HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 1419 Permit Number: �qnt C,
RECEIVED
- Building Permit Application
Planning and Development Services JAN 18 2019
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: HARBOUR RIDGE BLVD SLIP#61 (OWNER ADDRESS 12790 NW MARINER CT)
Legal Description: (MARINA)HARBOUR RIDGE-PLAT 3-TRACT PA-4(2.16 AC)(OR 714-219: 1361-1125)
(OWNER)MARINER VILLAGE HARBOUR RIDGE-PLAT 4-UNIT 24
Property Tax ID#: (MARINA)442560200070004 /(OWNER)4425-603-0036-000-9 Lot No.
Site Plan Name: Block No.
Project Name: WITACZACK SLIP#61 BOATLIFT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL POWER FOR BOATLIFT IN SLIP#61 HARBOUR RIDGE MARINA(SEE 1812-0429)
CONSTRUCTION, INFORMATION
Additional work to be nerformed under this permit—check all that appy:
[1HVAC Gas Tank
—]Gas Piping _Shutters Q Windows/Doors
®Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1200.00 Utilities:n Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR: "
Name MARK WITACZACK Name: RONALD KINDEL
Address: 12970 NW MARINER CT Company: RK ELECTRIC, LLC.
City: PALM CITY State:FL Address: 1537 SW LEXINGTON DR
Zip Code: 34990 Fax: City: PORT ST. LUCIE State: FL
Phone No.913-991-2400 Zip Code: 34953 Fax:
E-Mail:MWIT@CABLEONE.NET 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.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
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STATE OF FLORID STATE OF FLORIDA
COUNTY OF 5, �.�L. )etc, COUNTY OF
The for ing instru ent was acknowledge efore me The forg ing instru ent was acknowledged before me
this day of 20by this day of 20 by
RONALD KkDEL RONALD KINDEL
(Name of person acknowledging) (Name of person acknowledging)
(Signat re of Notary Public-State of Florida.) / (Signature of Notary Public-State o Florida)
Personally Known OR ProducodIdentification ✓ Personally Known OR Prodyrad Identification
Type of Identification Produced Type of Identification Produced
Commission ]Mof
AREN S. t�t�elaPEN Commission N ,1111.1,, KAREN S. N(SOA]EN
Florida Notary Public o`°�' a<<;-gate of Florida Notory Public
mission # GGL;omr1 207484 3* *_ Commission #GG 207484�°��` nis
y June 12, 2V2Z OFFtO June 12, 2022
Revised 07 1111
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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