HomeMy WebLinkAboutScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/18/2021 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:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:_
Setbacks Front.
239 BERMUDA BEACH DRIVE
CORAL COVE BEACH - SECTION ONE - BILK 4 LOT 45
1425-701-0109-000-4
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 45
Block No. 4
REPLACE EXISTING DAMAGED 200AMP SINGLE PHASE METER CAN. IMPROVE
GROUNDING WITH 2ND GROUND ROD SPACED 6' FROM EXISTING GROUND ROD.
-Additional work to de ertormed
1:1HVAC Gas Tank
under this permit — check all
Gas Piping
that apply:
ILJI Shutters
a Windows/Doors
21
Electric
❑
Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,042.00
Sq. Ft. of First Floor:
Utilities. 0Sewer Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name JOHN KEITH REED (LF EST)
Name:
THOMAS E. RICHMOND
Address: 239 BERNUDA BEACH DRIVE
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: ECO001963
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 iender or an attorney before
commencing work or recording vour 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 day of I a.&%u pLL„i -� 20? by
a
THOMAS E, 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 32659E
Revised 07/ 15/2014
Notary Public State of Fioricia
Deana M Dailey
Expires 0811212023
STATE OF FLORIDA
COUNTY OF sT LUCIE
The forgoing instrument was acknowledged before me
this day of 20 Z! by
THOMAS E. RICHMOND
(Name of person acknowledging )
of Notary Public- State of Florida j
Personally Known X OR Produced Identification
Type of Identification Produced
mmisslon No. GG3265t5
�►r�` �7a{ary Pubic State of
Deana M Dailey
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS