HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/14/2021 Permit Number:
s
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: 4500 TAILWINDS DRIVE (3190 AIRMAN DRIVE)
Legal Description: 30 34 40 SW 114 OF NE 1/4 AND N 1/2 OF NW 114 AND N 100 FT OF S 1/2 OF NW 1/4 AND SE 1/4 -
LESS LAND LEASED TO ST LUCIE AIRWAYS INC AND LESS TO ST LUCIE CO FAIR ASSN AND LESS TO ST LUCIE COWBOY CLUB INC AND LESS BAND E HOUCK ENTERPRISE
Property Tax ID #: 1430-131-0001-000-4 Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL TWO 2" PVC CONDUITS FOR THE UTILITY FEED FROM THE TRANSFORMER TO
THE METER CAN.
lditional work to be nertormeci unaer tnls permit— ci
HVAC L _J Gas Tank Gas Piping
❑✓— Electric ❑ Plumbing 1:1Sprinklers
Total Sq. Ft of'Construction:
Cast of Construction: $
14,865.00
that apply:
_ Shutters [] Windows/Doors
Generator 1:1Roof
S Ft. of First Floor:
Utilities: Sewer D Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ST. LUCIE COUNTY
Name: CHRISTOPHER W_ RICHMOND
Address: 2300 VIRGINIA AVENUE
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@RICHMONDELECTRIClNC.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 I MORTGAGE COMPANY: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State
FEE SIMPLE TITLE HOLDER: ____ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
Name: _
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 our Notice of Commencement.
� � s
Signature of Owner/ Lessee/Agent Signature of Contra for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. LUCIE COUNTY OF ST. LUC r
The for oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
thU day of Tyly P 20;L/ by this day of JLAoe 201—/ by
CHRISTOPHER W. RkCHMOND 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 Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG t326515 yyvn ( � Public State o} FloridaImiss-ion NO. GG 326 5 p ]
Deana M Dailey$ Deary u ac tale of Florida
� Deana M Dailey
< My Commissaon GG 326515 r My Commission GG 326515
R. a xpires 08112/2023
Revised 07/ 15/2014
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