HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/30/2020 Permit Number:
Building Permit Application
Planning and Development Se ices
Building and Code Regulation iiivision
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax (772)462-1578 Commercial Residential X
PERMIT APPLICATION F OR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 8791 HIDDEN PINES ROAD
Legal Description: HIDDEN PINES ESTATES BLK B LOTS 8 AND 9 (2.05AC)
Property Tax ID#: 2323-701-0023-000-7 Lot No. 8&9
Site Plan Name: Block No. B
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIO OF WORK:
REPLACE FOUR EXISTING ALUMINUM BRANCH CIRCUITS WITH COPPER WIRE. RANGE, AIR
HANDLER DOWNSTAIRS, AIR HANDLER UPSTAIRS, EXTERIOR SUB PANEL. THE SUB PANEL
WILL BE RELOCATED TO HAVE PROPER CLEARANCE. ADD ONE GFI OUTLET BY THE SUB
PANEL.
CONSTRUCTION INFORMATION:
Additional work to e e ormed un er t is permit—check aapp y:
�HVAC �Gas Tank Gas Piping rhl
_Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2,410.00 Utilities:lnSewer Septic Building Height:
OWNER/LESSEE: ICONTRACTOR:
Name JOSHUA KOOBIR LACKRAJ Name: CHRISTOPHER W. RICHMOND
Address: 8791 HIDDEN PINES ROAD Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34945 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
from the Owner listed above) State or County License: EC0001963
If value of construction is$2500 or more,a RECORDED 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 repre entation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any appl cable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with y r Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting f this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approve plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit ap lications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming ools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yo r failure to Record a Notice of Commencement may result in your paying twice for
improvements to your pro erty. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. f you intend to obtain financing, consult with lender or an attorney before
commencingwork or recor in our Notice of Commencement.
s
_Signature of Own /Lessee/A[ent Signature of Contra for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.waE COUNTY OF ST,LUCIE
The forgoing instrument was acl,nowledged before me The forgoing instrument was acknowledged before me
this30 day of MoViAm 20�by this day ofNChl.¢p�. , 202Q 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
ommission No. ,►R` (Se�� Public Commission No. '�+ N 4uwic stare a Florida + � Deana M Dailey Flond
Deana M Dailey My Commiuon GG 328515
My Comminaon GG 326515
F �
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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