HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/17/2020 Permit Number:
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404 0_12�).r&L",
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
PERMIT APPLICATION FOR: GENERATOR
PROPOSED IMPROVEMENT LOCATION:
Address: 7206 GEORGES RD
Property Tax ID #: 1301-614-0136-000-4
Site Plan Name:
Project Name: CRAIG BORGMAN
Residential X
DETAILED DESCRIPTION OF WORK:
INSTALL 20KW GENERATOR, 200A TRANSFER SWITCH AND (3) LOAD MODULES ON SLAB
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.�
Block No.
Additional work to be performed under this permit —check all that apply:
Mechanical — Gas Tank Gas Piping Shutters _ Windows/Doors Pond
— Electric —Plumbing _ Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 15,000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CRAIG SORGMAN
Name: RONALD KINDEL
Address: 7206 GEORGES RD
Company: RK ELECTRIC LLC
City: FORT PIERCE Stater
Address: 1537 SW LEXINGTON DR
Zip Code: 34951 Fax:
City: FORT ST LUCIE State: FL
Phone No. 772-465-2490
Zip Code: 34953 Fax:
E-Mall: newpowst@beilsouth.net
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
it
- -' -••�•• •. ..... .........�� a n�. vnvc� FlUt- V VI %.UMM44 7CemeM IS requlrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SLIOLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
x Not
State:
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
,Zip: _. _ Phone: --`
13ONDING COMPANY: x 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 ntoywork or installation has commenced prior to the issuance of a permit.
makes no
whcheis inc conflict with anapplicable Home Own that is ners tAssociationit will ruies by
laws or and he covenants that rbi3aydrestrictba 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 paying twine for
improvements to your property. A Notice of Commencement must be recorded in the public records of 5t.
Lucie County and pasted on the jobsite before the first inspection. if you intend to obtain financing, consult
with lender or an attorney before cammencin work or recording our Notice of Commencement.
Signature of Owner) Lessee/Contractor as Agent for Owner Signature of Contractor/Incense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S T-. L_�_k COUNTYOF S i a L_ u e�
Sworgto (or affirmed) and subscribed before me of Sworn or affirmed) and subscribed before me of
+�Pt�ysial Pre ce ar Online Notarization � Physical Pr
this day of \ 02i3 b or Online Notarization
y this _a day of / 2020 by
��i r*` E •C i r +cam
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 Public- State of Florida)
{Signature of Notary Public -State of Florida }
Commission Nay S i ci 917S (Seal) Commission (Sea!)
REVIEW SUPERVISOR
OTURTLE MANGROVE
�AubH sfiCeVIEW" REVIEW R n r VIEW REVIEW
DATE
RECEIVE Expires 01 a2a23 MY commial on GG 379975 yOF m 0/W/2023
DATE
COMPLETED
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