HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nn
Date: CO Permit Number: a— 0(o`J
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Building Permit Application FEB 0 3 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROI?OSED;I,IUIPRO.UEM,ENT LOCATION =J
Address: 4014 GREENWOOD DRIVE, FORT PIERCE, FL
Legal Description: GREENWOOD BLK 1 LOT 8 (0.27 AC)
Property Tax ID#. 2421-702-0009-000-7 Lot No. 8
Site Plan Name: TONY SINYARD Block No. 1
Project Name: MARYJEANNE MANVILLE
Setbacks Front Back: Right Side: Left Side:
j:PTI% OF WORK
REPLACE EXISTING 200 AMP EXTERIOR PANEL UPGRADE GROUNDING AT SERVICE.
INSTALL GFI AND SUBPANEL AT POOL PUMP. DELETE INTERIOR FUSE PANEL AND
INSTALL WIRES AND BREAKERS TO EXTERIOR PANEL.
CONSTRUCT[ON INFORMATIOIu
Additional work toe n e orme under this permit—check k a appy:
HVAC E]Gas Tank Gas Piping _Shutters l]Windows/Doors
Electric 0 Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ Utilities: 0 Sewer 0 Septic Building Height:
OWNERJLESSEE CONTRACTOR:
Name CHRISTOPHER W. RICHMOND Name: CHRISTOPHER W. RICHMOND
Address: 3086 ENTERPRISE ROAD Company: RICHMOND ELECTRIC, INC.
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34982 Fax:772-461-1907 City: FORT PIERCE State:FL
Phone No.772-461-1951 Zip Code: 34982 Fax: 772-461-1907
E-Mail:DEANA@RICHMONDELECTRICINC.COM 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU�?PLEMENTAL CONSTRUCTIO';N LIEN LAW INFORMATION.'
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
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 our Notice of Commencement.
1't/ il! .;` c2 f lir,- 1' _._.,,' S
License Holder
Signature of C ntractor
_Signature of Owner/Lessee/Agent g /
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forgoing instr ment was acknowledged before me The forgoing instru ent was acknowledged before me
this day of 20/&by thisday of 20 �by
CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
a"ha_' LL. ,-'(Nv oa&_ n,,D_n,'P,-,,
(Signature of Notary Public-State of F rlda) (Signature of Notary Public-State orida)
Personally Know19096,1,01t6vo
ro ��y Pudic'Sale oflFlo id Personally Known x OR Produced Identification
Type of Identifica �; Deana M Da lei Type of Identification Prod e
My Commission FF 909099 0, •4 pga a rry u�Daile stateonc o on a
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COmmI5510n NO. � Expires119 COmmI5510n No. FF 909099 1 0` My�9�it�Sision FF 909099
Expires 08112/2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS