HomeMy WebLinkAboutBuilding App Bill RichmondALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 17520 Hammock Ln Port St Lucie, FL 34987
Legal Description: HIDDEN ACRES BLK C E 360.75 FT OF LOT 1 (MAP 32/11S) (1.72 AC) (OR 701-2695)
Property Tax lD #: 3211-811-0016-010-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right S[de: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 1
Block No. C
install 30x55xl2 enclosed steel building on new concrete, no plumbing no electric no driveway
CONSTRUCTION INFORMATION:
Add itional work to be Derformed under this permit— check all that apply:
E]HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator g Roof 3 12 Roof pitch
Total Sq. Ft of Construction: 1650
Cost of Construction: $ 17554
Sq. Ft. of First Floor: _
Utilities:Sewer D Septic
Building Height: 12
OWNERAESSEE:
CONTRACTOR:
Name Ora W Richmond Jr Sharon L Richmond
Address: 17520 Hammock Ln
City: Port St. Lucie State: PL
Zip Code: 334987 Fax:
Phone No.352-468-1116
Name: James Player
Company: Carports Anywhere
Address: PO BOX 776
City: Starke State: FL
Zip Code: 32091 Fax: 352-468-1113
Phone No. 352-468-1116
E-Mail: jbpermitsfl@gmail.com
E-Mail: jbpermitsfl@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CSC1251995
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: 'Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: r Not Applicable
Name:
Address: PO SOX776
City:
Zip: Phone:
MORTGAGE COMPANY: 'Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: —'Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 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 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
commencing work or recording vowT Notice of Commencement.
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Signature of Owner/ Lesse Contractor as Agent for Owner
o y n
Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF tit c i_ COUNTY OF
The forgoing instrument was acknowledged before me
this 1{-^ day of - tbj(,c c°�-� — 20?1_' by
�Yc+✓ j,f,�. fL.,chl•n��� �z�.l Stnn.tir.h, 2eC1:-tir�v-��
Name of person making statement T,
Personally Known OR Produced Identification
Type of Identification
LUCY WHEATLEY
Notary Public —State of Florida
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The forgoing instrument was acknowledged before me
this V11 day of hAAEf2c-li 20-24D by
L1 A Me -is. P La (,',
Name of pers n making statement
Personally Known OR Produced Identification
Type of Identification
Produced
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Bonded through National Notary As57.:o MARIAR. BURGIN
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ExpiresAugusl25, 2023
Bondod Thru Troy Fain Insurance 600-385.7019REVIEWS FRONT ZONING SUPERVISOR VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVII=W REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17