HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/21/2020 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: 2520 FLOTILLA TERRACE
Legal Description: CORAL COVE BEACH - SECTION ONE - BLK 6 LOT 11 AND W 1OFT AND N
10 FT OF VAC ALLEY ADJ ON E AND S
Property Tax ID #: 1425-701-0166-000-1 Lot No. 11
Site Plan Name: Block No. 6
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE 200A MAIN BREAKER PANEL. LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be iDerformed under this —prmit — check all h apply:
11HVAC Gas Tank Gas Piping _ Shutters a Windows/Doors
❑✓ Electric ❑ Plumbing Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1,424.00 Utilities: Sewer E]Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name LAND TRUST SERVICE CORPORATION (TR)
Name: CHRISTOPHER W. RICHMOND
Address: P.O. BOX 186
Company: RICHMOND ELECTRIC, INC
City: LAKE WALES State: FL
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 33859 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.
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
this 2 day of �( � � 2040-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
Commission No. GG 326515 �" CQ�I1
'�ot8ty Public State of Floric
Deana M Dailey
i AT* My Commi
as xwes oe/12/2023 v
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this V day of`SGI'J�, 207.D by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
CJC_�
(Signature of Notary Public- State of Florida
Personally Known x OR Produced Identification
Type of Identification Produced
Isslon No. GG 32651 � Nct&eg Ic State of Flonda
fr Deana M Dailey
11j My Commission GG 326515
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS