HomeMy WebLinkAboutBuilding Permit ApplicationAAAPPLICABLE INFO ;tUIUST BE COMPLETED'FOR APPLICATION TO BE ACCEPTED
Gate; 101612021 Permit NuMn O:r,
s
Build:Eng Per..rnit -Applicati0 ,
Planning and Development Servites
. Building -and ;Co.:de Reguloti6ii. D vision .
2300 > irgir iQAvenae Fort Pien e'FL 34982
Phone: ,(772) 462 1553 Fax: (772},4624,57' 9 COii1hner,Cla� X`. -9,0 deOfiaf
PERMIT APPCICATIIj1V FOR:; ToS.,elect fresm dropbox2 click arrow at the end ofi line
Address:. �TBD
Legal Descn,ption: 'NETTLES ISLAND ING A"Cf�NDCl-SECTION 1 TRACT T-4 ANa"LOT 138 AND LOTS 1;59 THRU
162' (t)75 AC` 32,67Q ;SF} (AS PER. PLAT DEDICATION DATED
4502-501..1601 0001 ,se,s9 retwrt6x
P'raperty-•Tax ID#: Lot No
Sife Plan Name." :NETTLES ISLAND' Block IVo::
Pro/eet Name:,
Setbacks- Front.... sack Right Side; Left.Sidc:.
ar_-_
tc}»zTaZ.*.», M�,
REPLACE EXISTING 100,AMP:THREE PHASE FPL FEED FOR EXISTING "ST. LUCIE COUNTY
UTILITY LIFTSTATION METER': '
Jiy�S e
'a E` ? hi' s '� ':"`�iXY' ,. "w g v��T"#„�,d`�+'n C�d�°" "�" ' S`�'�'#� Y v_
kITRucc�a�aTla g �3
nrona wor to ,e: a orme uri ert rs-permrt"—c ec a appy :°
[�j
❑HVAC IJ Gas 6hk ❑Gas Piping � Shutters Windows/Donis,
Electric. � Plurribing :Sprinklers � GenO.Aor: 1'Roof
Total Sq: Ft of Construction: .` ;S Ft. of First'Floor -
OSewer
4,95Q QQ _S,eptic awlding;Meight: .
Cost of'Construetion.;$' Utilities
^
"I'
f.
Name OUTDOOR RESpRTS AT NETTLES ISLAND,ING'
Name: GHRISTOFHER W 'RIGHMOND
Comp'any;. ,, RICHMOND ELEETRIC,;INC
Address- 98011 S. OCEAN DRIVE"
JENSEN BEAGH; . FL
City; State: -
.Address.' 3086,.ENTERPRISE,ROAD
FORT PIERCE. .. ;State F L.
Zip Code
Phone No.
Zip Code:. 34982 Fax °: 772=461-t90T
E=Mail::
Ph'one;Na. 772-461-1051
E Mail; DEANA@RICHMONDELECI`RICING COM
Fili irf fee s�rriple Titie HbIcidt an next page (if dOterent
Stateor County license. EC00,01963
from the Owner I+ste'd ;above)'
If`valueW. construchon 'is_.$2500 or more,`a RECORDED Notice of Gorrin5encemetit 5 required.
N
City:
State:
i C ty:, St
Zip:
SIMPLE TITLE. HOLDER::
Of. . ..
DiN0Applicable
M....PA.NY:
Ujme`
Addresv
Address-
City
•z1W
ZO: Phone:,
Phone:
I certifyAhzit no',wdrk or,inst6.11atiOn,,h4s;cbftiMericiid pri&t0 the issuani:6:6f o.b6rinit.,
nti' will 1z e, .1p rn ra ne a dermit 1 -author' e tfi 06ft
In cons ider.ati6n;ofthe,grp'ritihg,qfth s requested permit;, I do.:her6by agree that I WHIJ4 all respeds;.perform. the work,
in at66eda'nce:'With''t'hez"pp'rOved plans, 'Ih6flde d guild h des�.and'.St"Lqpie Cbq#tV,,-AmL-njdments.
,J a. _i g .0
The, - f6116Wirig building permit -a . ppli-catibris.are=eXempt from .undergJd16Jg'a,full c I oncurterity.-teV.i6W,.'robrft,,'ad'ditions;
'accessory structures, swimming pools, fences,, walls, signs,screen, rooms -and iccessory., useslo,'another -non-resi.dential, use-,
Tn_,n*WMFRv V6arfailtjrp taRpenrd.-a'Nioiice:oftommencement'mav!restiltin:vourr)av!nL-,.i%h1ce for
before the fir'st]nisectiqh: It you intend t6blotain Mc
corrimencing'.WOrk or recordj ing vour Notice of Comm
th,,10hder or -an
_01
_.Signaturptof dwnerj'Lesspe/Ag'eipf
STATE OF FLORIDA
CC)U,NTYO'F 'ST.W;CI�E
Th e, f olg o i I ng instrument'was,acknowledged beforerne
thq d" Y' 'of Oar &rL 26ZI—,by'
Signature of Contraft6elUcense-Holder
STATE. OF.VLOOMA',
COUNTY 0 STA.UCIE
The for I strumeni was acknoWledgedbefore -me
this, day
'o l .20, IL by
,CHRISTOP 01#01*R 'CH _W"Ni*M641)
Of'pers On',acknowledging:;) pp., q ckho W16d ng
L Jwt
(Signature of'NotaryPdblic:.;,Sfateof"Fibfid.Y)(Signature of Notary Pbblic-,St,ate;of,FI6rida), I
Persqnall'y Known 'OR Produc'e_d Identificitionz Personally.,L)(nown x OR;Produc6d Identification
P
TOP of,-ldpntIfi6ati9n*oducdd: Type of I.dentificaticin Ptdduced
Commission Nq. q9326515,,
R6vl8eil 07/15/22014
VEGETATION SEA TURTLE I MANGROVE
REVIEW''"' 1. 'REVIEW, I kEVIEW
12