HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-19-2016 Permit Number: ,rad a d35�
® �r RECEV. :D FIE0 19 2016
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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 Residential X
PERMIT APPLICATION FOR: Electrical
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PRQPOSED IMPRO\IEMENT LOCATIt�N
Address: 106 LOMAS COURT
Legal Description: RIVER PARK-UNIT 3-BLK 26 LOT 6 (MAP 34/22S) (OR 2290-2477)
Property Tax ID#: 3419-515-0163-000-6 Lot No. 6
Site Plan Name: CHARLIE BAKER Block No. 26
Project Name: I.P.O. REALTY
Setbacks Front Back: Right Side: Left Side:
DETAILED DE-SCRIPT WORK
REPLACE DAMAGE METER CAN JAW OR METER CAN. UTILITY MUST OPEN THE METER
CAN TO VERIFY REPAIR OR REPLACEMENT.
CONSTRUCTIQN INFORMATION ,
itiona-wor to e e ormeunder this permit—check all that appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
❑✓—Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ g-,C_-0 Utilities: Sewer Septic Building Height:
O'WNERjLESSEE CONTRACTOR:
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Name �� �3c �h; _ 2C Name: CHRISTOPHER W. RICHMOND
Address:_ %221 'a����a'�� g,k Company: RICHMOND ELECTRIC, INC.
City: " L Ck�-�efi J\ 1 n`^ State:F L_ Address: 3086 ENTERPRISE ROAD
Zip Code: 3333 _ Fax: City: FORT PIERCE State:FL
Phone No. Zip Code: 34982 Fax: 772-461-1907
E-Mail:I 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.
5UPPCEMENTAL,"CON8TRUCTI'ON LIEN LAW IN1=0RIVIATIO.N
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:
1 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.
_Signature of Owner/Lessee/Agent Signature of Contra for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged�/before me The forgoing instrument was acknowledged before me
this 1 day of U ,, 20 by this 19 day of FEBRUARY 20 by
CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
plalr� 1XhK21 ZZZ4 1 / /d `9�)
(Signature of Notary Public-State of orida) Ignature of Notary Public-State of Flori )
Personally Known x r e n ifc ti Personally Known x � odl&�,l�t9i9&kt9Pi,i
Type of Identificatio ro G d Type of Identification P Deana M Dailey
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0dblic � c My Commission FF 909099
Commission No. FFMyC mm( 81):Deana M F909099 Commission No. FF90 ss?orn ExPlres Expires 08/1212019 1
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS