HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/30/19 Permit Number:
1 teCeJVED
Building Permit Application M 3 01015
Planning and Development Services It&g oepartment
Building and Code Regulation Division Per St Lucre coon y
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
Address: 42 AQUA RA DR
Legal Description: WINDMILL VILLAGE BY THE SEA-UNITTWO- BLK A E 1/2 LOT 6 (OR 2369-1316)
Property Tax ID #: 4511-811-0007-000-0
Site Plan Name:
Project Name: RAUL GARCIA
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
REPAIR FIRE DAMAGE IN KITCHEN
Right Side:
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under
❑HVAC L_J Gas Tank
this permit —check
Gas Piping
all t= apply:
11 _ Shutters
F� Windows/Doors
11 Electric ❑ Plumbing
Sprinklers
O Generator
El Roof Roof pitch
Total Sq. Ft of Construction:
S . FtFtj. of First Floor:
Cost of Construction: $ 500.00
Utilities: ! _I Sewer F]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RAUL GARCIA
Name: RONALD KINDEL
Address: 42 AQUA RA DR
Company: RK ELECTRIC, LLC.,
Address: 1537 SW LEXINGTON DR
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
City: PORT ST. LUCIE State: FL
Phone No. 561-444-6183
Zip Code: 34953 Fax:
E-mail: GARC2212@BELLSOUTH.NET
Phone No. 772-344-9155
Fill in fee simple Title Holder on next page (if different
v
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
Name:
Address:
City: State:
Zip • Phone:
i
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip.: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name: _
Address:
City:_
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 your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
OL
s
Signature of Contractor/License Holder
STATE OF FLORIDA � STATE OF FLORIDA
COUNTY OF ` k I COUNTY OF :�Ll Xk_u 9
The forgoing instrument wak acknowledged before me
MD I
this _ C)day of 20 ( by
i
RONALD KIl`4DEL
(Name of person acknowledging)
(Signature of Notary Pu Ic- State of Florida )
Personally Known OR Produced Ident 'cation
Type of Identification Produced E L 7 ,-
Commission No. ELLE(ISeVAUGHN
Rio State of Florida -Notary Public
'c Commission # GG 270079
The forgoing instrument as acknowledged efore me
this _,,y/'rJay of 20 LJ by
RONALD KINDEL
(Name of person acknowledging)
(Signature of Notary Pi c- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced %�L
Commission No.
ELLEN VAUGHN
State of Florida -Notary P
" .... ,v Pc My Commission Expires
� „ October 22, 2022 ��''�ii,`,t��`� October 22, 2022
'Revised 07/15/ --
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