HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-16-19 Permit Number'.
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
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
Address:
Legal Description:
5300 S. INDIAN RIVER DRIVE
J O FRIES S/D THAT PART OF LOT 5LYG E OF FEC RR - LESS N 200 FT AND LESS RD R/W
Property Tax ID N: 3401-600-0009-000-5 Lot No. 6
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: ill
INSTALL PROPER 200 AMP PANEL AND WIRE FROM AN EXISTING METER. THE EXISTING
METER AND SERVICE WIRE IS 200 AMPS. IMPROVE THE EXISTING GROUNDING.
PROPERLY SAFE OFF AN EXISTING UNUSED IMPROPER WIRE CONDUIT & FEED.
I CONSTRUCTION INFORMATION: III
I�IIJHVAC I IGas Tank UGas
ZElectric Plumbing 0SPI
Total Sq. Ft of Construction:
Cost of Construction: $ 1,297.00
Piping
lrs LJ Generator
S Ft. of First Floor: _
Utilities:"n Sewer o Septic
11 Windows/Doors
Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CHRISTOPHER & GERENE STARRATT
Name: CHRISTOPHER W. RICHMOND
Address: 2548 WHALE HARBOR LN
Company: RICHMOND ELECTRIC, INC
City: FORT LAUDERDALE State: FL
Zip Code: 33312 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 I if different
from the Owner listed above)
E-Mail: DEANAGRICHMONDELECTRICINC.COM
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: III
Name:
Address:
City: State:_
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
City:
Zip:,
Not
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 permit holder to build the subject structure
which is in can with any applicable Home Owners Association rules, bylaws or an C 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
STATE OF FLORIDA
COUNTY OF ar.0 ,i,
The forgoing instrument was acknowledged before me
thisLV-dayof201!t-by
L/%%-lti - , 7 s
Signature of Wntrdctor/License HOtcer
STATE OF FLORIDA
COUNTY OF ST. ---
The forgoing instrument was acknowledged before me
this (je__day of, r'.. .20 if
CHRISTOPHER W. RICHMONO CHRISTOPHER w RICHMONO
(Name of person acknowledging I (Name of person acknowledging)
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Signature of Notary Public -State of Florida I
Personally Known x OR Produced Identification
Type of Identification Produced
NO. W326515 I X NQfiwaLNk 504 d FIdIl1a
Cana fA Dailey
a a My Carmiarion GG 336515
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS