HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/6/2021 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 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
3525 S US HIGHWAY 1
KELLEM'S S/D N 165 FT OF E 200 FT OF LOT 5 (1.14 AC) (OR 2123-770; 3920-2880)
2434-601-0022-000-4
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 4
REPLACE EXISTING 200 AMP METER CAN. LIKE FOR LIKE.
Lot No. 5
Block No.
Additional work to be ertormed uncler this permit—cnecKall apply:
E1HVAC f Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,070.00 Utilities: 0Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BEST BUY VEHICLES, INC_
Name: CHRISTOPHER W_ RICHMOND
Address: 761 NE JORDAN TERRACE
Company: RICHMOND ELECTRIC, INC
City: PORT ST. LUCIE State- FL
Zip Code: 34983 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 Bolder 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, by4aws 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
commencin,R work or recording your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this day of 201by
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The for oing instrument was acknowledged before me
this day of M&4e 202L by
CHRIS70PHER W. RICHMOND CHRISTOPHER W_ RICHMOND
(Name of person acknowledging) (Name of person acknowledging )
(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. GG
Revised 07/15/201
Personally Known x OR Produced Identification
Type of Identification Produced
�......,...�i--__—__ Commission No. GG326515
Notary Public State of Florida
Deana M Dailey
5
Expsres O&12/2023
Notary Public Stet. of FlONaa
T vummisal" GG 326815
Expifs® 08/ 12/2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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