HomeMy WebLinkAboutBUILDING PERMIT APPLICATION & GAS CONDUITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/13/2021 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 Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
8717 TOMPSON POINT ROAD
TOMPSON POINT PUD AT PGA VILLAGE (PB 43-10) LOT 33 (OR 2141-1621;3940-541)
Property Tax ID #: 3327-704-0034-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 33
Block No.
INSTALL # 4 BOND WIRE TO A GAS CONDUIT FROM A SUB PANEL WITHIN 10' OF THE
CONDUIT.
Additional work to be pertormed undertnEspermit— cneCKall apply:
E1HVAC 0 Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑ Plumbing Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 260.00 Utilities:cnSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMES D. BONNER (LF EST)
Name:
CHRISTOPHER W. RICHMOND
Address: 8717 TOMPSON POINT ROAD
Company:
RICHMOND ELECTRIC, INC
City: PORT ST. LUCIE State: FL
Zip Code: 34986 Fax:
Phone No.
Address:
3086 ENTERPRISE ROAD
City:
Zip Code:
Phone No.
FORT PIERCE State: FL
34982 Fax: 772-461-1907
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 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
Not Applicable
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.
r�
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY YVOF ST. LUCIE
The fo�r� Ding ins tr merit was acknowledged before me
this./ day of 20;U—by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
r-
ature of Notary Public- State of FI J a
Personally Known x OR Produced identification
Type of Identification Produced
Commission No. GG32651 �s. a +
N tary ublic State of Florida
I Deana M Dailey
Expires 0011212023
Revised 07/15/2014
(Ti 4n'� — __'Oe" s
Signature of Connr ctor/License Holder
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The forgoing inst ment was acknowledged before me
this j4 day of 20 2/1 by
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
(Signature of Notary Public- State of
Personally Known x OR Produced Identification
Type of Identification Produced
on No. GG 326515
Notary Public State of Florida
Deana M Dailey
5xpir4s 0611212023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
M gas conduit by others
sub -panel
orange = new bond connection
pond a new gas conduit installed by others to the ground
ug in a sub -panel located within 10' of the new gas
conduit_ A bare # 4 copper wire will be used sleeved from
the panel to the z piece grounding connector on the
conduit