HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaMr e-- '�-g^'1�� 9A!lA Permit Number:
SCANNED
BY
' St. Lucie County RECEIVED
•
Building Permit Application MAY 2 8 2919
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial �_ Residential
PERMITTYPE: GENERATOR
PROPOSED IMPROVEMENT LOCATION:
Address: 12600 HARBOUR RIDGE BLVD, PALM CITY, FL 34990
Property Tax ID #: 4436-601-0000-010-9
Site Plan Name:
Project Name: HARBOUR RIDGE PROPERTY OWNERS ASSOCIATION, INC.
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING LIFT STATION GENERATOR WITH NEW
CONSTRUCTION INFORMATION`..
Additional work to be performed under this permit— check all that apply:
_Mechanical
_ Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 25,000
_ Gas Piping
Sprinklers
—Shutters
_ Generator
Sq. Ft. of First Floor: _
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name HARBOUR RIDGE PROPERTY OWNERS ASSOC
Name: RONALD KINDEL
Address:12600 HARBOUR RIDGE BLVD
Company, RK ELECTRIC LLC
City: PALM CITY State: _
Zip Code: 34990 Fax: 772-336-2952
Phone No. 772-873-6048
Address:1537 SW LEXINGTON DR
City: PORT ST LUCIE State: FL
Zip Code: 34963 Fax:
Phone No 772-344-9155
E-Mail: D.JENKINS@HRYCC.ORG
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.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 FLORIDA
COUNTYOF 53r.
COUNTYOF
The ff going instrument was acknowledgekefore me
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this day of WON 20_ by
this `_ day of I �a`� 20 NA by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identific tion
Produced
ProducedL-
(Signature of Notary Publid F Af F orldaDhtlNAMARIEGVNS
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