HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONC
' ALL APPLICABLE INFO MUST BE CanaPLETED FOR APPLICATION TO BE ACCEPTED 2 ^
Permit Number: I J U )-C^NSJ
Date: 02/28/2017
SCANNED
BY
St. Lucie Countv
RE�E1VED
Building Permit Application MAR 0 2, 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: GENERATOR III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 5754-5766 TRAVELERS WAY
Legal Description: SEE ATTACHED
Property Tax ID #: 3403-502-0338-040-7
Site Plan Name:
Project Name: GROVE COMMUNITY ASSOCIATION, INC.
Setbacks Front Back: Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
REMOVE EXISTING GENERATOR AND INSTALL NEW IN SAME LOCATION
I CONSTRUCTION INFORMATION: III
ondr worn w ue enornreu unuef uus perrniL—U
HVAC 1:1Gas Tank []GasPiping
Electric El Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ =
Shutters ❑ Windows/Doors
Generator Roof
S Ft. of First Floor: _
Utilities:] Sewer ElSeptic
Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name GROVE COMMUNITY ASSOCIATION, INC.
Name: RONALD KINDEL
Address: 5890 S. US HWY 1
Company: RK ELECTRIC, LLC.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.772-461-7339
Address: P.O. BOX 880254
City: PORT ST. LUCIE State: FL
Zip Code: 34988 Fax: 772-344-915B
Phone No. 772-344-9155
E-Mail: 9rovecommunity@att.net
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 of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
commenciDe work or recordine your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this 28 day of FEBRUARY 20 17by
RONALD KI14DEL
(Name of person acknowledging)
(Signature of Notary Public- State Of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission
FF 960626
Revised
�ZZ6 s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST. LUCI
The forgoing instrument was acknowledged before me
this 28 day of FEBRUARY 20 17 by
RONALD KINDEL
(Name of person acknowledging)
o.( ' PC,- 4
�gna e of Notary Public tate of Flori a
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.
Public State of Flortda
Jr wmmiasicn FF 960626
Expires 04/10/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
i