HomeMy WebLinkAboutapplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/17/2021 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
3120 N HIGHWAY Al # 1502
TIARA TOWERS UNIT 1502 - S (OR 1734-387)
1425-610-0143-000-5
Back: Right Side: Left Side:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK: I
INSTALL NEW FLEXIBLE CONDUIT WITH # 10 AWG WIRE WILL BE INSTALLED FOR NEW
WATER HEATER INSTALLED BY OTHERS.
THE BREAKER IN THE PANEL WILL BE VERIFIED TO BE OF PROPER SIZE FOR THE UNIT.
lditional work to be
11HVAC
✓❑ Electric
ertormed
n
under this permit —check an apply:
Gas Tank Gas Piping _Shutters ❑ Windows/Doors
Plumbing 11 Sprinklers Generator 11 Roof
❑
Total Sq. Ft of Construction:
Cost of Construction: $
300.00
S Ft. of First Floor: _
Utilities:Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DENNIS HALL
Name: CHRISTOPHER W. RICHMOND
Address: 3120 N Al APT. 1502
Company: RICHMOND ELECTRIC, INC
City: HUTCHINSON ISLAND State: FL
Zip Code: 34949 Fax:
Phone No.
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: EL
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 your Notice of Commencement.
v t
5
_ Signature of Owner/ Lessee/Agent Signature of Contrac or/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The for Ding instrument was acknowledged before me
this J day of 5 20 J 1 by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
gnature of Notary Public- State of Florida }
Personally known x OR Produced Identification
Type of Identification Produced
Commission No. GG 326515
Revised 07/ 15/2014
k qo�.t R�Y public State of Florida
(C3earia M Dailey
F My Commission GG 326515
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
thisl--I day of �5-}C�+Jfoe�2, 20 ZI by
CHRISTOPHER w_ RICHMOND
(Name of person acknowledging )
Signature of Notary Public- State of Flo
Personally Known x OR Produced Identification
Type of Identification Produced
n No. GG 326515 *► Npiic Slate of riorida
=JqrDailey
+� My Commission GG 326515
Exoires 0811212023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
NEW FLEXIBLE CONDUIT WITH # 10 AWG WIRE WILL BE INSTALLED
THE BREAKER IN THE PANEL ►1VILL BE VERIFIED TO BE OF PROPER SIZE
FOR THE UNIT.
TANKED WATER
HEATER INSTALLED
BY OTHERS
RICHMOND ELECTRIC, INC.
3486 ENTERPRISE ROAD
FORT PIERCE, FL. 34982
772-461-1951
DEANA@RICHMONDELECTRICINC.COM