HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: k 505-4 sn o
IMM RECEIVED MAY 19"1015
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
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APPLICATION FOR: Electrical
Address: 13525 Indrio Rd., Fort Pierce, FL I''t)ete r (QA) -,-s Z F) S I FPL
Legal Description. 20 34 39 E 1/1 of NW 1/4 and All SW 1/4(244.27 AC)(OR 3104-292)
Property Tax ID#: 1320-211-0001-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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itiona workto e e orme under is permit-check a appy:
HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
Z✓ Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
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Cost of Construction:$ �'o c', Utilities: Sewer E]Septic Building Height:
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Name Indrio Holdings LLC Name: Christopher W.Richmond
Address:1626 90th Ave. Company: Richmond Electric Inc.
City: Vero Beach State:FL Address: 3086 Enterprise Rd.
Zip Code: 32966 Fax: City: Fort Pierce State:FIL
Phone No.772-370-1667 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.
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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:
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
structui:,.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,l do hereby agree that I will,in all respects,perform the work
in accor,lance 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
WARMING 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
con,,;, ncing work or recording our Notice of Commencement.
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_Signature of wner/Lesse Agent Signature of C ntractor/License Holder
STAT OF FLORIDA STATE OF FLORIDA
CO' '.' -Y OF FLURIDA COUNTY OF FLORIDA
The ; ping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I ' day of a 20 IS by this �9t day of (���1 20 IS by
CHRIS! i'I IER V11:RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
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(Sid;, e of otary Public-State of Flonda) (Signature of N&Tary Public-State of Flo " a)
Persoi :.Ily Known x OR Produced Identification Personally Known x OR Produced Identification
Type identification Produced Type of Identification Produced
Commission No. :��`� 9ft�' 13iNKLEY
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R1-'' '!S FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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