HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/23/2018 Permit Number: r� O I —
• = RECEIVED
Building Permit Application JAN 2 3 2.018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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: 223 OLIVE AVE
Legal Description: RIVER PARK-UNIT 2-BLK 19 LOT 47 (MAP 34/22S) (OR 3140-1338)
Property Tax ID#: 3419-510-0278-000-0 Lot No.47
Site Plan Name: Block No. 19
Project Name: CLEVE NIELSEN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL POWER FOR DOCK AND BOATLIFT(SEE 1707-0446)
CONSTRUCTION INFORMATION:
Additional work toa p rformed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
®Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 800.00 Utilities:cn Sewer F Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name CLEVE NIELSEN Name: RONALD KINDEL
Address:223 OLIVE AVE Company: RK ELECTRIC, LLC.
City: PORT ST LUCIE State:FL Address: 1537 SW LEXINGTON DR
Zip Code: 34952 Fax: City: PORT ST. LUCIE State:FL
Phone No.772-418-9512 Zip Code: 34953 Fax: 772-607-6655
E-Mail: Phone No. 772-344-9155
Fill in fee 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 LAW INFORMATION:
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,
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.
A
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. LUCIE COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this a3 day of5g+� 20 Lby this D15 day of 7 Q-,r\ 20 by
RONALD KINDEL �_I o ri-!" \.�. "r-,,,V_\-dtg-
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P blit-State of Florida ) (Signature of Notary blit-State of Florida )
Personally Known OR Produced Identificat� ' Personally Known OR Produc, j
Type of Identification Produc "� `-" �- Type of Identificatio � {►eciyEr+s '—
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Revised 07/15/2014
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