HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/17/2022 Permit Number:
Building Permit Application
pp
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:
Property Tax ID #-
Site Plan Name:
Project Name: _
Setbacks Front
5503 E. Echo Pines Circle
Holiday Pines SID - Phase 1 - Lot 123 (MAP 14107S) (or 3935-155)
1312-500-0124-000-1
John McCall
Back: Right Side: Left Side:
Lot No. 123
Block No.
� DETAILED DESCRIPTION OF WORK: j
Replace 200 amp panel and breakers. Like for Like.
Additional work to be ertormed
1]HVAC
Tank
under this permit —checK all
❑Gas Piping
apply:
Shutters
Q Windows/Doors
Gas
_
❑✓
Electric
0 Plumbing
Sprinklers
Generator
1:1
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,810.00
S Ft. of First Floor: _
Litilitiest Sewer E]Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name John and Mary McCall
Name: Christopher W. Richmond
Address: 5503 Echo Pines Cir E
Company: Richmond Electric, Inc.
City: Fort Pierce State: FL
Zip Code: 34951 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@richmondeiectricinc.com
State or County License: EC0001903
1f value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I 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 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.
t
Signature of ner/ Lessee/Agent Signature of Contra c or/License Holder
STATE OF FLORIDA
COUNTY OF
St. Lucie
STATE OF FLORIDA
COUNTY OF St, Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this t 7 day of 20 Eby this LZ day of 20pg�2- by
Christopher W. Richmond Christopher W. Richmond
(Name of person acknowledging) (Name of person acknowledging)
J1Yvma ,/ G�- i
ture of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida j
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. HH203876
Revised 07/ 15/2014
State of Flod
,abella
Exp. 811212023
Personally Known x OR Produced Identification
Type of Identification Produced
on No. HH 203S76
State of Florida
'abefla
Exp. Vliii=
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
200 AMP MAIN BREAKER PANEL
REPLACE LIKE FOR LIKE UNIT.
PANEL LOCATED BACK TO BACK FROM UTILITY
METER.
GROUNDING WILL BE BROUGHT TO CODE WITH
A SECOND GROUND ROD AND A LOW VOLTAGE
GROUNDING BRIDGE.