HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/3/2016 Permit Number:
�;- RECEIV'-:D Orr 0 3 2016
.... . . __._._ ................ . .............__.
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
PRQPOSED IMPROVEMENT LOCATION
Address: 517 S. 33RD STREET
Legal Description: PALM VISTA PARK S/D LOT 3 (2.02 AC)(OR 548-1349)
Property Tax ID#: 2408-701-0004-000-8 Lot No. 3
Site Plan Name: CHANDLER EQUIPMENT Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DEQ RIPTION OF WORK '
REPLACED DAMAGED METER CAN, RISER, WEATHERHEAD, WIRE AND INTERIOR 200 AMP
MAIN BREAKER PANEL SINGLE PHASE. LIKE FOR LIKE
GONS1'RUCT�`w3 N,INF0RIU�ATIQN.
rtionaI Work to e performed under this permit–'c ec a appy:'
❑HVAC 0 Gas Tank Gas Piping _Shut
— ❑ p g ters ❑Windows/Doors
Electric 0 Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2396.00 Utilities. Sewer oSeptic Building Height:
OWNER/LESSEE CNTRAG,.,OR.
_ .
Name CHANDLER EQUIPMENT CO INC. Name: CHRISTOPHER W.RICHMOND
Address:507 S 33RD STREET Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34947 Fax: 772-465-4022 City: FORT PIERCE State:FL
Phone No.772-461-6604 Zip Code: 34982 Fax: 772-461-1907
E-Mail: 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.
SUPPLEMENyTA CONSTRUCTI:ON LIEN LAW INF,ORMATIO'IV
DESIGNER/ENGINEEk. _Not ApplicableMORTGAGE 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.
S
_Signature of Owner/Lessee/Agent Signature of Co tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The fp oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Cl,�C, 201-6-by this__�S day of 6eA1b)oa ._ 20 DO by
CHRISTOPHER W,RICHMOND CHRISTOPHER W.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
1
Ignature of Notary Public-State of Flor' a) (Signature of Notary Public-State of Florid
Personally Known x OR Prod ce I tification Personally Known xr i
Type of Identification r�V Type of Identification Pro aV�r" --atc>tauy Ra�iis State of Fera
Deana NoWry uM�Dailey = de
Deana M Dailey
Commission No. FF 90 My COMASNN FF 909099 Commission No. FF 909099 ff My CdI��� n FF 909099
pyo ExpiresCSJ12/2019 ort Expire 08/12/2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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