HomeMy WebLinkAboutSkidmore Permit Docs 88 Aqua RaAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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
PERMIT TYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 88 AQUA RA DR
Property Tax ID ##: 4511-811-0018-010-3
Site Plan Name:
Project Name: SHANNON SKIDMORE
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
SUPPLY ELECTRICAL FOR BOATLIFT (SEE 1912-0429)
CONSTRUCTION INFORMATION:
Lot No.17
Block No. A
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: $ 1000.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
Name SHANNON SKIDMORE
CONTRACTOR:
Name: RONALD KINDEL
Company: RK ELECTRIC LLC
Address:1537 SW LEXINGTON DR
Address: 88 AQUA RA DR
City: JENSEN BEACH State:
Zip Code: 34957 Fax:
Phone No. 865-548-2560
E-Mail: TUBING8888@AOL_COM
City; PORT ST LUCIE State: FL
Zip Code: 34953 Fax: NIA
Phone No 772-344»9155
E-Mail RKELECTRICFL@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement
State or County License EC13007108
Commencement is required.
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone „
Zip: Phone:
FEE SIMPLE TITLE HOLDER: aC Not Applicable
BONDING COMPANY: 9C 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 NOVICE 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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder ^
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF S -J .
The forgoing instrument was acknowledged before me
this f5 day of Y��� L '� 202Dby
The forgoing instrument was acknowledged before me
this '5 day of YV�� \� 20+ -ZL- iy
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Name of person making statement.
Name of person making statement.
Personally known OR Produced Identification
Personally Known `-QR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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of Notary Public- State of Florida
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(Signature of Notary Public- State of Florida }
Commission No. (Seal)
Commission No. (Seal)
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