HomeMy WebLinkAboutBUilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !\
Date: 2/21/2018 Permit Number:
Mik—
RECEIVED
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Building Permit Application FEB 2 2 2018
Planning and Development Services permitting Department
Building and Code Regulation Division St.Lucie countv
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: 44 AQUA RA DR
Legal Description: WINDMILL VILLAGE BY THE SEA-UNITTWO-BLK A W 1/2 LOT 6(OR 3721-556)
Property Tax ID#: 4511-811-0007-100-1 Lot No.6
Site Plan Name: Block No. A
Project Name: CAROL ANN WILSON
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 100A SUB-PANEL, POWER FEED FOR BOATLIFT AND GFI RECEPTACLE
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CONSTRUCTION INFORMATION:
i ional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
®Electric 0 Plumbing Sprinklers F Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1200.00 Utilities: Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name CAROL ANN WILSON Name: RONALD KINDEL
Address:44 AQUA RA DR Company: RK ELECTRIC, LLC.
City: JENSEN BEACH State:FL Address: 1537 SW LEXINGTON DR
Zip Code: 34957 Fax: City: PORT ST. LUCIE State:FL
Phone No.561-214-0309 Zip Code: 34953 Fax: 772-607-6655
E-Mail:FLNATIVE13@GMAIL.COM 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 thepermit 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/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5- LO C-0--e COUNTY OF S-4' Luc'i-C
The forgoing instrument was acknowledge7by
fore me The forgoing instrument was acknowledged before me
this a 3 day of ih 20 this as day of 6r h ,20 by
RONALD K114DEL PC—C) _jC.1�0 1�' L
(Name of on acknowledging) (Name of person acknowledging)
c9--� AA
(Signature of Notary Public-State of Florida) / (Signature of Notary Pubic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type Type of Identificati
It Commission No. EN ) =:'% ^`= commissioj� �)EXP hes
9J ELSEN Commission No. y Comm.
°r �= CIVI
ommission # ) 115637 =
=a , � June 12, 2018
My Commission Expires .,FerF
June 1
Revised 07/15
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS