HomeMy WebLinkAboutTheodoropoulos Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
COUNTY
F L a {t i r.
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 Number:
Building Permit Application
Commercial Residential X
PERMIT TYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 3054 NW RADCLIFFE WAY
Property Tax ID #: 4425-703-0020-000-1 Lot No.
Site Plan Name: Block. No,
Project Name: PETER THEODOROPOULOS
I DETAILED DESCRIPTION OF WORK:
INSTALL ELECTRICAL FOR BOATLIFT (SEE 1911-0276)
{ CONSTRUCTION INFORMATION: I
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:
OWNERAE'SSEE:
CONTRACTOR:
Name PETER THEODOROPOULOS
Name. RONALD KINDEL
Address: 3054 NW RADCLIFFE WAY
Company: RK ELECTRIC LLC
City: PALM CITY State:
Zip Code: 34953 Fax: N/A
Phone No. 561-523-1358
Address: 1537 SW LEXINGTON DR
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax: N/A
Phone No 772-344-9155
E -Mail RKELECTRICFL@GMAIL.COM
E -Mail: TALK2DRTHEO ,AOL.COM
Fill in fee simple Title Holder on next page (if different.
from the Owner listed above)
State or County License EC13007108
IVOIUC u1 WlIbLrutnvn IS ry14Juu or more, a KMVKVItU rvouce oT (:ornmencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/I:NGINEER: X Not Applicable
Name:
Address:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: JNot Applicable
Name:
Address: —
City:
Zip: Phone:
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 dome 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 I,YOUR NOTICE OF COMMENCEMENT"
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Halder `
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S` - L c t COUN Y OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this2(- day of riCH 2O7-0 by this-Z(-.-dayof 202go by
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 Notary u lic- State of Florida) (Signature of Notary Public- State of Florida)
Comrnissi 13 Commission No. (Seal)
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