HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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• SEP 2 7 2019
Building Permit Applica ion
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie CQ u n t
2300 Virginia Avenue,Fort Pierce FL 34982 yr I'L
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION: -
Address: 8880 S OCEAN DR 210
Property Tax ID#: 3535-602-0014-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
1,,bETAILEDDESCRIPTIONOF,WOR*K:
INSTALL ELECTRICAL FOR BOATLIFT IN ISLAND DUNES MARINA SLIP 9(SEE 1907-0684)
CONSTRUCTION INFORMATION: ;
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1200.00 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name BOB ROTUNDO Name:RONALD KINDEL
Address:8880 S OCEAN DR 210 Company:RK ELECTRIC LLC
City: JENSEN BEACH Stater Address:1537 SW LEXINGTON DR
Zip Code: 34957 Fax: City: PORT ST LUCIE State:FL
Phone No.561-704-6179 Zip Code: 34953 Fax:
E-Mail:MROTUNDO@YAHOO.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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: >C Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: )4 Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF
The for c ing instrurqent was,acknowledged pefore me The forgoing instrumentwas acknowledged before me
this day of 20 J v/by thisP2 day of � 20�y
—W;)-?del
d A )1/,/a)1 c� Kj- rn oP e 1
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identific _ Type of Identifica o '
Produced ri Produced
(Signature of of Public- Y (Signature of No Public-State of Florid)
UDREY B.HUMP
V6L A IISSION#RIE3�3817 j Commission$ pok'�pYoy ,_ AUDREYB.HUMP `!
Commission o;•��•••�%••: `'��'�2i0T"�L
EXPIRES March ;* *: MY COMMISSION#G 30087 I
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,.3 µclary publtcUnder`9 = ` EXPIRES:Match 6,2023
E' ;`,oF F°; Bonded hru Notary Public Undera�'sters
REVIEWS ;—iFAF1MT ZONING SUPERVISOR PLANS VANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.2/7/19
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