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Home My WebLink Aboutelectric permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/1/2016 Permit Number: ,_. )J 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 dro box click arrow p at the end of line / P ROP OSE D IMPROVEMENT LOCATION, Address: 6405 DELEON AVENUE FORT PIERCE, FL 34951 Legal Description: LAKEWOOD PARK - UNIT 9 - BLK 101 LOTS 16 AND 17 (MAP 13/01 N) (OR 894-2016: 959-54: 1048-2575, 2576: 2216-1769) Property Tax ID #: 1301-611-0016-000-8 Lot No. 16 AND 17 Site Plan Name: JOHN J RATH JR Block No. 101 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK NOW-,///O� REPLACE METER CAN, RISER AND INTERIOR PANEL LIKE FOR LIKE. Additional work to be erformed under this permit — check .. .. all hat appy: HVAC Gas Tank- Gas Piping Shutters Windows/Doors 1zElectric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S. Ft. of First Floor: Cost of Construction: $ 1,172.00 Utilities: Sewer Septic Building Height: moi'%//�/� OWNER LESSEE: %'� �;'%`//; �/� i', �� //� / CO/ kTOR:/� Name JOHN J RATH JR (LF EST) Name: CHRISTOPHER W. RICHMOND Address: 6405 DELEON AVENUE Company. RICHMOND ELECTRIC, INC City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD Zip Code: 34951 Fax: 772-461-1907 City: FORT PIERCE State: FL Phone No. 772-461-1951 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 ROOMS %� SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:,,��,,,, j 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 the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules bylaws structure. Please consult with your Home Owners Association and reviewy our deed or anyrestrictions ants that ay restrict or prohibit such y y 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. LUCIE The forgoing instrument was acknowledged before me this day of �1 -� ,i� , 20 by CHRISTOPHER W. RICHMOND (i,4ame of person acknowledging ) (Signature of Notary Public- State of Flori ) Personally Known X OR Produced Identification Type of Identification Produced Commission No. FF 90909 r pG Nota�#glc State of Florida • ,fg- MY commission Ert QOWQ�j : Deana M Dailey pires 08/12/20 � 9 Revised 07/ 15/2014 t�Ex s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST. LUCIE The forgoing instrument was acknowledged before me this -1 day of [\ApyQ,doQA�_ , 20_ by CHRISTOPHER W. RICHMOND (Name of person acknowledging ) Dgaj�___ (Signature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced FF 909099 I� Commission N o . r p`� Nota r itY State of Florida Deana M Dailey .,Z My Commission FF 909099 REVIEWS FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW DATE COMPLETE INITIALS VEGETATION SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW