HomeMy WebLinkAboutCCFALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-12-2019 Permit Number:
• 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: 4606 MAGNOLIA AVENUE
Legal Description: INDIAN RIVER ESTATES - UNIT 04 - BLK 33 LOT 3 AND N 90 FT OF LOT 4
(MAP 34/02N) (OR 2029-1729)
Property Tax ID #: 3402-605-0017-000-2 Lot No. 3
Site Plan Name: Block No. 33
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: v
REMOVE EXISTING OVERHEAD RISER AND METER CAN. REPLACE WITH UNDERGROUND FED METER CAN AND INSTALL
CUSTOMER INSTALLED 2' PVC INTO METER. INSTALL2ND GROUNDING ELECTRODE AND WIRE TO EXISTING
GROUNDING ELECTRODE SYSTEM. INSTALL INTERSYSTEM BONDING TERMINAL AT SERVICE LOCATION. INSTALL 2
POLE 50A BREAKER IN MAIN PANEL AND INSTALL CONDUIT / CONDUCTORS TO 50A, 1201240V POWER INLET BOX ON
EXTERIOR OF THE HOUSE. INSTALL GENERATOR INTERLOCK CLIP IN MAIN PANEL.
CONSTRUCTION INFORMATION:
iLona wor to oe performed un ert is permit -c ec a app y:
IHVAC Gas Tank ❑Gas Piping _Shutters ❑�IWindows/Doors
IzElectric OPlumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer E Septic Building Height:
Name JAMES FARLEY - Name: CHRISTOPHER W. RICHMOND
Address: 4606 MAGNOLIA DRIVE Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34982 Fax: -City: FORT PIERCE State: FL
Phone No. Zip Code: 34982 Fax: 772<81-1907
E-Mail: Phone No. 772-461-1951
Fill in fee simple Title Holder on next page ( 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:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
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. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subjectstmcture
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
fifl % GL/ �� L/li _ /iyYyt= r�s
_ Signature of Ow er/ Lessee/Agent Signature of tractor/License Holder
STATE OF FLORIDA
COUNTY OF m.uoE
The forgoing instrument was acknowledged before me
this a day of NOWrwhtr 20(_Qby
CHRISTOPHER W RICIWOND
(Name of person acknowledging)
Identification
Type of Ider
Commission
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF sr. wcie
The forgoing instrument was acknowledged before me
this" day of dj41Vuar/..6/ .20 a by
of person acknowledging )
�` Lld�t+Gc— � • l
(Signature of Notary Public -State of Florid
Type of Identific
Commission No.
OR Produced Identification
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS