HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/30/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 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:
18505 Tranquility Base Lane
Aero Acres BLK 3 LOT 20 (2.097 AC)
Property Tax ID #: 3215-801-0073-000-0
Site Plan Name:
Project Name: Shannon Osteen
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 20
Block No. 3
Relocate & add recessed lights throughout house. Add three general use receptacles in den area.
Install under cabinet lights in kitchen. Replace existing recess lights with LED. Miscellaneous
troubleshooting branch circuits as necessary.
Jditional work to bf!GasTank
0HVAC
rtormed
under this permit —check all
❑6as Piping
apply:
Shutters
Windows/Doors
✓❑— Electric
1:1 Plumbing
Sprinklers
El Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 9,265.00
S Ft. of First Floor:
Utilities: Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name R Shannon Osteen
Name: CHRISTOPHER W. RICHMOND
Address: 1805 Tranquility Base Lane
Company: RICHMOND ELECTRIC, INC
City: Fort Pierce State: FL
Zip Code: 34987 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: EC0001963
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: , Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Address
City:
Zip:
Phone:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 vour Notice of Commencement.
r
_ Signature of Owner/ Lessee/Agent Signature of Contractor icense Holder
STATE OF FLORIDA
COUNTY OF ST. LUCIF
The forgoing instrument was acknowledged before me
th1s30 day of N w,-,rAjo ee! 20 LLby
CHRISTOPHER W. RICHMOND
(Name of person acknowledging )
(Signature of Notary Public- State of
STATE OF FLORIDA
COUNTY OF ST. LuccE
The forgoing instrument was acknowledged before me
this_'-Qdayof MoL)LbVaee 20)—L_by
CHRISTOPHERW. RICHMOND
(Name of person acknowledging)
ti
da } (Signature of Notary Public- State of Flor.4511
Personally Known x OR Produced Identification I Personally Known x OR Produced Identification
Type of identification Produced Type of Identification Produced
. f Notary Public State of Flwda
Commission No. GG 326515 yi •t� public Stale of Florida rnmission No. GG 326515 ?p (Mg M Drnisotey
n GG 328515
y 3m
neana M Dailey i1 n ' Expires 00112/2023
� . My Commission GG 326515 Or
Revised 07/ 15/2014
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