HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-18-2019 Permit Number:
S - _
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 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: 403 NORTH 40TH STREET
Legal Description: CLYDESDALE HEIGHTS BLK 2 LOTS 15 AND 18 (0.34 AC) (OR 435-332:1652-1947)
Property Tax ID 17: 2408-602-0027-000.1 15 & 18
Lot No.
Site Plan Name: Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION Q
SERVICE UPGRADE TO 220 AMPS METER AND EXTERIOR PANEL WILL BE REPLACED. THE
EXTERIOR GROUNDING WILL BE UPGRADED.
CONSTRUCTION INFORMATION:
Additional work to 5e erto:T I i un ertI is Permit—c ec a appy:
LJ�� c
HVAC Gas Tank L]Gas Piping _Shutters Windows/Doors
ZElectric Plumbing Sprinklers Generator L1 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2,400.00 Utilities: Sewer Septic Building Height:
OWNER/L 'BillONTRACTOR:
Name G[ DYS D F.. Name: CHRISTOPHER W. RICHMOND
Address: 403 N. 40TH STREET Company: RICHMOND ELECTRIC, INC
P Y:
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34947 Fax: City: FORT PIERCE State: FL
Phone No. Zip Code: 34982 Fax: 772461-1907
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: ----
Address:
City: State:
ZIP: Phone:
FEE SIMPLE TITLE
Name:
Address:
City:
Zip:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:_
Zip: Phone:
Not Applicable I BONDING
Address:
ZIP: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not
- --- -- --.-..---•- • •-• ••�-_• v=���aa�l , wes, oymws or ano covenants that may restrict or prohibit such
structure. Please consult wnh 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 exemptfrom 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
rnmmenrino work n r rn rdi..,..... ra...:___c r•_�_____-
c `� /it�r� Gv// ; _ O s
_ Signature of Owne / Lessee/Agent Agnature of CC nC tC�%Lmense Haltler
STATE OF FLORIDA
COUNTY OF ST. OICIE
Thefor oing instrument was acknowledged before me
this [ day o a licirri 20 Mby
2) JP921-4 d 421 -..✓)/).1...
(Tignature of Notary Public- State o orida I
STATE OF FLORIDA
COUNTY OF ar LUCE
The forgoing instrument was acknowledged before me
this,&Fday of (pt2i20 -by
CHRISTOPHER w RICHMOND
(Name of Person acknowledging )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Prer�u�e� Type of Identification Produced
Commission No. PP t4is NMenl
Deana
908099
Revised 07/15/2014
Commission
Deana
Swe N Flora
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS