HomeMy WebLinkAboutbuidling permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/1612021 Permit Number:
Le •
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: 6851 S. OCEAN DRIVE (6201 A1A BLIND CREEK S)
Legal Description: 8/9/15/16/17/21/22 36 41 (ENVIRONMENTALLY ENDANGERED LANDS)
ALL THAT PART AS IN OR 537-2412 (527.84 AC)
Property Tax ID #: 3508-111-0001-020-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED �DESC�RIPTIONOF WORK:
RISING EXISTING CONTROL PANEL UP SIX INCHES.
MOATON
�T�to��epe
�,t
is permit— c ec a app y:
❑ Windows/Doors
❑HVAC Gas Tank Gas Piping _ Shutters
✓❑Electric FlPlumbing ❑Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
❑Septic Height:
Cost of Construction: $ 2,000.00 Utilities. —Sewer Building
OWNER/LESSEE: CONTRACTOR:
Name FLORIDA POWER AND LIGHT COMPANY
Name: CHRISTOPHER W. RICHMOND
Address: 700 UNIVERSE BLVD PSX/JB
Company: RICHMOND ELECTRIC, INC
City: JUNO BEACH State: FL
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 33408 Fax:
Phone No.
Zip Code: 34982 Fax: 772-461-1907
Phone No. 712-461-1951
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: ECO001963
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
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 representation that is granting a permit will authorize the permit molder 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 l 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.
Z!,
zL4 . s
_ Signature of 0 ner/ Lessee/Agent Signature of Contrac or/License Holder
STATE OF FLORIDA
COUNTY OF ST.wCEE
The fp-rgoing instrument was acknowledged before me
this V day ofQ,{C,& , 202,Lby
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Flori
Personally Known X OR Produced I
Type of identification Produced
Commission No. GG326515
e
Revised 07/15/2014
Notary Public State of Flo
pe3na-A4-gaj}
nay Commission GG 326515
Expires 0811212023
STATE OF FLORIDA
COUNTY OF -. LUCIE
The for Ding instrument was acknowledged before me
this rday of #74,tZ C , 20 Z_V by
CHRISTOPHER W- RICHMOND
(Name of person acknowledging )
i 1k
(Signature of Notary Public- State of Florid )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. GG 326515
Deana M
State of Florida
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Q\,HMo
TRIG
RICHMOND ELECTRIC
3086 ENTERPRISE ROAD
FT. PIERCE, FLORIDA 34982
TELEPHONE #: 772-461-1951
FAX #: 772-461-1907
U
RISING EXISTING CONTROL PANEL UP SIX INCHES.