HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-28-2019 Permit Number:
an�
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: 2423 ATLANTIC BEACH ROAD
Legal Description: FORT PIERCE SHORES - UNIT 1 - BLK 3S 39 FT OF LOT 13 AND N 36 FT OF LOT 14 (OR 441157)
Property Tax ID N: 1436-601-0062-000-9 Lot No. 13/14
Site Plan Name: Block No. 3S
Project Name:
Setbacks Front Back: Right Side: Left Side:
INSTALL ONE 120 VOLT RECEPTACLE INSIDE THE AIR HANDLER CLOSET.
CONSTRUCTION INFORMATION:
itiona wor to e e Orme un ert aper i is ec a appy:
❑HVAC 11Gas Tank OGas Piping _Shutters Windows/Doors
II��I
ZElectric Plumbing Sprinklers Generator
I_I Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cast of Construction: $ 324.00 Utilities: Sewer Septic Building Height:
IiWNERAESSEE:
CONT
Name: THOMAS E. RICHMOND
Name MARK 8 CAROLYN REGAN
Address: 203 OLD POND WAY
Company: RICHMOND ELECTRIC, INC
City: SNOWMASS State: CO
Address: 3086 ENTERPRISE ROAD
Zip Code: 87654 Fax:
City: FORT PIERCE State: FL
Phone No.
Zip Code: 34982 Fax: 772-461-1907
E-Mail:
Phone No. 772-481-1951
Fill in fee simple Title Holder on next page ( if different
E-Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
from the Owner listed above)
If value of conrtruction is $2500 or more, a RECORDED Notice of Commencement is required.
iiNbliMiWNTAL
CONSTRUCTION LIEN LAW INFORMATION:
ZONING
DESIGNE
Name:
ENGINEER:
_Not At
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
COUNTER
REVIEW
Address:
REVIEW
City:
Zip:
Phone:
State:_
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
COMPLETE
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 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
2-'e ..� G`P�s
_ Signature of (honer/ Lessee/Agent signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF .* LUCIE
STATE OF FLORIDA
COUNTY OF sr. --,-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _day of 20 —by this _day of 20_by
THOMh E. RICHMOND TIOMSE RICHMOND
(Name of person acknowledging) (Name of person acknowledging I
Notary
of Notary Public -
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
Revised
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
EC0001963 EC0001458
PROPOSAL
RICHMOND ELECTRIC
3086 ENTERPRISE ROAD
FT. PIERCE, FLORIDA 34982
772-461-1951
FAX 772-461-1907
ATTENTION: CAROLYN REGAN EMAIL: =m 8,,203@am it com
PROPOSAL SUBMITTED TO:
PHONE: 970-948-4089 DATE: 10-28-19
CAROLYN REGAN
2423 ATLANTIC BEACH BLVD
FORT PIERCE, FL
LOB NAME AND LOCATION:
ADDITIONAL OUTLET FOR AIR UNIT
PROPOSE TO WIRE AS FOLLOWS
INSTALL ONE 120 VOLT RECEPTACLE INSIDE THE AIR HANDLER CLOSET. I
THIS OUTLET WILL BE FEED FROM THE SWITCH AND RECEPTACLE BOX ON THE OPPOSITE SIDE OF THE WALL.
THE OUTLET WILL BE GFT PROTECTED PER CODE.
ONE Sr LUCIE COUNTY PERMIT WILL BE PULLED FOR THE ELECTRICAL FOR THIS PROJECT.
LABOR AND MATERIAL $ 212.00
PERMIT FEE 112.00
TOTAL JOB COST $ 324.00
• IF THE SINGLE POLE 20 AMP BREAKER IN THE OUTSIDE PANEL NEEDS REPLACED ADD $ 9.00 TO THE ABOVE
TOTAL.
WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR - COMPLETE AND IN ACCORDANCE WITH ABOVE
SPECIFICATIONS FOR THE SUM OF:
THREE HUNDRED AND TWENTY FOUR DOLLARS AND XXAOO..............................................$324.00
PAYMENT TO BE MADE AS FOLLOWS:
WHEN THE JOB COMPLETES
ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS INVOLVING FSTRA COSTS WILL BE EXECUTED ONLY UPON
WRITTEN ORDER AND WU,L BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE ALL AGREEMENTS CONTINGENT
UPON STRIKES, ACCIDENTS OR DELAYS BEYOND OUR CONTROL. THIS PROPOSAL MAY BE WrrHDRAWN BY US IF NOT ACCEPTED
WITHIN THIRTY 1301 DAYS.
ACCEPTANCE OF PROPOSAL - THE ABOVE PRICES, SPECMCATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY
ACCEPTED.
YOU ARE AUTHORIZED TO DO TUE WORK AS SPECIFIED.
DATE OF