HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/11/16 Permit Number:
3y REZCFI'.'TD PEAR 112016
0
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: To Select from dropbox, click arrow at the end of line ��
PROPOSENIMPROVEMENT LOCATION: a
Address: 7507 LAKESIDE WAY, FORT PIERCE
Legal Description: LAKEWOOD PARK-UNIT 2-BLK 10 LOT 4(MAP 13/11 S) (OR 3831-295)
Property Tax ID#: 1301-602-0004-000-3 Lot No. 4
Site Plan Name: LUNDY Block No. 10
Project Name: AJL MANAGEMENT CORP
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF 1NORK'
HOOK EXISTING A/C, A/H, INSTALL LIGHT FIXTURES, INSTALL NEW CIRCUIT FOR
MICROWAVE, INSTALL NEW RECEPTACLES, INSTALL SMOKE DETECTORS IN BEDROOMS
AND INSTALL NEW EXTERIOR GFI RECEPTACLES. HOOK WATER HEATER.
CONSTRUCTION INFOR3
NATION
Additionalwork to-Fe- e orme under this
permit-check a appy:
HVAC E]Gas Tank EJGasPiping _Shutters O Windows/Doors
Electric 0 Plumbing Sprinklers 0 Generator 0 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3365.00 Utilities:n Sewer Septic Building Height:
01NNER/LESSEE 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.
SIIPPL,EMENTAL CONSTRUCTION LIEN LAWIN ,
w
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.
_Signature of Owner/Lessee/Agent Signature of Contractor/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_LL day of A112i ab, 20&by this_JL day of 517CAP�k 20 ZjL by
CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
( I) U
Ignature of Notary Public-State of Flor' ) (Signature of Notary Public-Sta. f Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF 909099 ( e Ii Commission No. FF 909099 (Seal)
Notary Public State of Florida
Nota Public State o Florida
Iowa
y o` My Commission FF 909099 =1 ^ Deana M Dailey
Revised 07/15/201 •�ja���o� Expires 08112/2019 oR My Commission FF 909099
-4of Expires 08/12/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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INITIALS