HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLE feu FOR APPLICATION TO BE ACCEPTED
Date: 6/10/19 SCANNED Permit Number: � IOVI OJh / I
BY
5t. LUC12ft* RECEIVED
Building Permit Application SUN 14 7019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34992 i_uae county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:.
Address: HARTMAN RD 11Al l i Mn(�A
Legal Description: SEE ATTACHED % 35U f[AR�MaN QrL
Property Tax ID #: 2417-233-0004-000-0 Lot No.
Site Plan Name: Block No.
Project Name: RONALD AND AUDRA KINDEL
Setbacks Front \ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: .111
INSTALL 200A T£4AP@RAIW POWER POLE
-CONSTRUCTION INFORMATION: III
AaaaionalworKLo ale Derrormea unaertnispermn—Lillil apply.
E:IHVA( 0 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric 0 Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: Sq�Ft .I of First Floor:
Cost of Construction: $ 500.00 Utilities: L�ISewer ❑ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RONALD AND AUDRA KINDEL
Name: RONALD KINDEL
Address: 1537 SW LEXINGTON DR
Company: RK ELECTRIC, LLC.
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax:
Phone No. 772-370-4539
Address: 1537 SW LEXINGTON DR
City: PORT ST. LUCIE State: FL
Zip Code: 34953 Fax:
Phone No. 772-344-9155
E-Mail: RKELECTRICFL@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: RKELECTRICFL@GMAIL.COM
State or County License: EC13007108
If value Of construction is $2500 or more, a RECORDED Notice at Commencement is requlrea.
SUPPLEMENTAL CONSTRUCTI
LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF w
The fo oing instru it was acknowledged before me
this day of 2013—by_
person
Notary Publit> State of Florida
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
a s
Signature of Contractor/License Holder
STATE OF FLORIDA pp�
COUNTY OF
The forgoing inst ment was acknowledged before me
thisdayof�t� .20Ltby
RONALD KINDEL
(Name of person acknowledging)
of Notary Pdglic- State of
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
(Seal)
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