HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4129116 P 't N
erml umber.
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:
Aaaress: "� V V lv Dmoo I,V VK I, 1 -UK I HtHGt, FL 34949
Legal Description: QUEENS COVE - UNIT 2 - BILK 23 LOT D (OR
Property Tax ID #: 1414-702-0022-000-9
Site Plan Name: WYENANDT RESIDENCE
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. D
Block No. 23
INSTALL (20) RECESSED CAN LIGHTS AND (4) SINGLE POLE SWITCHES IN HOUSE:
(4) MASTER BEDROOM, (4) BEDROOM #, (4) BEDROOM # 2, (6) LIVING ROOM.
FEED FROM EXISTING GENERAL LIGHTING BRANCH CIRCUITS.
HVAC LJGas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1900.00
erThispermit- checkall appy:
E]Gas Piping _ Shutters ❑ Windows/Doors
❑Sprinklers Generator Roof
S Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
O W NERAESSEE:
CONTRACTOR:
W
Name GREGORY & ELIZABETH YENANDT
Name: CHRISTOPHER W. RICHMOND
COUNTY
F L
o
erml umber.
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:
Aaaress: "� V V lv Dmoo I,V VK I, 1 -UK I HtHGt, FL 34949
Legal Description: QUEENS COVE - UNIT 2 - BILK 23 LOT D (OR
Property Tax ID #: 1414-702-0022-000-9
Site Plan Name: WYENANDT RESIDENCE
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. D
Block No. 23
INSTALL (20) RECESSED CAN LIGHTS AND (4) SINGLE POLE SWITCHES IN HOUSE:
(4) MASTER BEDROOM, (4) BEDROOM #, (4) BEDROOM # 2, (6) LIVING ROOM.
FEED FROM EXISTING GENERAL LIGHTING BRANCH CIRCUITS.
HVAC LJGas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1900.00
erThispermit- checkall appy:
E]Gas Piping _ Shutters ❑ Windows/Doors
❑Sprinklers Generator Roof
S Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
O W NERAESSEE:
CONTRACTOR:
W
Name GREGORY & ELIZABETH YENANDT
Name: CHRISTOPHER W. RICHMOND
Address: 113 QUEEN BESS COURT
Company: RICHMOND ELECTRIC, INC.
City: FORT PIERCE State: F�
Zip Code: 34949 Fax: 772-461-1907
Phone No. 772-461-1951
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-1907
Phone No. 772-461-1951
E -Mail: DEANA@RICHMONDELECTRICINC.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC 0001963
-- ----- -•--••-••--••-•• •� ,-— .W , cWw, - newnucu iwoce or Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
is inoconflict with any applicable lHothat
e Owners Asssoclatl nl rulesabylaws or the
covenants that may restrict oir 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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST waE
Signature of Co tractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instru`r�r� n,t, w,as acknowledged before me I The forgoing instrument was acknowledged before me
this � day of ' I , 20 & by this -&I day of /fin, n 20 147 by
CHRISTOPHER W. RICHMOND CHRISTOPHER W. RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State o lorida ) (Signature of Notary Public- State of i Ida )
Personally Known x
Type of Identification
Commission NO. FF
Revised 07/15/2014
OR Produced Identification
Notary Pu to of Flonda
Deana N�y
My COQRNSSIon FF 909099
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. FF 'f;Iol
�WC Notary
'a State of Fbnda
M Dailev
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