HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %-al 2.1 ILI SCANNED Permit Number: i 4 1 a,-Od LI0
BY
s St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349a2
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 21750 Glades Cutoff Rd
Legal Description: SEE ATTACHMENT
Property Tax ID #: 4220-141-0001-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No. _
I DETAILED DESCRIPTION OF WORK: III
INSTALL 200A SINGLE-PHASE 120/240V ELECTRICAL SERVICE FOR FUTURE EXtSDOW
rys
CONSTRUCTION INFORMATION: III
HVAC LJGasTank
❑Gas Piping
UShutters ❑Windows/Doors
Electric 0
Plumbing oSprinkiers
11 Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: 5 i wo .
S . Ft. of First Floor: _
Utilities:I] Sewer 11 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DEBBIE SHERROD
Name: RONALD KINDEL
Address:21750 GLADES CUTOFF RD
Company: RK ELECTRIC, LLC.
City. PORT ST. LUCIE State:
Zip Code: 34987 Fax:
Phone No. 772-260-7821
Address: P.O. BOX 880254
City: PORT ST, LUCIE State: FL
Zip Code: 34988 Fax: 772-344-9158
Phone No. 772-344-9155
E-Mail: PSLCOWGIRL@,SOL.COM
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
. E-Mail: kindeielectric@comcast.net
State or County License: 28850
IT value or construction Is 52wu or more, a REWRDED Notice of commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _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 Counri makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA A
COUNTYOFkdt- Xam
The fording instrkment was acknowledged before me
this day of 20 14 by
(Signature of Notary Public- State of Florida )
Personally Known �OR Produced Identis//cation / / T
Type of Identification Produced ^•%I i -
CommissionNo�0793S� KR(§VWA R. PARSONS
I, J NOTARY PUBLIC
Signature of Contractor/License Holder
STATE OF FLORID
COUNTYOF___l�Cte.
The r in instr / ent was acknowledged before me
g g
th� day of 2014 by
_4231c lqdd
(Name of p rson acknowledging)
(Signs re of Notary Public- State of Florida) /
Personally Known �OR Produce Identification4/
Type of Identification Produced��Jl
Commission Nol—dd KRISTIOREIRARSONS
JUM NOTARY PUBLIC
Revised 07/15/2014 9� Comm# FF007935 �� Comm#FF007930 II
ExPires 4123/2017 Expires 4/23/2017
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Page 1 of 1
Full Legal Description
20 37 38 THAT PART OF SEC LYG S OF N LI OF FPL ESMT AS DESC IN OR 253-618, 619 SD N LI BEING 2323.33 FT N OF S LI OF SEC-LESSTHAT PART LYG
SELY OF N RIW U OF GLADES CUTOFF RD MPDAF: BEG AT SW COR OF SEC 20 RUN N 02 21 54W2324.92 FT TON LI OF EASEMENT RIW FOR FPBL, TH N
89 45 21 E ALG N Ll 6266.42 FT TO E LI OF SEC 20, TH S 0151 58 E ALG E LI 1576.28 FT TO NWLY RfW LI OF GLADES CUT-OFF RD, TH S 44 46 59 W ALG
NWLY RAN LI 1057.88 FT TO S LI OF SEC 20, TH S 89 45 21 W ALG S LI 4476.61 FT TO POB- (273.75 AC) (OR 1493-1786: 1653-680; 3316-2587)
http://www.pasle.org/paslc/legal.asp 11/20/2014
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