HomeMy WebLinkAboutKimmelman Permit AppsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: PLUMBING
PROPOSED IMPROVEMENT LOCATION:
Address: 10619 PINENEEDLE DR
PropertyTax ID #: 2321-802-0024-000-8
Site Plan Name:
Project Name: KIMMELMAN
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
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: $ 2400
Lot No. 22
Block No.
(Affidavit required)
— Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name KIMMELMAN, SCOTT
Name: RALPH TRANIELLO
Address: 10619 PINENEEDLE DR
Company: North End Plumbing and Drains
Address: 1000 STINSON WAY UNIT 106
City: FORT PIERCE State: FL
Zip Code. 34945 Fax:
Phone No. 772-812-1766 E-
City: WEST PALM BEACH State: FL
Zip Code: 33411 Fax:
Phone No 561-469-2225
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail thenorthendco@gmail.com
State or County License CFC1429833
• ....".+.. - — Lawu ul IIIut C, d nri-L WCU IVOi1Ce oT Lommencemem: is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not App
Name:
Address:
City: State
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable BONDING COMPANY: Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
V VVIV[K/ LVIV I KALI UK AFFIIUVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 conflicts with any. applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or airatfdrnev before commencing work or rPrnt-dins x/m it nlntiro „¢ r.,,Y,n,,o.,roY„on+
Sig re of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF RALPH TRANIELLO
Sworn tI.o (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this day of �[!f?✓ 2021 by
RALPH TRANIELLO
Name of person making statement.
Personally Known X OR Produced Identification
Type o . Identification Produced
A,0�r-'L-k
(Signature of Notary Public- State of Florida)
Commission No. � 0�'� f ? (S I *� 14 4�n' Public State of FWWa
E^
Roberta Nicole SoNga
My commission HH 150468
Expires 07/08/2025
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
-
-
COMPLETED
av S
COUNTY
-F-
L .Q
R
i D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BOSTON ELECTRIC
(Company Name/Individual Name)
the ELECTRICAL
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for NORTH END PLUMBING AND DRAINS
For the project located at 10619 PINENEEDLE DR
(Primary Contractor)
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
TRACTOR SIGNATURE (Qualifier)
RALPH TRANIELLO
PRINT NAME
CFC1429833
COUNTY CERTIFICATION NUMBER
State of Florida, County of PALM BEACH
The foregoing instrument was signed before me this 29 day of
September 20. by RALPH TRANIELLO
who is personally known�or has produced a
as identification.
rgnature of Notary Public
Rebecca Nicole Bonilla
ONT CTOR SIGNATURE (Qualifier)
JOHN CE R
PRINT NAME
EC13008281
COUNTY CERTIFICATION NUMBER
State of Florida, County of PALM BEACH
The foregoing instrument was signed before me this 29
September 20_ by JOHN CENTER
who is personally knownx—or has produced a
day of
as ide 'cation.
STAMP w STAMP
Signature of Notary Public
Print Name of Notary
Notary Public State of Flotlda
Rebecca Nicole Bonilla
q My Commission HH 1SUM
�j,f J Expires 07108/2025
Revised 11/16/2016
Rebecca Nicole Bonilla
Print Name of Notary Public
W
Public State of FlorWe
auv�Notary
Rebecca Nicole Bonft
My Cenfmiwwien NH 1 & Ara
Expires 07roi1=