HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I SbA4 - OsaD
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: Electrical
P4POSD 1{VIPR01/EIVINT LOCATI{ N,,.' .,, " ` '`
Address: 3481 S.25TH ST., FORT PIERCE, FL
Legal Description: SEE ATTACHED
Property Tax ID#: 2429-411-0002-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
,_a,.ua,3�1 t ., ., :; n".�'.: .w3�, ', ,., ll,v,�k r h�'dt �� , � � 3 �➢ 4
3
�ftln� 2 00 4•—rev tA.-ee Pl,ast� •^ra,�, 7j�ca�e�t , Lr�e /�� Act,
CONSTRUCTION O
iiFQRI111ATtC}N � � � `
p t � N
t.rr .k._.,,� �,.., , _. ,,w, ,.,,'; ..., 3 z- ,,,,,,. t#�. •_a 3::., ,,- .: „I," :31_x. � � r��C
Aaartional work to be erformed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping M4zhutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 614.00 Utilities:n Sewer Septic Building Height:
GWNERLESSE `ROBERrPI=ZZIIO Rlc NQN� EL�CRIC SNC777777777
a CONTRAOTOR
ems.... .. .�_ _,..
Name Robert Pezzino Name: Christopher W.Richmond
Address:4236 Pine Hollow Cir Company: Richmond Electric Inc.
City: Greenacres State:FL Address: 3086 Enterprise Rd.
Zip Code: 33463 Fax: City: Fort Pierce State:FL
Phone No.772-466-2030 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: casey@richmondelectricinc.com
from the Owner listed above) State or County License: EC0001963/17642
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
3 3 t am 5
J � I"�CTA. O C7`'QI �3�, iUTATN� �s
' ,. ,
DESIGNER/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:
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 fender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLuaE
The far ong instrument was acknowledged before me The forgoing instrument was acknowledged before me
this i.day of FIRM 20S-by this Z day of O P C i 20 6 by
CHRISTOPHER*RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
(Signature of tary Public-State of !arida) (Signature otary Public-State of orida)
Personally Known /� OR Produced Identification Personally Known_�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. :o`°`'P` C S a r I INKLEY Commission No. ,,,...,,,
_ �vp� CASEY S6NKLEY
�`- fV1Y C(3�5ttiH9SS10tJ##EE117856 meati' °��
`..�• 'tea` ��. ,tom
2015
••`h =2* V• EXPIRES August 16,201
(407)398-0l S3 i=:e;idalloiaryservice.com ,?F,
Revised 07/15/201 – (407)39"153 :�;�asao�mr�serviee,om
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SER TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS