HomeMy WebLinkAboutMoseleyALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-14-19 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: 11401 W. Angle Road
Legal Description: 4 35 39 FROM NE CDR OF NW 1/4 RUN S 260.06 FT FOR POE, TH CONT S 593.42 FT TO A PT
ON NLY RM/ TRNPK, TH NWLY ON RAN 811.79 FT, TH E 540.75 FT TO POB (3.69 AC) (OR 2138-1439: 2173-1387)
Property Tax ID #: 2304-211-0001-000-4 Lot No.
Site Plan Name: Black No.
Project Name: CHET MOSELEY
Setbacks Front Back: Right Side: Left Side:
DETAILED DE
REPLACE EXISTING OVERHEAD SERVICE, PANEL & BREAKERS IN SAME LOCATION AS
EXISTING.
CONSTRUCTION INFORMATION:
II�atllona wor to e e orme un ert Is permit—c ec a apply:
0Gas Tank ❑Gas Piping Shutters Windows/Doors
�IHVAC
I�I
ZElectric 0 Plumbing Sprinklers L (Generator lol Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1235.00 Utilities: Sewer D Septic Building Height:
OWNER%CESSEE:
CONTRACTOR:
Name CHET N. MOSELEY
Name: CHRISTOPHER W. RICHMOND
Address: 11401 W. ANGLE ROAD
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No.
Zip Code: 34982 Fax: 7724161-1907
E-Mail:
Phone No. 772-461-1951
Fill in fee simple Title Holder on next page I if different
E-Mail: DEANAGRICHMONDELECTRICINC.COM
State or County License: EC0001963
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF 9T, Lucie
The forPt�ing instrument was acknowledged before me
this day of mal 20 (I -by
v�vrw/ � s
Signature of Cofactor/License Holder
STATE OF FLORIDA
COUNTY OF m.—,,,
The forgoing instrument was acknowledged before me
this D-day orkQt/- 20 19-by
CHRISTOPHER W RICHMOND CHRISTOPHER W RICHMONO
(Name of person acknowledging) (Name of person acknowledging )
Personally Known x
Type of Identification
Commission No.
Revised 07/15/2014
�—t�lltil,, .
State of Florida (Signature of Notary Public-S a of Florida )
OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced
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Deana ftrr�t��aa1 y Commission No. FF eo 22
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS