HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D t 1/13/2022 Permit Number:
Le
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: 371 Midway Road
Legal Description:
White City S/D 03 36 40 N 261ft of E 100ft of Lot 34 - less RD RSIW - (0.55AC) (Map 34/03S) (or 2573-1833)
Property Tax ID #: 3403-502-0055-000-7 Lot No. 34
Site Plan Name: Block No.
Project Name: Education Association of St. Lucie
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing duel meter can and improve the grounding.
CONSTRUCTION INFORMATION:
�tiona work to a er orme un ert Is permit—c ec a app y:
❑HVAC M Gas Tank ❑Gas Piping _ Shutters []Windows/Doors
❑✓ Electric ❑ Plumbing Sprinklers 0 Generator 1:1 Roof
Total Sq. Ft of Construction:
Cost of Construction:
1:1 11
S Ft. of First Floor:
Utilities:Sewer Septic Building Height:
OWNERf LESSEE: CONTRACTOR:
Name 5t. Lucie Cty Classroom Teacher Name: Christopher W. Richmond
Address: 371 Midway Road Company: Richmond Electric, Inc.
City:
Fort Pierce State: FL Address: 3086 Enterprise Road
Zip Code: 34982 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: EC0001963
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address
City:
Zip:
Phone:
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
Citv:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: ,Not Applicable
Name: _
Address:
City:
Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
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 }obsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
St. Lucie
The forgoing instru ent was acknowledged before me
this day of 20 Zby
Christopher W. Richmond
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of identification Produced
Commission No. HH 2O3876
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
Stott of
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
St. Lucie
The forgoing instru ent was acknowledged before me
this __J' cznL[ 2D —
Ghristopher W. Richmond
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of identification Produced
SUPERVISOR I PLANS
REVIEW REVIEW
No HH 203 6 Notary Cif )State of Florid*
Deana Mirabella 3
My Commission
ills itH 203876
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW
INITIALS
REPLACE DUEL METER CAN IN RED. 200 AMP SINGLE PHASE METER CAN.
UPGRADE GROUNDING TO INCLUDE A LOW VOLTAGE GROUND BRIDGE AND A SECOND
GROUND ROD AT LEAST 6' FROM THE EXISTING GROUND ROD.