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HomeMy WebLinkAboutHornick Permit Docs 86 Aqua RaAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date 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 PERMITTYPE: ELECTRICAL PROPOSED IMPROVEMENT LOCATION: Address: 86 AQUA RA DR Property Tax ID #- 4511-811-0018-000-0 Site Plan Name: Project Name: LAMES HORNICK DETAILED DESCRIPTION OF WORK: Commercial Residential X SUPPLY ELECTRICAL FOR BOATLIFT (SITE 1912-0428) CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical — Gas Tank _ Gas Piping — Shutters Electric — Plumbing — Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 1000.00 Generator Sq. Ft. of First Floor: Lot No. 17 Block No. A Windows/Doors Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: Name JAMES HORNiCK Address: 86 AQUA RA DR City: JENSEN BEACH State:FL Zip Code: 34957 Fax: Phone No.704-351-1283 E-Mail: JAHORNICK@GMAIL.COM Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: RONALD KINDEL Company: RK ELECTRIC LLC Address:1537 SW LEXINGTON DR City: PORT ST LUCIE State: FL Zip Code: 34953 Fax: NIA Phone No 772-344-9155 E-Mail RKELECTRICFL@GMAIL.COM 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: �e Not Applicable Name: Name: Address: City: State Zip: Phone Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: �>e Not Applicable BONDING COMPANY: )e 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 ano mstauat1un d5 111M RVU. 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 1 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 POSTE© ON THE !OB 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 Contra ctor/Ll cerise Holder STATE OF FLORIDA COUNTY OF S ► - ��� E STATE OF FLORIDA COUNTY OF ►_ 1�.:� C- The far ping instrument was acknowledged before me this day of -�L1k 202-0 by The forgoing instrument was acknowledged before me this S day of � _� 20-2-0by Name of person making statement.Name of person making statement. OR Produced Identification Personally Known OR Produced identification Personally Known Type of Identification Type of Identification Produced Produced p (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida } Commission No. (Seal) Commission No. (Seal) REVIEWS ISO IEWateof "EV W N He ,y o��te S TURTLE MANGROVE \M niel3kiEl w EVIEW REVIEW N es 91. DATE kA Commission GG 9 9976 �►a,,,,d -on p Es res 1010612023 RECEIVED E pares 10MQ023 DATE COMPLETED Rev. 2/7/19 lk a m OM-•po m3�:O, v�nrn r M .M m o-- G! V O N �a r Ln 4.V