Ididu It,
My Commission FF 909099
Revised 07/15/20 '''a.rwExpir®ao9/12/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS