HomeMy WebLinkAboutInfante Permit DocsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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
PERMIT TYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 94 AQUA RA DR
Property Tax ID #: 4511-811-0020-000-7
Site Plan Name:
Project Name.• GABINO INFANTE JR
Commercial Residential X
DETAILED DESCRIPTION OF WORK:
SUPPLY ELECTRICAL FOR BOATLIFT (SEE 2002-0603)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical —Gas Tank —Gas Piping _Shutters
Electric _ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 800.00
Sprinklers — Generator
Sq. Ft. of First Floor:
Lot No,
Block No.
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAE5SEE:
CONTRACTOR:
Name GABINO INFANTE JR
Name: RONALD KINDEL
Address: 94 AQUA RA DR
Company; RK ELECTRIC LLC
City: JENSEN BEACH State:VL.
Zip Code: 34957 Fax:
Phone No. 661-301-3875
Address: 1537 SW LEXINGTON DR
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax:
Phone No 772-344-9155
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail RKELECTRICFL@GMAIL.COM
State or County License EC13007108
If value of construction is $2500 or more, a RECOKOW Notice of [.ommencement is requireu.
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: X Not Applicable
Name:
Name:
Address:
Address:
City: T State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: )C Not Applicable
BONDING COMPANY: 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 IMPROYEMENTS 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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF - �� e Ls �_.. _..._
STATE OF FLORIDA
COUNTY OF _ ---
The forgoing instrument was acknowledged before me
this day of 0._a-1 20 �u by
The forgoing instrument was acknowledged before me
this 11 day of C *A20 ZC7 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Personally Known ----- QR Produced Identification
Type of Identification
Produced
Produced_
—�
(Signatur FRO* Swof ia6F21orida)
�n" m0 0� 849975
Commissi 5 a
(Signature of Notary Public- State of Florida ]
Commission No. (Seal)
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLAN
REVIEW
Ronnie
917
I
liter
ORYI..E
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.