HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST
//B1E COMPLETED FOR APPLICATION TO BE ACCEPTED /n�
Date: 119719 1 -I Permit Numbe –Ll .
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Building Permit Application Nov 21 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, PL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial eSl e
PERMIT APPLICATION FOR: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 1255 NETTLES BLVD
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 1255 AND PRO-RATA SHARE IN COMMON
EtEMENIS
Property Tax ID#: 4502-501-1442-000-8 Lot No.
Site Plan Name: Block No.
Project Name: MICHAEL CARBAUGH
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: "
SUPPLY ELECTRICAL FOR BOATLIFT(SEE 1908-0011)
CONSTRUCTION INFORMATION-
Additional work to e e orme under this 0permit–check a appy:
—HVAC Gas Tank 0Gas Piping Shutters Windows/Doors
LlElectric 0 Plumbing OSprinklers F]Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1200.00. Utilities:n Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MICHAEL CARBAUGH Name: RONALD KINDEL
_ Address: 1255 NETTLES BLVD 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.937-654-4446 Zip Code: 34953 Fax:
E-Mail:SANDY96@AOL.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.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.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
I
STATE OF FLORIDA . STATE OF FLORIDA
COUNTY OF ST- l—c�e�e E COUNTY OF ST L_%..k e % E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 7-1 day of V"\0\J20 taby this Z.1 day of iti V ,20 by
RONALD KODEL RONALD KINDEL
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of 176tiry Public-State of Florida)
Personally Known '_ OR Produced Identification Personally Known P od c Identification
Type of Identification Pro c r Type of Identification Pro ce tart' atr State of�re
.0y Notary Public State of Florida . Ronnie Lancaster
Commission No. ROn 1�Qfa4caster Commission No. My Cat on GG 919975
My Commission GG 919975 or Expir 10/0612023
a* Expires 10/06/2023
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS