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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�,(1 Date: duly 10, 2019 � Permit Number: `"lC) I • ©a,1D cue, '"a@°`•GT� ^$i � 'i£L'F+C LF e�'.i`:. x. ♦ r 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 'TYPE:Electrical (' kTfJL� I�I l�EY{1L]1 t 8 �11.,i .'S,k� Address: 3815 Delaware Avenue Fort Pierce, FL 34947 Property Tax ID #. 2408.331.0002.010.2 Lot No. Site Plan Name: Block No. Project Name: "DETAIL a QE R[PTi WaRICr 2101V ,.k'v Relocate branch circuit wiring for air handler. Disconnect and reconnect air condensing unit. C;tISTRUGT�! II�iFQN�° tQi E�_ ,f�� Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 200.00 Utilities: —Sewer _Septic Building Height: e`i ,SW-1: A cC i e..xi. ✓.1,r ., .,.. ,..,n. r .,,.. w-.. ,F.rIr..$&�'i C1 Name Ms. Regina L. Lattner Name: Daniel S. Richmond _ Address: 3815 Delaware Avenue Company: WHITE ELECTRIC Fort Pierce State: Address:= -, 645 3rd,E'lace--= _ _ (Zip Corder .3494.T: ,'s, Fax: _ City: "Vero Beach P.: State: FL . Phone No:'_7.7.2:464:8Q77 Zip Code, 32962;` rFax: 772.562.1410 - de E-Mail: _. Phone No 772.567.2642 Fill in fee: simple Title Holder on next page ( if different E-Mail info@whiteelectricvero.com from the Owner listed above) State or County License EC13002005 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. Ik L !l f A� C }l �1'Ii3N t,I i A N IN £� AT=ION' �_ � ��� �� �.'... IMIc. a�.'k:A �a'T'"',:� �':':7 �, ��.. ,...... DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: _ Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: , Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Indian River The forgoing instrument was acknowledged before me this 101h day of July , 20_ by DANIEL S. RICHMOND Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced Oft ZY /6�x Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF Indian River The forgoing instrument was acknowledged before me this 101h day of July , 20_ by DANIEL S. RICHMOND Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced (Si1natu64 of Nota ublic- State of Florida) (Signature Notary lic- Stat R ELI7ABETH ROTT • �.. MARY ELIZABETH RC Commission No. .•'''•'"Y �y'�: t�AQ,�` ommission No. ° 5 mission # FF 9562 _* ` _ �'oYNtt.ission # FF 956228 Expires February 1, 2020 Expires February 1, 20i A ip...... Bonded Thu Troy Fan Insurance BO REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I RECEIVED COMPLETED