HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/28/2021 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 Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 4900 Myrtle Drive
Legal Description: Indian River Estates - Unit 07- Blk 43 Lot 8 (map 34/02N) (or 370-2611: 961-2971)
Property Tax ID fin 3402-608-0152-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side
Left Side:
Replace existing damaged weather head with new weather head. Like for Like.
Lot No. 8
Block No. 43
Additional work to b{rrormed unaer tnis permit — cneCK aii M appry:
11HVAC LEI Gas Tank Gas Piping Shutters a Windows/Doors
W1Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 390.00 Utilities:CnSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gregary A Graves
Name: Christopher W. Richmond
Address: 4900 Myrtle Drive
Company: Richmond Electric, Inc.
City: Port 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: 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:
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 Ow er/ Lessee/Agent Signature of Contra for/License Holder
STATE OF FLORIDA
COUNTY OF ST_LUCIE
The forgoing instrument was acknowledged before me
this ZQ day of I LA -ILL , 20 7Lby
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
11 '0'7� nt , 0e)-f
(Signature of Notary Public- State of Florida
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG 32651
Notary Public State of Florida
Deana M Dailey
Expires t1611212�Z3
Revised 07/ 15/2014
STATE FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this Z day of 202� by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
r
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
No. GG 326515
'Mary ruVic State of Florida
Deana M Dailav
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
REPLACE THE EXISTING DAMAGED WEATHER HEAD WITH A
NEW WEATHER HEAD.
SINGLE PHASE RESIDENTIAL SERVICE 120V/24OV.
THE EXISTING WEATHER HEAD STRAP IS BROKEN.
FPL WILL BE SCHEDULED FOR THE DISCONNECT TO REMOVE
THE EXISTING WEATHER HEAD,
THE NEW WEATHER HEAD WILL BE INSTALLED AND THE
UTILITY BE SCHEDULED TO REHOOK ONCE CALLED BY THE
0 BUILDING DEPARTMENT UPON PASSING INSPECTION.
A SECOND GROUND ROD INSTALLED & FROM THE EXISTING
GROUND ROD WILL BE INSTALLED.