HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date'. 5-22-2018 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
PROPOSEDIMPROVEMENT LOCATION:
Address: 6041 PETERSON ROAD
Legal Description: 13 35 39 BEG AT NW COR OF NW 1/4 OF NE 1/4 OF NE 1/4 RUN E 208.75 FT TH S 258.25 FT
TO POB - LESS N 71.5 FT (0.90 AC) (OR 2958-2182; 3923-930)
Property Tax ID q: 2313-112-0003-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE u
INSTALL PROPER 60 AMP BREAKER FOR AIR HANDLER. INSTALL NEW WIRE AND
BREAKER TO SEPERATE THE AIR CONDENSOR PROPERLY.
CONSTRUCTION INFORMATION:
Ilona war to e e oirriii in ertI Is Permit—c ec a appy:
I c
Gas Tank OGas Piping _Shutters
jj❑]�HVAC
ll1�Windows/Doors
Lz Electric 0 Plumbing Sprinklers 0
Generator Roof
Total Sq. Ft of Construction: ScFt. of First Floor:
Cost of Construction: $ 1.000.00 Utilities: Sewer ElSeptic Building Height:
OWINERAESSEE: NTRACTOR:
Name LAURA A. ROBBINS Name: CHRISTOPHER W. RICHMOND
Address: 6041 PETERSON ROAD Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 349'17 Fax: City; FORT PIERCE State: FL
Phone No. Zip Code: 34982 Fax: 772-461-1907
E -Mail: Phone No. 772361-1951
Fill in fee simple Title Holder on next page I 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: II
Name:
Address:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
ZIP: Phone:
MORTGAGE COMPANY:_ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING
Name:
City:
ZIP: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Applicable
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
commencine work nr rernrdinR wi,... N ei+i— _f r..........___�__.
_ Signature of Owner/ essee/Agent Signature of Cant ctor/Lg�icensev/4�Holde� 5r
STATE OF FLORIDA
COUNTY OF sr .,C
The forgoing instrument was acknowledgedAefore me
this 27.day of fY1a Al_— 20 by
CHRISTOPHER w RICHMOND
iName of person acknowledging )
l 1_
(Signature of Notary Public -State of H.
po )
Personally Known x OR Produced Identification _
Type of Identification Produced
Commission No. EE 9M401
ISeall _ _
Revised
STATE OF FLORIDA
COUNTY OF .1 LUCID
The forgoing instrument was acknowledged pefore me
this ZZ day of D2,21 20 4- by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging I
e�_)/
Ignatu42 It
re of Notary Public -State of Flodda
Personally Known x OR Produced Identification
Type of Identification Produced
Commission
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS