HomeMy WebLinkAboutDonovan Permit DocsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Rate:
COUNTY
F L D R is D. A
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential K
PERMIT TYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 12188 RIVERBEND LN
Property Tax ID #: 4422-502-0023-000-6
Site Plan Name:
Project Name: KEVIN DONOVAN
DETAILED DESCRIPTION OF WORK:
Lot No. 20
Block No.
SUPPLY ELECTRICAL FOR BOATLIFT
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:
OWNER/LESSEE:
CONTRACTOR:
Name KEVIN DONOVAN
Name: RONALD KINDE=L
Address: 12188 RIVERBEND LN
Company: RK ELECTRIC LLC
Address:1537 SW LEXINGTON DR
PORT ST LUCIE State:7' -
City. -^
Zip Code: 34984 Fax:
City: PORT ST LUCIE State: FL
Phone Noaiz - Cvi C� 4k _
Zip Code: 34953 Fax: 772-619-0777
E-Mail: k -A
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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: i
NEER: x Not Applicable
Name:
Address:
City: _
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:
Zip: Phone:_
State:
�C Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address -
City: State:
Zip: Phone:_
BONDING COMPANY: _C Not Applicable
Name:_
Address:
City:_
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
VnT14 YouR LENnFR OR AN ATTORNEY BEFORE RECORDING IYOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this("T day of CH 20?� by
this% -I day ofn+ jL-+nC" 202Dby
v ,-- P 4--
�� "r, + ,t..y, C- t ----
Name of person making statement.
Name of person making statement.
Personally Known ---'OR Produced identification
Personally Known'~ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of rotary u lic- State of Florida)
(Signature of Notary Public- State of Florida )
Commissi
Commission No. (Seal)
Notary Pudic State d Fb6ft
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DATE
RECEIVED
DATE
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Rev. 2/7/19
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