HomeMy WebLinkAboutScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/2212021 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:
3211 Sunrise Blvd
Legal Description: Maravilla HTS Blk A Lots 48, 50 and 52 (0.53 AC) (or 3667-955: 3920-1545)
Property Tax ID #: 2428-601-0046-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Take over/ New permit to power house & storage shed.
Delete existing branch circuit wiring & devices.
Install all new branch circuit wiring & devices to current code.
Existing meterlmain panel are new & are to remain.
Complete an as - built plan for electrical.
Lot No. 48, 50 & 52
Block No. A
Aditional worKto De
0HVAC
Electric
ertormed
unaertnis permit—cnecK aiE inai apply:
Gas Tank Gas Piping Shutters O Windows/Doors
Plumbing Sprinklers Generator 1:1 Roof
El
Total Sq. Ft of Construction:
Cost of Construction: $
10,500.00
S Ft. of First Floor: _
Utilities: 0 Sewer _ Septic
Building Height:
OWNER/LESSEE:;
CONTRACTOR:
Name Koorona, LLC.
Name: Christopher W. Richmond
Address: 805 Virginia Avenue, Suite 16
Company: Richmond Electric, Inc.
City: Fort Pierce State: FL
Zip Code: 34982 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)
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
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 lender or an attorney before
commencing work or recording your Notice of Commencement.
L� s
_ Signature of Ow err/ Lessee/Agent Signature of Contractor/License Hoiden
STATE OF FLORIDA
COU N 1 Y/OF ST. LUCIE
The forgoing instrument was acknowledged before me
this 2Z day of %i1Q"Ah , 20ZL-by
CHRGTOPHER W. RICHMOND
(Name of person acknowledging)
STATE OF FLORIDA
COLINTYOF ST. LUCiE
The forgoing instrument was acknowledged before me
this 22— day of 2041 _ by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
071-0
(Signature of Notary Public- State of Florid (Signature of Notary Public- State of
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. oe
Revised 07/15/201
Personally Known x OR Produced Identification
Type of Identification Produced
N411ry AGO6are of Florida Commission No. G0
Deana M Dailey
My Commission GG 3265 S
Notary Public State of Florida
Deana M Dailey
MY Commission GG
M
Expires D9l12/2D23
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