HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 318i2021 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 I
PROPOSED IMPROVEMENT LOCATION:
Address: 4205 N Highway AIIA
LeeaI Description: 23 34 40 From Int of W RIW Li of Al A and N Li of N 100 ft of S 1700FT Of Gov Lot 1 Run S 89 Deg 49 Min W
ALG SD N Li 240ft for POB, TH Cont WLY 11Oft, TH S 80ft, TH Ely 11Oft, TH N to POB (Tract D) (OR 3461-2512)
Property Tax ID #:
Site Plan Name:
Project Name: _
5etbacks Front
1423-120-0014-000-2
Kevin Liske
Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
Disconnect existing water heater located in bathroom closet. Supply electrical feed to new water
heater located next to an existing sub -panel.
CONSTRUCTION INFORMATION:
Additional work to [e be orme under this permit— checka apply:
E]HVAC El Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing 1:1Sprinklers El Generator El Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 200.00
Sq. Ft. of First Floor:
Utilities: E]Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kevin Liske
Name: CHRISTOPHER W. RICHMOND
Address: 4205 N A1A
Company: RICHMOND ELECTRIC, INC
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
A.
E-Mail: DEANA@RICH MONDELECTRICINC.COM
State or County License: ECO001963
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
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: j
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 vour Notice of Commencement.
_ Signature of Own r/ Lessee/Agent si ure of Cont actor/License Holder
STATE OF FLORIDA
COUNTY OF ST.LucEE
The f going instrument was acknowledged before me
this day of j�(Qr-C/• 202-
Lby
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
gnature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. GG32651
r p P&6 Natery NW State of Florida
�P Deana M Dailey
• �� Expires1tA11T12423
Revised 07/15/2014
STATE OF FLORIDA
COUNTYOF Sr. LUCIE
The forgoing instrument was acknowledged before me
this-9—day of i14! CJL_, , 20 W by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
(Signature of Notary Pdblic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG 326515
Notary Public State of Florida
My Commission GG 32551s
Expires 08112/2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
V -4 t
LA- of Ills
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RICHMOND ELECTRIC
3086 ENTERPRISE ROAD
FT. PIERCE, FLORIDA 34982
TELEPHONE #: 772-461-1951
FAX #: 772-461-1907
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