HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/8/2019 Permit Number:
s
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 IMPROVEMENT LOCATION:
Address: 900 JACKSON WAY
Legal Description: COASTAL COVES - UNIT 1 - LOT 16 (OR 386-2776)
Property Tax ID 4: 1423-802-0018-000-3
16
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE DOUBLE LANDING FROM MAIN BREAKER. INSTALLED 2 POLE BREAKER IN MAIN
PANEL TO FEED EXISTING SUB PANEL. INSTALL NEW 100 AMP WIRE TO REFEED SUB
PANEL CORRECTLY. SUB PANEL WILL BE RELOCATED FOR PROPER CLEARANCE.
CONSTRUCTION INFORMATION:
rtlona wor to e e orme on ert Is permit ec a appy:
lf�� c
O
T�IHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
ZElectric
El Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1,494,00 Utilities: Sewer ❑Septic Building Height:
..OWNER/LESSEE:
CONTRACTOR:
Name ROMAN 8 WANDA BUDNYK
Name: CHRISTOPHER W. RICHMOND
Address: 900 JACKSON WAY
Com an RICHMOND ELECTRIC, INC
Company:
Y
City: FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
Zip Code: 34949 Fax:
City: FORT PIERCE State: FL
Phone No.
Zip Code: 34982 Fax: 772-461-1907
E-Mail:
Phone No. 772461-1951
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:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:_
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
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. Lucie County makes no representation that is granting a permit will authorize the hermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or antl 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
commencin work or recording/ our Notice of Commencement.
/(�j-/s
ent
Signature of Contraa /LicenseHolder
OF FLORIDA
F
STATE OF FLORIDA
Y OF ar wciE
COUNTY OF s.oing
instrument was acknowledge before me
this day of c„yF 206v by
The fo oing instrument was acknowledged before me
thisI day of A4, 9 pA 20 L�__by
CHRIUMFIER W. RICHMO ID
CHRISTOPHER W RICHMOND
(Name of person acknowledging )
(Name of person acknowledging)
)
/wledging
Z) MjL Y I
(Signature of Notary Public -State of FI a I
(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.
Commission No.
$ Notery Pugh SMbdFlwiae
Deana M Dailey
NWary PYE4 SMeof FbnCa
'� `4' Deane M Daiey
Revised 07/15/2014 an E18B oanvmte Explreaaenznots
REVIEWS FRONT ZONING
COUNTER REVIEW
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW
MANGROVE
DATE
REVIEW REVIEW REVIEW
REVIEW
COMPLETE
INITIALS