HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-12-2019 Permit Number:
-J,
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
PROPOSED IMPt;OVEMENT I EMON;
Address: 114 UUtGN CHRISTINA COURT
Legal Description: QUEENS COVE - UNIT 2 - BLK 21 LOT G (OR 682-1166:1302-1318:
1389-1924:3156-368,370: 4045-266)
Property Tax ID N: 1414-702-0007-000-8 Lot No. G
Site Plan Name: Block No. 21
Project Name:
Setbacks Front Back: Right Side: Left Side:
�. DETAILED DESCRIPTION OF WORK:
REPLACE DOCK PANEL. LIKE FOR LIKE.
CONSTRUCTION INFORMATION: 11
11HVAC Gas Tank ❑Gas Piping
ZElectric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1,006.00
Shutters 11 Windows/Doors
Generator L] Roof
5Ft. of First Floor:
Utilities: Sewer Elseptic Building Height:
:OWNER/LESSEE:
CONTRACTOR:
Name GERHARD BERGMANN
Name: CHRISTOPHER W. RICHMOND
Address: GOETHESTR 4 D95163 WEISSENSTADT
Company: RICHMOND ELECTRIC, INC
City: GERMANY State: _
Zip Code: Fax:
Phone No.
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772 -461 -1907—
Phone No. 772-461-1951
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
_...._.,., ...._,,,,..,,.,, ,,,,,:« v: wn::nenLem ent :s regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:_
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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. Lucle County makes no representation that is granting a permit will authorize the Dermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or ano 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 sr. wur COUNTY OF s -a-
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this day of;rtjl 4 20f by thisL2_dayof_jLJ y _ ,20[j by
VHRISTOPHER w RICHMOND CHWSTOPHER IN WCHMOND
(Name of person acknowledging) (Name of person acknowledging)
PUJ 16,
(Signature of Notary Public -State of Florida) (Signature of Notary Public -State of Florida )
Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS