HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 122[2016 Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade 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
Address: 7601 OCALA AVEN UE
Legal Description: LAKEWOOD PARK ADDITION NO -1 BLKC LOT 4 (OR 546-14)
Property Tax to
Site Plan Name:
Project Name: _
1302-810-0055-000-7
Setbacks Front Back: Right Side: Left Side:
F •t.
Lot No. 4
Block No.
REPLACE EXISTING EXTERIOR SINGLE PHASE, 200 A, 120-240V METER CAN & RISER.
EXISTING PANEL AND BREAKERS TO REMAIN
I�...Jnmu unue� 1111111111penmr rnecrc an apply;:
I,_HVAC Gas Tank ❑Gas Piping _Shutters OWindows/Doors
Z✓ Electric 0 Plumbing Sprinklers Generator L J Roof
Total Sq. Ft of Construction: S. of First Floor: _
Cost of Construction: $ 1,160.00 Utilities: Sewer E]Septic
Name PADDY B.GUETTLER
Addr, 7601 OCALA AVENUE
City: FORT PIERCE State: FL
Zip Code: 34951 Fax: 772-461-1907
Phone No. 772461-1951
E -Mail: DEANA@RICHMONDELECTRICINC.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
Name: CHRISTOPHER W. RICHMOND
Company: RICHMOND ELECTRIC, INC
Address: 3086 ENTERPRISE ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772461-1907
Phone No. 772-461-1951
E -Mail: DEANA@RICHMONDELECTRICINC.COM
State or County License: EC0001963
construction is $2500 or more, a RECORDED Notice of Commencement is
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State:_ City: State:
Zip: Phone: Zip: Phone:
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City:
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. Lurie 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
Uzi `�/�S
_ Signature of Owner/ Lessee/Agent Signature of Contractor/Ucense Holder
STATE OF FLORIDA
COUNTY OF sT. uc,E
The fff Ing in rument was acknowledgedbeforeme
this May of 20 db
CHRISTOPHER w RICHMOND
(Name of person acknowledging)
Personally Known x OR Produced Identification
Type of Identification Produced
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Ban, NafA-Beller
My CMmIsMW FF 809098
Ex9lrer MIX2019
STATE OF FLORIDA
COUNTY OF sr.=*
The forgoing instrument was acknowledged before me
this Z day o`fJJLXdj0%L+s__. ,20 16_ by
(Name of person acknowledging)
mature of Notary Public -State of Florala I
Personally Known x OR Produced Identification
Type of Identification Produced
Commission
Pverc canaFero.
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