HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/23/2020 Permit Number:
I
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: 5707 SPRUCE DRIVE
Legal Description: INDIAN RIVER ESTATES - UNIT 09 - BLK 77 LOTS 26 AND 27 (MAP 34/11 N) (OR 4092-1634)
Property Tax ID #: 3402-610-0211-000-8 Lot No. 26 & 27
Site Plan Name: Block No. 77
Project Name:
Setbacks Front_ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 22kW GENERATOR WITH AUTOMATIC TRANSFER SWITCH WITH LOAD SHED
DEVICES.
CONSTRUCTION INFORMATION:
Additional work to b rformed under this permit — check all h apply:
❑HVAC Gas Tank Gas Piping_ Shutters Windows/Doors
Electric ❑ Plumbing LJ Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4,024.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MICHAEL LUDOVICO
Name: CHRISTOPHER W. RICHMOND
Address: 5707 SPRUCE DRIVE
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
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: EC0001963
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.
_ Signature of Owner/ Lessee/Agent Signature of Cont(actor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing inst�Vment was acknowledged before me
this day of 202p by
CHRISTOPHER W. RICHMOND
t1vame or person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. GG 326515
Revised 07/15/2014
iy1W Public State of
Deana M Dailey
+ 1 2. My Commission GG 3
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
thi"�' day of 202-0 by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Florid
Personally Known X OR Produced Identification
Type of Identification Produced
Isslon No. GG 326515 r�Nbe*0tary Public State of Floc
Deana M Dailey
.a My Commission GG 3265
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