HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/31/2020 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: 4102 SMOKEY PINES COURT
Legal Description
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front
HOLIDAY PINES S/D - PHASE III - LOT 524 (MAP 14/18N) (OR 1424-1249)
1313-502-0101-000-3
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 524
Block No.
SUPPLY & INSTALL GENERATOR INTERLOCK CLIP TO EXISTING PANEL. REARRANGE
EXISTING BREAKERS TO ACCOMMODATE NEW 2-POLE, 50A BREAKER FOR GENERATOR INLET.
SUPPLY & INSTALL 50A, 120/240v POWER INLET ON EXTERIOR OF HOUSE, BEHIND EXISTING
PANEL. WIRE 50A CONDUCTORS FROM POWER INLET TO NEW 50A BREAKER.
Additional work to e erformed under this permit — check all
� apply:
a
❑HVAC Gas Tank
Gas Piping
_ Shutters
Windows/Doors
❑✓ Electric ❑ Plumbing
Sprinklers
❑ Generator
Roof
Total Sq. Ft of Construction:
983.00
S�Ft.j of First Floor:
11
Cost of Construction: $
Utilities:
u Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TERRACNCE K DROUIN
Name: CHRISTOPHER W. RICHMOND
Address: 4102 SMOKEY PINES COURT
Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No.
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
E-Mail: DEANA@RICHMONDELECTRICINC.COM
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: EC0001963
If value of construction is 52500 or more, a RECORDED Notice of Commencement is requires.
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 Co tractor/Licen' e Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing insrt� ument was acknowledged before me
this day �i/ 202,0 by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
nature of Notary Public- State of Florida
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG 326515
Revised 07/15/2014
Notary Public State of Florids
�j jMy Comrnisaion GG 326515
Expires 06l12l2023
OF
STATE OF FLORIDA
COUNTY OF ST LUCRE
The forgoing instrument was acknowledged before me
this-, ( dayof 20 10by
CHRISTOPHER W RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Florida
Personally Known x OR Produced Identification
Type of Identification Produced
mmission No. GG 326515 Public Stale of Flonda
Deana M Dailey
My Commiaaion GG 326515
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