HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/22/2021 Permit Number:
r
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:
Legal Description:
Property Tax ID #:
Site Plan Name: _
Project Name: —
Setbacks Front
10310 S. Ocean Dr. # 609
Oceanrise Condominium Apt 609 and undiv share in common elements
4511-515-0057-000-6
St. Lucie County Utilities
Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Install one new replacement commercial bypass, 120/240v, single phase meter can. Replace one
damaged locknut on the incoming 1 1/4" Myers hub on the conduit from the meter can into the
disconnect.
Additional worK to tie
�HVAC
ertormea
Gas Tank
unaer tnis permit— cnecK all
Gas Piping
apply:
Shutters
a Windows/Doors
LJ
_
Electric
Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $
975.00
Sq. Ft. of First Floor:
Utilities: 0 Sewer El Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name .tune M. Manning
Name: Christopher W. Richmond
Address: 131 S Fairview Avenue
Company: Richmond Electric, Inc.
City: Bayport State: NY
Zip Code: 11705 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: EC0001953
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:
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 Owner/ Lessee/Agent Signature of Contract r/License Holder
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The �p forgoing instrument was acknowledged before me
thisp day of rt 1 202,L-by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
STATE OF FLORIDA
COU NTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this day ofAvr f , 120 L by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
Im'ZA &. L, �'� ag�� A.&Z-t=e4'
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.661'
13
Notary Public State of Flori
. Deana M Dailey
MY COMMifton GG 326515
Revised 07/15/2014 °'"` Expires M17JZ023
Personally Known x OR Produced Identification
Type of Identification Produced
ission No.
Notary PuNic State of Florida
My CommisSiOn GG 326515
Expires 04112/2023
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