HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,
Date: Permit -Number: f L 1D V 9
V
RECE
Building Permit Application JUN 19 2017
Planning and Development Services
Building and Code Regulation Division PER;. f�w
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, F1_
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential -X
PERMIT APPLICATION FOR: Generator
PROPOSED IMPROVEMENT LOCATION:
Address: 8071. SPENDTHRIFT LN
Legal Description: SABAL" CREEK -PHASE II- LOT 97 (1.86 AC) (OR 3719-704)
Property Tax ID #: 3321-502-0046-000-0 Lot No. 97
Site Plan Name: SALSBURG RESIDENCE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.
INSTALL FEEDER CABLES AND CONTROL WIRING FOR OWNER -SUPPLIED 20KW
GENERATOR
CONSTRUCTION INFORMATION:
Additional work to be performed under tispermit—check
11HVAC Gas Tank ❑Gas Piping
all
apply:
_ Shutters
Q Windows/Doors
Electric Plumbing
Sprinklers
0 Generator
D Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 1200.00
UtilitiesSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RICKI SALSBURG
Name: RONALD KINDEL
Company: RK ELECTRIC, LLC.
Address:. P.O. BOX 880254
Address: 8071 SPENDTHRIFT LN
City: PORT ST. LUCIE State: FL
Zip Code: 34986 Fax:
City: PORT ST. LUCIE State: FL
Phone No. 954-914-2340
Zip Code: 34988 Fax: 772-607-6655
E-Mail: rick@penn-dutch.com
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
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENJLAW INFORMATION: "
DESIGNER/ENGINEER: x -Not i4ppliFable
MORTGAGE COMPANY: .. x Not Applicable
Name: I
Name:
Address: I
Address:
City: State:
City: State: -
Zip: Phone:
Zip.: Phone:
FEE SIMPLE TITLE HOLDER: x Not App icable
BONDING COMPANY:=Not Applicable
Name: 1
Name:
Address: I
Address:
City: I
City:
Zip: Phone:
Zip: Phone:
I
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 buildlthe 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 p rmit, 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 Re4d 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 jobsite
before the first inspection. If you intend td obtain financing, consult with lender or an attorney before
commencna work or recordint; vour Notice of Commencement. .
of Owner/Lessee/Contractor as Agent
STATE OF FLORIDA^`Xl_k,
COUNTY OF �C
The for oing instrument was acknowledged efo a me
this day of 20 by
(Name of person acknowledging
re of Notary Public-
3y.-131•. hl•�
Type of Identific
Commission No.
Revised 07/ 15/2014
off Florida
Notary Public - Siate'of'.Florida
My Comm(seia : Dec 20, 2018
Commission FF 177249
s
Signature -of Contractor/License Holder
STATE OF FLORID'
COUNTY OF �k�.� 0
The tMoing inst t was acknowledged before me
this en
day of 20 by-
(Na of person acknowledging)
(Signature of Notary Public- Stat of Florida )
Personally Known W ,,, .R,:Pcooduced [dentifiic.atipp
Type of Identification \�= Notary Public -Sat,., of
n ° E My Comm. Expires Dec 20, 2018'
Commission No. •%' °.' COMISto).4 FF 177249 .
_.. 'r+•• Bonded through National Notary Assn.
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