HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/19/2020 Permit Number: a ad 5'd y qs
-- -- R CEIVED
Building Permit Application MAY 0 2020
Planning and Development Services
Building and Code Regulation Division
2300 Virginia iAvenue,Fort Pierce FL 34_9$2 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR:' To Select from dropbox, click arrow at the end of line Z 1 J
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Address: 3109 AIRMANS DRIVE
Legal Description: 30 3440 COMM SE COR BEC 30 RUN NCO DEG CO MIN 16 SEC W 2665,52FT,774 45 DEG 00 MIN 00 SEC W 1364 FT,TH 345 DEG 00 MIN OD SEC E 11 FT
TD POB,TH N 45 DEC DO ON 00 BEG w 990 FT TH S 45 DEO 00 ON 00 SEC w 440 FT,TH 8 45 DEO 00 MIN 00$EC E 990 FT THN 45 DEG 00 MIN 00 SEC 9 440FT TO POB(10.00 AG)(A8 PER HE 4029 F,FF 7011195)
Property Tax ID#: - 1430-421-0001-0004 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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REPLACE THE EXISTING 150A SINGLE PHASE PANEL AND BREAKERS WITH A NEW 150
AMP PANEL AND BREAKERS_
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Additional worK tOa orme un er t is perm( —c ec a appy.
HVAC OGas Tank E]Gas Piping _Shutters F]Windows/Doors
U Flectric ❑Plumbing Sprinklers [:1 Generator El Roof
Total Sq.Ft of Construction:_.. S . Ft.of First Floor:
Cost of Construction:$ 1,180.00 Utilities:11 Sewer OSeptic Building Height:
Name ST. LUCIE COUNTY 113 AND E HOUCK ENTERPRISES Name: CHRISTOPHER W. RICHMOND
Address: 2300 VIRGINIA AVE=NUE 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 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: �Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:--------
Address: Address:
City: Stater City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable . BONDING COMPANY: _Not Applicable
Name: Name: _
Address: Address:
City: _ City:
Zip: Phone: Zip: Phone:
1'certify that no work or installation has commenced prior to the,issuance of a permit.
St.Lucie Count makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
which is in conflict ict 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 our Notice of Commencement.
Signature of Ower/Lessee/Agent Signature of Contra or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT.Lucia COUNTY OF sr.wcle
The f r oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of ZOZQ by this il-day of ,20 a by
CHRISTOPHER W.RICHMOND CHRISTOPHER w.RICHMOND
(Name of person acknowledging,} (Name of person acknowledging)
c
(Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Flo )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced . ' Type of Identification Produced
Commission No.;7gmy
E 110 State
]Commission No. GG328515 4"bficState ai.FloHtlu
eana N!owlet' Aaana M Dailey
Commtsaion GG MY Commiealon 4G 328695
Revised 07/15/2014.
REVIEWS FRCINT ZONING ' SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW .
DATE
COMPLETE
INITIALS •