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ALL APPLICABLE INFO MUST BE ODM RErED F ORAPPU CknON TO BEACCEPTID
Date: 07/02/2018 Permit Number: J J
Building Permit Application
Planning and Development cervices
Building and Code Fbgulation Division
2300 Virginia Avenue, Fort Rerce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Fbsidential X
PMM IT AP'P'LICATION FOR ELECTRICAL --- ----- -- --
PPOPOEE) IM PROVRVI B4T LOCA ON:
Address: 0 NW MARINER CT, PALM CITY, FL 34990
Legal Description: HARBOUR RIDGE-PLAT 4-TRACT PA-2(1.66 AC)(OR 920-161: 1361-1124)
PropertyTaxlD#: 4425-603-0004-000-6 Lot No.
Ste Ran Name: Block No.
Project Name: JOE DECHIARO
Satbacks Front Bads: Rght Sde: Left Sde:
DEPAILM D8KRPT10N OF WORK
INSTALL POWER FOR BOATLIFT-SOUTHERNMOST MARINA SLIP 65 (SEE 1806-0300)
OONSTRIJCTION INFOPMATON:
Additional wor<to e er or-f med under thispermit-,,all apply:
11 HVAC Gas Tank Gas Piping 1E]hutters OWindows/Doors
®Electric ❑ Plumbing []Sprinklers El Generator Fbof Roof pitch
Total Sq. R of Construction: Sq. R.of First Floor:
Cost of Construction: $ 800.00 Utilities: R_Sewer F�Septic Building Height:
OWNS!LES -- — ---- OON'TRAGTOR
Name JOE DECHIARO Name: RONALD KINDEL
Address. 2209 SW SEAGRASS DR Company: RK ELECTRIC, LLC.
aty: PALM CITY gate:FL Address: 1537 SW LEXINGTON DR
Zp Code: 34990 Fax: oty: PORT ST. LUCIE Sate: FL
Phone No. 631-374-8084 Zip Code: 34953 Fax: 772-607-6655
E-Mail: JOE@DECHIAROBROTHERS.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) gate or County License: EC13007108
If value of construction is$2500 or more,a FE30FUM Notice of Commencement is required.
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S`J RHABVTALOONSMCTION UEN LAW INFORMATION:
DES GNB:/ENG NEER x Not Applicable MORTGAGECOMPANY: x Not Applicable
Name: Name:
Address: Address:
aty: Elate: oty: Elate:
Zip- Phone: Zip. Phone:
FEE9MPLETITLEHOLDER x Not Applicable BONDING OOMPANY. x Not Applicable
Name: Name:
Address: Address:
Qty: Qty:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
S.Lude 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 CwnersAssoaation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Cwners Association and review your deed for any restrictionswhich 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 Rorida Building Codes and S. Lude 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 usesto 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 recordingyourNotice of Commencement.
9gnature of Owner/Lessee/ ntractor as t for Owner Signature of Contractor/License Polder
STATE OF FLORI DA STATE OF FLORI DA
COUNTY OF :5± , ��?Y COUNTY OF 'j J -r
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisjL,�dayof 20 f,�by this. idayof --Vj Vj 20 Aby
RONALD KIIdDEL RONALD KINDEL
(Name of person acknowledging) (Name of person acknowledging)
(Efgnature of Notary Publi to of Rorida) (9gnature of Notary Plublio-X4e of Rorida)
Personally Known ORProduoed Identification .-- Personally Known ORProduced Identification X
Type of Identification Produced rType of Identification Produced C _
"� "°`= Commission No. Seal =s'
Gbmmission No. (Slaal) �; ( ) o0
--- -------- --- ------
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