HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6242019 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
vPRCiPQ5EPJM PROVEM ENT LOCATION:
Address: 5919 TRAVELERS WAY
Legal Description: PALM GRIVE SID BLK C LOT 2 (0,13 AC)
Property Tax ID g: 3410-503-0074 000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED
Left Side:
REPLACING 150 AMP MAIN BREAKER PANEL. LIKE FOR LIKE
Lot No. 2
Block No. C
I CONSTRUCTION INFORMATION: III
LJHVAC L__JGas Tank
ZElectric 11 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,267.00
nL— ncL.n NViy.
Piping II��ll_Shutters ❑ Windows/Doors
nklers LJGenerator Ll Roof
Sq Ft. of First Floor:
Utilities: Sewer 0 Septic Building Height:_
OWNER/LESSEE:
Name ANDREW M. SHESKO
Address: 5919 TRAVELERS WAY
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice
CONTRACTOR:
Name: CHRISTOPHER W. RICHMOND
Company: RICHMOND ELECTRIC, INC
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
E-Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
is required.
SUPPLEMENTAL CONSTRUCTION
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 COMPANY:
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not 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
_ Signature of Owner/ Lessee/Agent Signature of Contract r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -wcic COUNTYOF er. wcm.
The for�oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this3 day of Tun[_ . 20 1 thisL day of Titne 20 19 by
CHRISTOPHER w RICHMOND CHRISTOPHER W. RICHMOND
(Name of person acknowledging) (Name of person acknowledging )
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
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REVIEW
DATE
COMPLETE
INITIALS