HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date: 8/3117 Permit Number:
RECEP "gip AUG 0 3 2017
Building Permit Application
Planning and DevelopmentServices
'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
Address: 10650 PINE NEEDLE DRIVE
Legal Description: PINE HOLLOW -UNIT TWO -LOT_ 13 (1.013 AC) (OR 1849-920)
Property Tax -ID #: 2321-802-0015-000-2 Lot No. 13
Site Plan Narne: MEYERS Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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INSTALL (2) GENERATOR INLOCKS QN EXISTING PANELS. INSTALL ('1) TWO POLE 50AMP
.BREAKER INTO EACH PANEL FOR GENERATOR. INSTALL EXTERIOR RECEPTACLE FOR
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GENERATOR FEED.
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wor to e e orme uncler this perms --cneck all apply:.
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L�HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric O Plumbing ,. O`Sprinkiers "- Generator. Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction • $ 812.00 Utilities Sewer Septic Building Height: .
Name CRAIG & KRISTINE MEYERS Name: CHRISTOPHER W. RICHMOND
Address: 10650 PINE NEEDLE DRIVE Company: 'RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086ENTERPRISE ROAD
Zip Code: 34945 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
i if value of construction is $2500 or more, a RECORDED Notice of'Commencement is required.
DESIGNER/ENGINEER: _ Not Appiicanie
Name.
Address:'
City = State:-
Zip: ' Phone
,FEE SIMPLE TITLE ,HOLDER: NotApplicable
;_Name:
Address:
City:, ,..
Zip: Phone: '
MORTGAGE COMPANY: _Tot Applicable
Name:'
Address` x
City: State:
.Zip:' Phone
BONDING COMPANY: _Not Applicable
Name:
Address:
City -
'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 Assoclation and reviewyour,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 permitapplications are exempt from undergoing a full concurrencyreview:-room additions,
accessory structures, swimming.pools, fences, walls, signs; screen rooms and accessory uses to another non-residential use
WARNING TO CIWINER: 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-inspectlon. If you intend to obtain financing, consult with lender or an attorney before
cornmencink work or recording our Notice"of Commencement.
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Signature of.06nerf Lessee/Agent Signature of Contr ctor/License Holder
STAT`E.OF FLORIDA ° STATE OF'FLORIDA
COUNTY OF sT.i.uCIE COUNTY OF .sr AuCIE
The forgoing instr. mentwas acknowledged before me. The forgoing instrument was acknowledged before. me
°thls.� day of 1 20 ` by this day of;4!t 5A " ...'20 by
CHRISTOPHER W. RICHMOND CHRISTOPHER W, RICHMOND ,
,'(1 ame of,pprson.acknowledging i _ 'Aame,of person acknowledging") .
(Signature of Notary Public- State of 1.7brida j
bli S t f Fl
Personally Known .X. OR Produced, Identification
Type of Identification Produced"-
Commission No. FOso: s :��taa
.. ., . Dew0i M Da ley
t �
� Revised 07115/20`1 .
(Signature of Notary Pu c- to e o or a
Personally known X OR:Produced Identification
TyPp,of Identification Produced
Cbrrimission No. F9o9(
NotaiY Public SWO of FbrM
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REVIEWS : "
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'SUPERVISOR
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, REVIEW
VEGETATION
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SEA TURTLE
REVIEW
MANGROVE
REVIEW:
DATE.
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