HomeMy WebLinkAboutapp (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ct
Date: �� Permit Number:
ing and Development Services
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
ie: (772) 462-1553 Fax: (772) 462-1578
MIT TYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 12132 SE RIVERBEND RD
Property Tax ID #: 4422-502-0019-000-5
Site Plan Name:
Project Name: BOB WILLIAMSON
f'�E�EIVI�i�
Building Permit Application JUL 15 °q
ST. Lucie County, Permitting
Commercial Residential ✓
DETAILED DESCRIPTION OF WORK:
SUPPLY ELECTRICAL FOR (2) BOATLIFTS (SEE 1807-0431)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Lot No.
Block No.
Windows/Doors
✓ Electric _ Plumbing, _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: 1600.00 Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
ERAESSEE:
n
Address: 12132 SE RIVERBEND RD L�
City; PORT.ST LUCIE tate: FL
Zip Code: 34984 Fax:
Phone No. W) — (v -a 's-&e
Bob the esusalliance.or
E-Mail: @ 1 9
(Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I
CONTRACTOR:
Pitch
Name: RONALD KINDEL I
Company: RK ELECTRIC LLC
Address: 1537 SW LEXINGTON DR
City; PORT ST LUCIE State: FL
Zip Code: 34953 Fax:
Phone No 77.2-344-9155
E-Mail RKELECTRICFL@GMAIL.COM
State or County License EC13007108
Ifivalue 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: _ Not Applicable
MORTGAGE COMPANY: ✓ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
i
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
BONDING COMPANY: ✓ 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 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 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
STATE OF FLORID
COUNTY OF Sk , Loc r_
COUNTY OF •L.C1r��
The forgoing instruTp-at was acknowledged before me
this day of 201 by
The forgoing instru_rgent yvas acknowledged before me
this day of (-)L2N , 20_L2 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification V/
Personally Known OR Produced Identification
Type of Identification
Type of Identification
!Produced L
Produced Z---)L
Si nature of Notary Public- State of r E^:
( g ry Notary Public - state
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Commission = GG
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C FERNANDO BETAN
or (Signs re of Notary Public- tate of a17, �_. ,,-
Notary Public - Stateo
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Commission No. �4U y My Comm. Expires M1t
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
,DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19