HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/2/2020 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
R"POSEQ&WPROVE
Address: 3009 BENT PINE DRIVE
Legal Description: MONTE CARLO COUNTRY CLUB - UNIT THREE -THAT PART OF LOT 73 - LESS W 55 FT - AND ALL LOTS 74
THRU 85 (TOWNHOUSES AT WHIPPOORWILL RUN UNIT 702) MPDAF: FROM SW COP SEC 27-34-39 RUN N 0 DEG 55
Property Tax ID 1l: 1327-701-0043-020-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side.
DETAILED DESCRIPTION OF WORK:
INSTALLING DISCONNECT FOR HOT WATER HEATER. REPLACING EXISTING CORD AND
PLUG.
CONSTRUCTION INFORMAT*N:
K
Riona wor to e e orme un er t is permit c ec a app y:
❑HVAC ff Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
❑✓ Electric ❑ Plumbing Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction:$ 475.00 Utilitii Sewer E] Septic Building Height:
Name JULIA PECUCH Name: CHRISTOPHER W. RICHMOND
Address: 3009 BENT PINE DRIVE Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34951 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 an 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 LI - FORMATION: _
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name: -
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 Counttyv 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 bylaws
rules, 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 concurrenry 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
commencingwork or recordiinnJ our Noticeof Commencement../-
_ Signature of ner/ Lessee/Agent
Signature of Cpntra or/License Holder/License Holder _
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF sT LNCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _?_ day of Tn 20 ZA)by
this 2 day of 20 LO by
CHRISTOPHER W. RICHMOND
CHRISTOPHER w RICHMOND
(Name of person acknowledging)
(Name of person acknowledging)
/I
(Signature of Notary Public -State of Florid
(Signature of Notary Public - State of Florida I
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. GO was NI ;E
Commission No. cc azests No B sreraPa�o.
• Deana M Daile
peens M Deiby
My CD. mi.Da
M E�,H aelli/103J xMRN 1a2013
Revised 07/15/201
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