HomeMy WebLinkAboutpermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/16/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart 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:
30 LOS LAGOS ROAD
Legal Description: 37 36 40 ALL THAT PART LYING E AND N OF ST LUCIE RIVER AND W OF US 1 LESS AS IN ORS
2519-1312:2563-2436:2570-2923:2525-2748:2591-608:2786-2853-3136-77:3145-0359: 3161-171: 3161-174: 3782-2318: 4020-2298
Property Tax ID #: 3427-111-0002-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No._
Block No.
REPLACE EXISTING SINGLE PHASE, 125A, 120/240V, MAIN -BREAKER PANEL LOCATED AT
30 LOS LAGOS ROAD.
Additional work to bLlGasTank
rtormed under this permit— check all apply:
CIHVAC Gas Piping _ Shutters ❑ Windows/Doors
❑✓— Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2175.00 Utilities: Sewer []Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: CHRISTOPHER W. RICHMOND
Address: 8000 S US HIGHWAY 1 STE 402
Company: RICHMOND ELECTRIC, INC
City.. PORT ST. LUCIE State: FL
Zip Code. 34952 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: 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:
l 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.
_ Signature of Ow er/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF sr LuciE
The forgoing instrument was acknowledged before me
this /t,�_ day of 202/ by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
nature of Notary Public- State of Florid
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG326515
Revised 07/15/2014
r
S
Signature of Contractor/Li ense Holder
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me
this &_ day of Z%_OIrt / 20Z2 by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of Flo )
Personally Known x OR Produced Identification
Type of Identification Prod ucqg%,ft^,,..
.S Notary �6lic R+aie of Florida
N0*5fR �lic State of Florida Commission No. GG 326515 ap =0 Dailey
Deana M DaileyMy Commission GG 326515
¢ My Commission GG 326515 p� F Expires 0411 V2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS