HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/7/2021 Permit Number:
s
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 X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION.
Address: 4527 S. US HIGHWAY 1
Legal Description: WHITE CITY S/D 03 36 40 FROM INTO F US 1 AND S LI OF LOT 5 RUN N 300 FT FOR POB, TH WLY
337.6 FT, TH NLY 90 FT, TH ELY 337.6 FT, TH SLY TO POB (MAP 34/03N) (0.70 AC) (OR 2871-2479)
Property Tax ID #:
Site Plan Name:
3403-502-0008-000-3
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: 11
POWER ON INSPECTION DUE TO UTILITIES BEING OFF FOR MORE THAN ONE YEAR.
THE PANEL COVER WILL BE PROPERLY INSTALLED WITH NEEDED FILLER BLANKS. TWO EXTENSION
CORDS CURRENTLY HOOKED WILL BE REMOVED & DISPOSED. PROPER SEALS WILL BE USED. THE SITE
WILL BE CHECKED FOR ANY OTHER UNSAFE CONDITIONS TO REMOVE BEFORE POWER IS RESTORED.
Haaitional worK to bjepertormea unaer tnis permit— cnecK aii apply:
11HVAC L_I Gas Tank ❑Gas Piping In Shutters a Windows/Doors
❑✓_ Electric 0 Plumbing Sprinklers 1:1 Generator F]Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 474.00 Utilities: Sewer 0 Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name 4527 FORT PIERCE LLC.
Name:
CHRISTOPHER W. RICHMOND
Address: 1640 S. STATE ROAD 7
Company:
RICHMOND ELECTRIC, INC
City: HOLLYWOOD State: FL
Zip Code: 33083 Fax:
Phone No.
E-Mail:
Address:
3086 ENTERPRISE ROAD
City:
Zip Code:
Phone No.
FORT PIERCE State: FL
34982 Fax: 772-461-1907
772-461-1951
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
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:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instr anent was acknowledged before me
this J_ day o 20 2_4—by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
ignature of Notary Public- State of
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG 326515^
Revised 07/15/2014O+
Notary Public State of
I, • My Commission GG 326515
w Expires 00/12/2023
k.
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The �Tng instrument was acknowledged before me
thisday of 20 LL by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
gnature of Notary Public- State of Florida
Personally Known x OR Produced Identification
Type of Identification Produced
on No. GG 326515
Notary Public State of Florida
3-bd.Dailey
My Commission GG 326515
a Expires 08/12/2023
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