HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/30/2020 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: 3126 OLD EDWARDS ROAD
Legal Description: 29 35 40 FROM NE COR OF SW 1/4 OF NW 1/4 OF NE 1/4 RUN S 00 DEG17 MIN 20 SEC W 262.50 FT FOR POB. TH CONT S OO DEG 17 MIN 20 SEC W 397.6 FT.
TH S 88 DEG 52 MIN 20 SEC W 59.63 FT TO NELY RNV NSLWM D, TH N WLY ALG SD NSLWM DRNV 298 28 FT, TH N 22 DEG 22 MIN 13 SEC E 254.78 FT, TH N 89 DEG 59 MIN 50 SEC E 201 FT TO POB - LESS E 15 FT FOR RD RNV - (1.81 AC) (OR 4126-144)
Property Tax ID #: 2429-123-0001-300-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
CHANGING UTILITY FEED FROM OVERHEAD TO UNDERGROUND.
CONSTRUCTION INFORMATION:
Additional work to e er orme under this permit — check a apply:
1]HVAC 11 �
Gas Tank Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers ❑ ❑
Generator Roof
Total Sq. Ft of Construction: S�Ftj. of First Floor:
Cost of Construction: $ 822.00 Utilities: IJSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name LANCE P MILLS
Name: THOMAS E. RICHMOND
Address: 3126 OLD EDWARDS ROAD
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
Zip Code: 34981 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
State or County License: EC0001458
from the Owner listed above)
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:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 your Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this30 day of Z�Lp,o , , 201&_by
THOMAS E. RICHMOND
(Name of person acknowledging )
ure of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission N
or
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this30 day of �l_l �. �. 202D_ by
THOMAS E. RICHMOND
(Name of person acknowledging )
XQTra rk- l-*) t -Q �
(Signature of Notary Public- State of Florida)
Personally Known x OR Produced Identification
Type of Identification Produced
NA5991blic State of Florida Commission No. 5oe" • ->r 0*. Pf N blic State of Florida
Deana M Dailey Deana M Dailey
y c My Commission GG 326515
My Commission GG 326515 A c,,.. na111nn1a
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