HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/9/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone. (772) 462-15S3 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:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
8431 Immokolee Road
Immokolee Lot 1 (1.00 AC) (OR 744-2410:
1335-501-0002-000-4
John Chapman
Right Side: Left Side:
Lot No. 1
Block No.
I DETAILED DESCRIPTION OF WORK: I
Replace the existing 150 amp, main breaker, 30 space panel, 120/240V, like for like. All new
breakers and the exterior grounding will be improved with 2nd ground rod and a low voltage ground
bridge.
Id itiona I work to ba er armed under this permit — check all apply:
11HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
✓❑ Electric ❑ Plumbing Sprinklers Generator 0 Roof
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. of First Floor:
Utilities. — Sewer []Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name John Chapman
Name: CHRISTOPHER W. RICHMOND
Address: 8431 Immokolee Road
Company: RICHMOND ELECTRIC, INC
City: Fort Pierce State: FL
Zip Code: 34951 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 requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
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
commencinF, work or recording your Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT LUCIE COUNTY OF ST. LUCIE
The fing instrent was acknowledged before me The forgoing instrument was acknowledged before me
thisday of Kkk 20 Lt by this day of 20 by
CHRISTOPHER W. RI.�HMOND CHRISTOPHER w. RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
kvr <
(Signature of Notary Public- e o Statf Florida) gnatufttary Public- StatWfFlo�hda)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GGd 26515e II Commission No. cc326sts
by Notary Public State of Florida
op Notary Public State of Florida Deana M Haile
+fir =C-T-/--"
G 326515 Ex Commission GG 32&575
Revised 07/15/2014 Expires f)9l�zfzo23
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
replace the existing 150 amp,
main breaker, 30 space panel,
120/240v, like for like.
all breakers will be new.
the exterior grounding will be
improved with a 2nd ground rod
and a low voltage ground bridge.