HomeMy WebLinkAboutBuilding Permit Application P
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /T�
Date: 8/14/2017 Permit Number Q1 �J
m
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: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 3254 DOCKAGE WAY, PALM CITY, FL 34990
Legal Description: WIDE WATERS S/D LOT 7(OR 3928-2283)
Property Tax ID#: 4436-510-0011-000-#7 Lot No.7
Site Plan Name: WIDE WATERS Block No.
Project Name: DELA ROSA DOCK ADDITIONS
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPT.ION 0F WORK:.
.. . "
INSTALL 30A 240V GFI-PROTECTED POWER FEED FROM PANEL IN POOL EQUIPMENT ROOM TO BOAT LIFT LOCATION;
WIRE LIFT MOTORS AND CONTROLLER; INSTALL(1)120V GFI RECEPTACLE UNDER LIFT'CONTROLLER
(SEE 1706-0551)
CONSTRUCTION INFORMATION:
Additional work to be partormedunder this permit—check all M=appy:
HVAC L_I Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1000.00. Utilities: Sewer Septic;! Building Height:
OWNER/LESSEE: CONTRACTOR:, ' I
Name MAITE DE LA ROSA Name: RONALD KINDEL
Address:3254 DOCKAGE WAY Company: RK ELECTRIC,LLC.
City:L PALM CITY State:FL Address: P.O. BOX 880254
Zip Code: 34990 Fax: City: PORT ST. LUCIE State:FL
Phone No.954-446-3780 Zip Code: 34988.. Fax: 772-607-6655
E-Mail:SOLD at�GENTPUIG.COM Phone No. 772-344-9155
Fill h.ffee simple Title.Holder on next page(if different E-Mail: RKELECTRICFL@GMAIL.COM
from the Owner listed above) State or County License: EC13007108
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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,
accessorystructures,swimming pools,fences,walls,signs,screen Booms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying tavice 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
commencingwork or recordingour Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for,Owner 7 Signature of Contractor/License Holder. _
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The#or oing instrument was knowledg ore me The f rg ing instrument was acknowledge�Sy
ore me
this or day of ' 20l y this ay of _ 20
RONALD KII4DEL i I a l
(Name of.person acknowle ing) (Name of person acknowledging)
(Signature of Not9d.Public-State of to'dp, (Signature of Notary P lic-State offlorida)
ELA M HUFF
�i_ '"°""' O Id fic tion
Person'
, A �f9 t`kation Personally Knowp thRYp y`, A .
Type of;lde jp 3473 Type of Identfia�t �u ,
(. ti fres
May 27,20191 -�x " • �c State y
.,�' tdy Comm.ExP' R `,F °tea; Commissio of F rid
Comm is NO°� �pari rnrnnar V itionat%otal(SW �_.
Commission No.''-,oFF1o?;` My(n. _ n #F��a}� a
B�d *mu Fxpires May 27.201 y ..
=: Bo dationM i
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW 'REVIEW REVIEW REVIEW 'REVIEW :. REVIEW
DATE
COMPLETE
• INITIALS ,.