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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/12/2016 Permit Number: 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 X Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPR(71/EMENT LgCATIC?N Address: 3500 NW SHINN ROAD Legal Description: 111539 FROM SW COR OF SE 1/4 RUN N 00 DEG 21 MIN 46 SEC W ALG1/4 SEC LI 2042.03 FT,TH S 83 DEG 11 MIN 59 SEC E 88.28 FT TO PT ONE RNV U OF SHINN RD AND POB,TH N 08 DEG 48 MIN 01 SEC E ALG E RAN U 108.17 FT TO CURVE CONCAVE W,RD F 1843.08 FT,TH NLY ALG ARC 24292 FT,TH N 00 DEG 21 MIN 48 SEC W ALG E RAN U 125.85FT TO PT ON S RNV Property Tax ID#. 2330-421-0001-000-0 Lot No. Site Plan Name: Block No. Project Name: CIRCLE H CITRUS Setbacks Front Back: Right Side: Left Side: DETAILED DESC RIPTill ION';OF WORK I {3, HOOK ELECTRIC TO REPLACED 20HP IRRIGATION PUMP MOTOR. CLEAN UP EXISTING 30 100A 120/240V SERVICE TO BE REENERGIZED BY F.P.L. 77777777, SCON 3STR U CT I O N"4 N FO R M ATI O N Itlona worK to ff orme under this permit—check a appy: HVAC f Gas Tank []Gas Piping /Q_Shutters Windows/Doors Electric El Plumbing Sprinklers E Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 1900.00 Utilities:cnSewer OSeptic Building Height: ©WNER LESSEE 3 CON �yI , TRACTOR � I { Name WHITE MARSH LLC Name: CHRISTOPHER W. RICHMOND Address: P.O. BOX 14049 Company: RICHMOND ELECTRIC, INC City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD Zip Code: 34979 Fax: City: FORT PIERCE State:FL Phone No. 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. St:IPPLEME.TIAL CaNSTRt1CT14N LEEN`LAW INfOR,MATIt}[ ..... +xa ,>.t so... .S'.l n.._... ..,• .. ).,. r"a ,.31 ....k,.:aL� .a. 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 thepermit 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 o Owner/Lessee/Agent Signature oT C retractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE The forgoing instr ent was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 L�2by this 1 L- day of Jt,[,�. _ 20 by CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND (Name of person acknowledging) (Name of person acknowledging)it Ignature of Notary Public-State of Flor' } (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. FF 9 9s ,�r Motary P(r� ate of Florida 'Commission No. FF 909099 � •�. Dearfa�lUt"t7a State or Florida Deana M Doiley r Y c My Commission FP 909099 u` My Commission FF 90969 c'� ExDires 08/12/2019 orf+ Expires 01:17 1020 Revised 07/15/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS � ' '