HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 11/6/2018 SCANNED PermitNumber:
BY
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RECEIVED
Building Permit Application
NOY 0,7 2018
Planning and Development Services
Building and Code Regulation Division Pelmitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
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
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Address: 3300 S OCEAN DRIVE
Legal Description: 19 35 41 GOVT LOTS 1, 2, 3, 4, 5 AND 6 LYG E OF AlA - LESS TO ST LUCIE COAS IN OR
444-2886 - (120.26 AC) (OR 544.1390: 576-35, 39)
PropertyTaxlD#: 2519-121-0010-000-4 Lot No. 1,2,3,4,5 & 6
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
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RELOCATED ELECTRICAL EQUIPMENT FROM FACING NORTH TO FACING EAST.
REPLACED ONE DAMAGED TERMINAL CONNECTOR.
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Additional work to be performed under this permit -check all apply:
11 HVAC Gas Tank E]Gas Piping r1';h,1ttPrq Windows/Doors
ZElectric Plumbing []Sprinklers E] Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 600.00 Utilities"'Li Sewer []Septic Building Height:
WNP, 0;4441 NINE, mm
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!3 K
1.15P 01113. 2
;.70' P!, 71" WX 0"', %
Name TR INT IMP TRUST FUND
Name: CHRISTOPHER W. RICHMOND
Address: 3900 COMMONWEALTH BLVD
Company: RICHMOND ELECTRIC, INC
City: TALLAHASSEE State: FL
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State. FL
Zip Code: 32399 Fax:
Phone No.
Zip Code: 34982 Fax: 772-461-1907
E-Mail:
Phone No. 772-461-1951
Fill in fee simpl6Title Holder on next page if different
E-Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: ECO001963
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNEIR/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
—Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or insta I lation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conWict 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
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Signature of Owner/ Lessee/Agent SignatuF—eof Contralctor/Llcense Holder
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The fing instrument was acknowledged before me
this day of NQjW , 20 OLLY
CHRISTOPHER W. RICHMOND
(Name of person acknowledging)
Personally Known x
Type of Identification
Commission No. FF
Revised 07/1
OR Oroduced Identification
Notary PatildStale of Florida
Deana M Dailev
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me
this _-(p day of JI V0471 l2kes—' 20 IJV_ 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
Commission No. FIF9139099
Flodda
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