HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Grp�r7nnn
Da — � as Permit Number:
Building Permit Application
Planning and Development5ervices JUN 16 2020.
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce RC 34982 ST. Lucie County,permitting
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X ReSI entla
PERMIT APPLICATION FOR: To Select fromp dropbox, click arrow at the and of line
Address: 3780 St. Lucie Blvd-#3812
Legal Description: 29 34 40 From SW Cor of Sec Run S 89 31 34 E 30ft Alg S LI of Sec,TH N 00 26 26 E 525.11ft//to W
LI of Sec,TH S 87 5134 E 231.09ft to P013,TH S 87 5134 E 517.19ft,TN N 4515 26 E 559.19FT,TH S 50 08 40.5 E 160.49ft
Property Tax ID#: 1429-342-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
.yrs EN .11 'w. c'W''. ST: �•: >-.
Replace damaged utility riser from ground to meter can. Installing schedule 80 PVC to replace.
_ y' rt :r roe r .Ni: .*�x.. q. :6° .ry,� ,4W ';,'n •.y'
Additional work to b@ erformed under this permit—c ec a appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
zElectric ❑ Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S Ft_of First Floor,
Cost of Construction: 1,176.00 Utilities:0Sewer[]Septic Building Height:
Name St.Lucie County _ Name: CHRISTOPHER W. RICHMOND
Address: 2300 Virginia 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: DEANAQRICHMONDELECTRICINC.COM
from the Owner fisted above) State-or County License: EG0001963
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name. _
Address: Ad d ress:
City: State: City: State:T
Zip: Phone: _._-----
. . Zip: Phone:
_
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name: _
Address: Address:
City: City:
zip: Phone: Zip: Phone:
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 thepermit 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
commenc!nR work or recording our Notice of Commencement.
_Signature of Owner/Lessee/Agent Signature of ContractorfUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST_LUC1E COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I I day of tcw— , 24 Eby this_JL day ofA. 202 y
Ghdstopher W,Richmond Christopher W.Richmond
(Name of person acknowledging) (Name of person acknowledging}
:L' ", Ac. f
(Signature of Notary Public ate of Florida V (Signature of Notary Public-State of Florid
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 000320 Commission No. GG 32651 Nota �I Sul.of ri0r1da
Notary Public State of Flood& Desna M Dalley
t: Deana M Dailey My cornmisaion GG 320514
ii;orft 00/110120.23 °f t`
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS