HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: September 9, 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: 927 JACKSON WAY
Legal Description: COASTAL COVES - UNIT 1 - LOT 29 (OR 1510-1015)
Property Tax ID #:
Site Plan Name:
Project Name: _
Setbacks Front
1423-802-0031-000-0
Back: Right Side: Left Side:
Lot No. 29
Block No.
I DETAILED DESCRIPTION OF WORK: I
REPLACE DAMAGED METER CAN. REPLACE RISER CONDUIT. IMPROVE GROUNDING.
Additional work to be nertormed under this permit — check all rhl apply:
�HVAC1:1 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: $ 1197.00 Utilities:cn Sewer 11 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name THOMAS A. LIND
Name:
CHRISTOPHER W. RICHMOND
Address: 927 JACKSON WAY
Company:
RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No.
Address:
3086 ENTERPRISE ROAD
City:
Zip Code:
Phone No.
FORT PIERCE State: FL
34982 Fax: 772-461-1907
772-461-1951
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
n vdiue of construction is >z--)uu or more, a KtCUKutu Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LL,CIE
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of 4knfp�,[ 20 fib} this day of �Ct7/�/yi/wy , 20Z� by
�—
CHRISTOPHER W. RICHMOND CHRISTOPHER W RICHMOND
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG32651s Seal) Commission No. GG326515
.►�° Notary Public State of Ronda Notary Public State of FI and
alley my
My Commission OG 326515 Commiss�on GG 326515
Revised 07/ 15/2014 +„ Exp4res 06/12/2023 O' ^ Expires 06/12/2023
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