HomeMy WebLinkAbout1605-0478ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/25/2016 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 971 TARPON FLATS DRIVE
Legal Description: TARPON FLATS SUBDIVISION (PB 69-27) OPEN SPACE TRACT A (0.34 AC -14,810 SF)
(AS PER PLAT DEDICATION DATED 6/11/2014)
Property Tax ID #: 1423-566-0001-000-8
Site Plan Name: TARPON FLATS
Project Name: DOCK
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
ADD NEW RECEPTACLES ON EXISTING DOCK.
CONSTRUCTION INFORMATION:
trona wor oe e orme un er ispermit—c ec a appy:
❑HVAC El Gas Tank E]Gas Piping _ Shutters ❑ Windows/Doors
ZElectric OPlumbing Sprinklers 11Generator 0Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 2500.00
S Ft. of First Floor: _
Utilities: Sewer []Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name TARPON FLATS LLC
Name: CHRISTOPHER W. RICHMOND
Address: 277 ROYAL POINCIANA WAY # 156
Company: RICHMOND ELECTRIC, INC
City: PALM BEACH State: FL
Zip Code: 33480 Fax: 772-461-1907
Phone No.
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: EC0001963
-��� •����•�..••�..��»&amu v, awe, a ncwnucv noTice oT commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Countmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confylict 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, l 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 vour Notice of Commencement.
L/�'�-ter ��-�-J i��J �-� /1-�—�✓ S
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this _ day of 20 _by
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this _ day of 20 _ by
CHRISTOPHER W. RICHMOND CHRISTOPHER W. RICHMOND
(Name of person acknowledging) (Name of person acknowledging )
11—
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF9NOW (Seal) Commission No. FF 909098 (Seal)
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS