HomeMy WebLinkAboutBuilding Permit Application ALL APP CABLE INFO_ US E COMPLETED FOR APPLICATION TO BE ACCEPTED CC
Date: 2-- Permit Number: ,J�� D07"(0
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 5105 EASTWOOD DR
Legal Description: LAKEWOOD PARK-UNIT 12-A-BLK 173-A LOT 10-LESS N 16.90 FT OF E 157.79 FT-(MAP 13113N)(OR 3740-1808)
Property Tax ID#: 1301-615-0134-000-3 Lot No.10
Site Plan Name: Block No. 173
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE ELECTRICAL RISER&WEATHERHEAD
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all t=appy:
HVAC Gas Tank. ❑Gas.Piping LJ Shutters ❑,Windows/Doors
13 Electric F—1 Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities:�Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JOHN STALLINGS Name: RONALD KINDEL
Address:2400 S OCEAN DR#8104 Company: RK ELECTRIC, LLC.
City: FORT PIERCE State:FL Address: 1537 SW LEXINGTON DR
Zip Code: 34949 Fax: City: PORT ST LUCIE State:FL
Phone No.772-260-1603 Zip Code: 34953 Fax: 772-344-9158
E-Mail: Phone No. 772-344-9155
Fill in fee simple Title Holder on next page(if different E-Mail:_rkelectricfl@gmail.com
from the Owner listed above) State or County License: 28850
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: XNot Applicable
Name: 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
c-ommencing work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID ___ �'� STATE OF F
COUNTY Of n(',C� COUNTY OM
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The f oing instrupprit was acknowledged before me The forgoing instrume t was acknowledged before me
this day of `20/ by this day of _ 20 by
ame of person acknowledging) a of person acknowledging)
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(Signature of Notary Public-State of FI ida) (Signature of Notary Public-State of Florida
Personal! Known OR Produced Identi is io Personal! Known OR Produce 1 en I ationy
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Type of Identificatio 'f'e type of Identification'Prod iteed—. .
.!PRY PUy", .: PKV�.v'i. nV" '
Notary Public-State of Florida �'• U^ 1h k` = t
Commission No. l Commission No •��=
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My COATW41)pires hr:3r 22,2017 - f a
Commiss!o # EE 677571 , 5'Comm.Expi �5 h 22,2017
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••,;,F'- oo-�. Commission rt Ft
onded Through National Notary
Revised 07/15/2 1
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