HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/5/2018 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: 5001 SILVER OAK DRIVE
Legal Description: INDIAN RIVER ESTATES - UNIT 05- BLK 26 LOTS 56, 56 AND 57 (MAP 34102N)
Property Tax ID p: 3402-606-0210-000-8 Lot No. 55,56 & 57
Site Plan Name: Block No. 26
Project Name:
Setbacks Front Back: Right Side: Lek Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 2-POLE. 60A BREAKER IN EXISTING METERIMAIN ON EXTERIOR OF HOUSE. INSTALL MAIN BREAKER, 16 CIRCUIT, INDOOR PANEL
INSIDE NEW GARAGE. INSTALL 1" PVC WITH 60A, 120Q40V FEEDERS FROM 60A BREAKER TO NEW GARAGE PANEL. INSTALL GROUNDING
ELECTRODES AT NEW GARAGE AND BOND METAL BUILDING. INSTALL EMT CONDUIT AND METAL BOXES TO ACCOMMODATE THE
FOLLOWING IN NEW GARAGE (4) INTERIORS LIGHT FIXTURE OUTLETS. (2) EXTERIOR LIGHT FIXTURE OUTLETS, (1) BIG FAN OUTLET. (1) 30A,
240V HOOK (CAR LIFT), (3) QUAD RECEPTACLES, (1) DUPLEX RECEPTACLES, (1) 30A, 240V RECEPTACLE (WELDER).
CONSTRUCTION INFORMATION:
A011nional wor to e eFormed un ert Is permit—c ec a appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
❑✓ Electric ❑ Plumbing Sprinklers 1:1Generator L1 Roof
Total Sq. Ft of Construction: 5 Ft. 11 of FirstFloor:
Cost of Construction: $ 3,850.00 UtilitiesSewerSeptic Building Height:
Name HOLLY SANTORO Name: CHRISTOPHER W. RICHMOND
Address: 5001 SILVER OAK 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: 772-461-1907
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 Count% 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.
Inconsideration of the granting of this requested permit, I dohereby 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
S
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. u1CIE COUNTY OF sr wue
The for Ding inct�ument was acknowledge efore me The forgoing in rumen was acknowledged before me
this day of, orb
20 by this day of 200, by
CHRISTOPHER W RICHMOND CHRISTOPHER W RICHMOND
(Name of person acknowledging) (Name of person acknowledging 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. uc 32Ip+s___ C.- T5€aT1--""s^es? I Commission
Revised
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