HomeMy WebLinkAboutRevised Bill Richmond Building ApplicationALL 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 32/118) (1.72 AC) (OR 701-2695)
Property Tax ID #: 3211 -811 -0016-010-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Lot No. 1
Block No. ^
Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
install 30x55x12 enclosed steel building on new concrete, no plumbing no electric no driveway
CONSTRUCTION INFORMATION:
his permit - check all ttiai apply:
Gas Piping LJ Shutters
I I GeneratorSprinklers
Ac ditional work to be performed under
HVAC I Gas Tank
Electric Plumbing
Windows/Doors
Roof 3:12 Roof pitch
Total Sq. Ft of Construction: 1^50
Cost of Construction: $ 17554
Sq. Ft. of First Floor:
^ □Utilities: LJSewer Lj Septic Building Height: 1^
OWNER/LESSEE:CONTRACTOR:
Name O'"® W Richmond Jr Sharon L Richmond Name: JaiTfies Player
Address: 17520 Hammock Ln
City: Port St. Lucie
Company: Carports Anywhere
State:
Zip Code: 334987 Fax:
Address: PO BOX 776
City; Starke State: 1^*-
Phone No. 352-468-1116 Zip Code: ^^QQI Fax:. 352-468-1113
E-Mail: jbpermitsfl@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Phone No. 352-468-1116
E-Mail: jbpermitsfl@gmail.com
State or County License: CBC1251995
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUaiON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ^Not Applicable
Name:
MORTGAGE COMPANY: ^Not Applicable
Name:
Address:Address:
Citv: State:Citv: State:
Zio: Phone Zio: Phone:
FEE SIMPLE TITLE HOLDER: .^Not Applicable
Name:
BONDING COMPANY: >-^Not Applicable
Name:
Address: po BOX 776 Address:
Citv:Citv:
Zio: Phone:Zio: Phone:
OWNER/ CONTRAaOR 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 wiii authorize the permit hoider to buiid 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 wili, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foilowing building permit appiications 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 oxxgcording yppf Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORipA
COUNTY OF
The forgoing instrument was acknowledged before me
this Itz) day of rVTicx , 2o2xJ by
il
Name of person making statement
Personaiiy Known OR Produced Identification ^
Type of Identification
Produc^_^l^_LlL
/Vn '
LUCYWHEATLEY
Notary Public - State of Florida
•
-(Signature of Notary f
1
uHfli^^6i'teM)CBhDTlida)ijes Jun 29, 2022
Bonded through National Notary Assn.
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20^ by
Name of per^n making statement
Personally Known OR Produced Identification.
Type of identification
Produced
fSipnapii-P nf Mntarv PiihliV- j
MARIA R. BURGIN
Commission#GG 362849 (S( a!)
Expires August 25,2023
'••f' oVjCnt-'' Bonded Thru Troy Fain Insurance 800-385-7019
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17