HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-6-16 Permit Number:
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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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: ZbZ MARINA URIVE, FORT PIERCE
Legal Description: CORAL COVE BEACH SECTION ONE BLK 5 LOT 17 (OR 1035-689:1355-939)
Property Tax ID #: 1425-701-0130-000-0
Site Plan Name: JIM SOWINSKI
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 17
Block No. 5
LIKE FOR LIKE NO UPGRADE OF SERVICE PANEL REPLACEMENT. EXISTING METER CAN
AND RISER TO REMAIN SAME.
icimonal work to bffrtormed under this permit —check a
❑HVAC Gas Tank []Gas Piping
Electric ❑ Plumbing 11 Sprinklers
CONTRACTOR:
app y:
Shutters ❑ Windows/Doors
Generator ❑ Roof
❑
Total Sq. Ft of Construction:
Cost of Construction: $ 1,939.00
Sq. Ft. of First Floor: _
Utilities: 0Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMES & BRENDA SOWINSKI
Name: CHRISTOPHER W. RICHMOND
Address: 2046 TREASURE COAST PLAZA 362 STE A
Company: RICHMOND ELECTRIC, INC.
City: VERO BEACH State: FL
Zip Code: 32960 Fax:
Phone No. 772-359-9421
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
E -Mail: JFSHUTCH@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
,r.
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
.u,— — ul. acwv U1 HlUle, d ntwrcutu ivouce OT commencement is required.
SUPPLEMENTAL CONSTRUCTION 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
makes
which is inoconili t with any applicablelHome Owners Asssoc permit
t nl rulesaby bylaws or andpcovenaholder
s that maydrestrictorr prohibits ch
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 your Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder�� /
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Lx t C, r COUNTY OF ST LLCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of/)_f_)J'4 20 (4 -by this s day of APRIL 20 r by
1'IL
CHRISTOPHER W. RICHMOND
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State o Florida (Signature of Notary Public- State of FI r' a )
Personally Known_ OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification Produced
Notary Public State of Florida
Commission No.�j'eana "I�y Commission No. Fr 909099
dp y Commission FF 909999
'f or no Expires 08/12/2019 je�►ur s�^ Notary Public State of Florida
Deana M Daile
V ommission FF 909099
Revised 07/15/2014 'f or I Expires 08/12/2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS