HomeMy WebLinkAboutBuilding permit package ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/24/2021 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: RIVERBEND TER
Legal Description: BAY ST LUCIE TRACT E (0.65AC) (MAP 44/22N)(OR 875-832: 879-1510)
Property Tax ID#: 4422-502-0004-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE THE DAMAGED EXISTING SIX SPACE, SINGLE PHASE, WEATHER RESISTANT
NEMA 3R PANEL AND BREAKERS. THIS IS A LIKE FOR LIKE REPLACEMENT DUE TO A
DAMAGED PANEL.
CONSTRUCTION INFORMATION:
Additiona I work to nGasTank
r orme un er t is permit—c ec a app y:
E1HVAC Gas Piping _Shutters O Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: 877.00 Utilities:OSewer[]Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name BAY ST LUCIE POA INC. Name: CHRISTOPHER W. RICHMOND
Address: P.O. BOX 8751 Company: RICHMOND ELECTRIC, INC
City: PORT ST LUCIE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34985 Fax: City: FORT PIERCE State:FL
Phone No. Zip Code: 34982 Fax: 772-461-1907
E-Mail: Phone No. 772-461-1951
Fill in fee simple Title Holder on next page (if different E-Mail: DEANA@RICHMONDELECTRICINC.COM
from the Owner listed above) State or County License: F00001963
If►rare of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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
JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING
WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER'S ELECTRONIC SUBMISSION STATEMENT: Under penalty of perjury,I declare that all the information
contained in this building permit application is true and correct.
Must be signed by owner/agen and applicant:(Signature of of contractor) (Signature of Owner or Agent(including contractor))
State of Florida,County of St. Lucie State of Florida,County of St. Lucie
Affirmed to and subscribed before me this q Affirmed to and subscribed before me this / [,
20 21 by Christopher W. Richmond 2021 ,by Christopher W. Richmond
personally known to me or who has produced personally known to me or who has produced
as identification as identification
Notary Signatur ; Notary Signatur
Notary(print name t Public State of Florida
t7 (p ) all@ Notary(print name) lai a�Public State of Florida
< My Commission G cI
+� Ex I s 0011,yZOZ� My Commission GG 326515
Construction documents u +s mpantis aplic to . e ri energy code submitted becomes in artE tPft ►:{19+Anust
pass final inspection.'1V r r q tr menu o this permit,there may be additional res 1
may be found in the public record of this county,and there may be additional permits required from other governmental entities such as waste
management district,state agencies,or federal agencies."SIGNATURE OF THE APPLICANT MUST BE NOTARIZED.If owner builder,
applicant must sign in person.BUILDING PERMIT includes:Building,Electrical,Plumbing,Mechanical,and Sewer only. All other trades
require separate applications.
Asbestos compliance:It is the owner's or operator's responsibility to comply with section 469.003,Florida Statutes,and to notify the
Department of Environmental Protection of his or her intentions to remove asbestos,when applicable,in accordance with state and federal law.
FEE SIMPLE TITLEHOLDER,BONDING COMPANY AND MORTGAGE LENDER INFORMATION IS REQUIRED WHEN
THE AGGREGATE VALUE(TOTAL COST OF ALL IMPROVEMENTS AND NOT JUST WORK AUTHORIZED BY THE
INDIVIDUAL PERMIT)IS$2500 OR MORE(EXCEPT HVAC REPAIR/REPLACEMENT<S7500). PLEASE ADDRESS ALL
ITEMS.
Fee Simple Titleholder's ❑Same as Owner Bonding Company ❑Not Applicable
Name(if other than owner): Name:
Address: Address:
City: State: Zip: City: State: Zip:
Mortgage Lender's ❑Not Applicable
Name:
Address:
City: State: Zip:
OFFICE USE ONLY
Is the property located in a Special Flood Hazard Area(floodplain)per the current Flood Insurance Rate Map(FIRM)
❑Yes ❑Na
Flood Zone: Reviewed by: Determination:
Permit Fee $ Other $ Plan Review Fee $
State Surcharge $ Other $ Routing Fee $
Subcontractor $ Flood Review Fee $ Other $
Total Amount Due at Issuance S Active Code Violatiou❑Yes❑No
Remarks Case#
Case Type
Reviewed by_ Date Final Check Date
Page 2 of 2
Replace the damaged existing six space Q06121-100RB,single phase,
weather resistant Nema 311 panel and breakers.
This is a like for like replacement due to a damaged panel.
NO UPGRADE
The existing GFI and in use cover will be replace due to age and conditiot
it is unknown if the receptacle is in working condition due to the panel
not being able to be energized.
A new two pole 80 amp SQD Q0280 will be used with a proper Q02DTI
mechanical interlock for QO panels.
One new two pole 60 amp SQD Q0260 will be installed to feed the
existing fountain motor control box.
One new single pole 20 amp SQD Q0120 will be installed to feed the
receptacle circuit. The circuit is GFI protected at the receptacle.
All existing wiring wi€€be checked for condition,however the existing
wiring is to remain if found to be in good condition.
j a second ground rod 5/8"x 8'wi€I be installed connected by a#4 bare
copper wire.
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