HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/11/2022 Permit Number:
n , 37"l-F �:,,K., ,
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3107 Crabwood Lane
Legal Description: Savanna Club - Plat Two - Slk 12 Lot 14
x
Property Tax ID #: 3425-702-0101-000-7 Lot No. 14
Site Plan Name: Block No. 12
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove the existing 1 50amp mobile home panel pedestal. Install a small rack to include one new
meter and breaker with enclosure.
itiona I work to be erformed under this permit — check all apply:
11HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
10 Electric ❑ Plumbing Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,548.00 Utilities:Sewer DSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edward Zinky
Name: Christopher W. Richmond
Address: 3107 Crabwood Lane
Company: Richmond Electric, Inc.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No.
E-Mail:
Address: 3086 Enterprise Road
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: deana@richmondelectricine.com
State or County License: ECO001963
If value of construction is $2500 or more, a RECORDED Notice of Lommencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: J Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY
Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
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 your Notice of Commencement.
Signature of Owne / Lessee/Agent Signature of ContractoULicense Holder
STATE OF FLORIDA
COUNTY OF 5! Lucie
The forgoing instrument was acknowledged before me
this � day of J� 242by
Christopher W. Richmond
(Name of person acknowledging J
re of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. HH
Revised 07/15/2014
Noif�yblic State of Florida
Deana Miraballa
Exp, 8/1212023
STATE OF FLORIDA
COUNTY OF sc Lucie
The forgoing instrument was acknowledged before me
thisILdayof ;YQy-�Lt G44 20 ZZ by
Christopher W- Richmond
{Name of person acknowledging
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
mission No. HH 203876
State of Florid
,abella
lion
Exp. bii2IiO23
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
REMOVE THE EXISTING PEDESTAL WITH 150 AMP, SINGLE PHASE,
MAIN BREAKER UNIT.
INSTALL ONE SMALL RACK TO INCLUDE THE FOLLOWING:
1 - 200 AMP RATED SINGLE PHASE METER CAN
1 - 150 AMP, SINGLE PHASE, MAIN BREAKER, 1201240V
1 - ENCLOSURE FOR BREAKER, NEMA 3R
SCHEDULE 80 PVC CONDUIT IS TO BE USED WHERE WIRING WOULD
BE EXPOSED FROM THE UTILITY.