HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/20/2020 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEDIMPROVEMEN.
Address: 193 LIBERTY WAY
Legal Description: BEL-AIRE ESTATES BILK 2 LOT 2
Property Tax ID k: 1312-701-0017-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
11
Lot No. 2
Block No. 2
DETAILED DESCRIPTION OF WORK: I:A
INSTALL A NEW METER, RISER, WEATHERHEAD AND 2/0 COPPER TO PROPERLY FEED
AN EXISTING 200 AMP PANEL.
i CONSTRUCTION INFORMATION: Iii
lI_IHVAC 1___J Gas Tank UGa!
ZElectric OPlumbing []Spr
Total Sq. Ft of Construction:
Cost of Construction:$ 1,223.00
Piping
!rs L,J Generator
SFt. of First Floor:
Utilities:rn Sewer 11 Septic
E]l�l Windows/Doors
LlRoof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SANDRA SIMON JR)
Name: CHRISTOPHER W. RICHMOND
Address: 19333 W. COUNTRY CLUB DR.
Company: RICHMOND ELECTRIC, INC
City_ AVENTURA State: FL
Zip Code: 33180 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 ( if different
from the Owner listed above)
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
IT value or COnStrucoon IS y2SDa or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State: _
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
CRy:
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 an tl 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
(/� Gli�
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF sr. was
The forgoing instrument was acknowledged before me
this2Qdayof 202XLby
Signature of Contra ar'Ucense Halder
STATE OF FLORIDA
COUNTY OF ST -,-
The forgoing instrument was acknowledged before me
this day ofSAn�. 207 by
CHRISTOPHER W. RICHMOND CHRISTOPHER RICHMOND
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida/ pgnazure or nDrary ruonc- care m nonce 'L,Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014
SIale a PIpHe
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS