HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-28-2020 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 IMPROVEMENT LOCATION:
Address: 10646 PINE NEEDLE DRIVE
Legal Description: PINE HOLLOW - UNIT TWO - LOT 12 (1.018 AC) (OR 1718-2413)
Property Tax ID q: 2321-802-00014-000.5 12
Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING 200A METER CAN WITH NEW 320A METER CAN. LEAVE ALL EXISTING
HOUSE WIRING AS IS. INSTALL NEW 125A MAIN BREAKER FOR NEW POOL PANEL WIRED
FROM NEW METER CAN. POOL EQUIPMENT TO BE INSTALLED UNDER SEPARATE PERMIT.
CONSTRUCTION INFORMATION:
niona wor to e e orme un ert is permit—c ec a apply:
II❑��IIHVAC flas Tank ❑Gas Piping _Shutters Windows/Doors
lY 11 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sct. of First Floor:
Cost of Construction: $ 11200.00 Utilities:�Sewer ❑septic Building Height:
SEE:
CONTRACTOR:
MV C.8 MELISSA R. McWHORTER
Name: THOMAS E. RICHMOND
10646 PINE NEEDLE DRIVE
Company: RICHMOND ELECTRIC, INC
P Y:
rJ'RE9
FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD445
Fax:
City. FORT PIERCE State: FL
Zip Code: 34982 Fax: 772'461-1907
Phone No. 772461-1951
Fill in fee simple Title Holder on next page I if different
E-Mail: DEANA@RICHMONDELECTRICINC.COM
from the Owner listed above)
State or County License: EC0001458
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: A
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE
Name:
Address:
City:
Zip:
Not
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING
Name:
Address:
Zip:
_Not
I certify that no work or installation has commenced prior to the issuance of a permit.
which is ICoornnfl;M wetir o representation ki tin that is granting a permit will authorize the permit holder to build
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 far
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
beforethefirs. inspection. If you intend to obtain financing, consult with lender or an attorney before
_ Signature of Owner/ Lessee/Agent Signature of Cantrattor/Lirense Holder
STATE OF FLORIDA
COUNTY OF . ware
The forgoing instrument was acknowledged before me
this3I day of o.. 204A by
persoon,LacLyk
of
STATE OF FLORIDA
COUNTY OF aT. L.I.
The forgoing instr Tent was acknowledged before me
this �day —of 1-92���j20 Z-0 by
THOM E RICHMOND
(Name of person acknowledging )
� 3IX
(Signature of Notary Public- State of Florida
Personally Known x OR Produced Identification _ I Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. co
Revised
Commission
askxlW
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS