HomeMy WebLinkAboutBuilding Permitg ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-31-2020 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
PROPOSED IMPROVEMEMT,LOCATION:
Address: 4909 MAGNOLIA AVENUE
Legal Description: WHITE CITY BLK 71 THAT PART OF BLK 71 AND VAC CHARLOTTA STAND VAC ALLET MPDAF:
FROM INT OF W U MAOFgIUAVAND S U LHARLOTTAST, RUN NON W U MAGNOW AVID FT FOR POa, T1 RUN SWLY Ux fT TO"ON FUWCHARLOTTA ST TH WON Iwi
Property Tax ID ft: 3404-501-0398-000-3 Lot No.
Site Plan Name: Block No. 71
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE THE EXISTING 12/2 CLOTH WIRING FROM THE ATTIC JUNCTION BOX TO
VARIOUS 120V SWITCHES AND OUTLETS IN THE ORIGINAL AREA OF THE HOME.
CONSTRUCTION INFORMATION:
Aaartional work to ae e ormI un T: aperI I I et a appy:
ll❑�IHVAC � Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
E
LJElectric Plumbing ❑Sprinklers ❑Generator L3
Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3,042.00 UtilitiesIn Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JONATHAN FRAGA
Name: CHRISTOPHER W. RICHMOND
Address: 4909 MAGNOLIA AVENUE
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 ar more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 County makes no representation that is granting a permit will authorize the Dermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association
rules, bylaws or anrJ covenants that may restrict or prohibit such
structure. Please consult with Home Owners Association deed
your and review your 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
commencingwork or recordIn our Notice of Commencement.
A^ c
vt�L /i
_Signature of Ow�er/ Lessee/Agent
see/
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sr. woe
COUNTY OF sr_wcm
The forgoing instrument was acknowledged before me
The forgoing inst ent was acknowledged before me
this day of 20ILaby
this day of Q�tL eP.. 20 �O by
CHRISTOPHER W. RICHMOND
CHRISTOPHER W. RICHMOND
(Name of person acknowledging I
(Name of person acknowledging I
(Signature of Notary Public -State of Florida I If
(Signature of Notary Public -State of Florida I
Personally Known x OR Produced Identification _
Personally Known x OR Produced Identification
Type of Identifcation Produced
_
Type of Identification Produced
Commission No. Dc32SH
CommissionNo. 60313S
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Revised 07/15/2014
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