HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/24/2019
COUNTY
F L O R I D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMITTYPE:Service Change (Safety Check Performance)
PROPOSED IMPROVEMENT LOCATION:
Address: 2012 Edwin Ave Fort Pierce, FL 34946
Property Tax ID #: 1428-703-0007-000-4
Site Plan Name: SINDONS WD BLK I LOTS 3, 4 AND 5 (0.57AC- 24,829SF)(OR 1435.2559:40 373:4070-2531)
Project Name: FUTO- Safety check performance
DETAILED DESCRIPTION OF WORK:
Lot No.3,4,5
Block No. 1
Inspect existing meter and wiring to be able to turn on new FPL service. Site is ready for new service, inspection has
been conducted.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1000.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSylvia M Futo
Name: Matthew Raulerson
Address:2012 Edwin Ave
Company:Matthew Raulerson Inc
City: Fort Pierce State: _
Zip Code: 34946 Fax:772-210-5928
Phone No.772-210-6100
Address:709 Kearney Rd
City: Fort Pierce State: FL
Zip Code: 34982 Fax:772-210-5928
Phone N0772-210-6100
E-Mail: MRAULERSON@THEEXPERTS.BIZ
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail MRAULERSON@THEEXPERTS.BIZ
State or County LicenseEC13008220
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: 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:
Zip: Phone:
City:
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
"WARMING 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
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STATE OF FLORIDA �/� STATE OF FLORIDA nn
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this � day of 204 by this 2a day of Tv (� 201'1 by
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Name of person making statement. nn Name of person making statement.
Personally Known OR Produced Identification N Personally Known OR Produced Identification
Type of Idenication Type of Identification
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(Signature bf Notary Public- State of Florida ) (Signature of 44otary Public- State of Florida )
Commission No. F F99 � 6 3 (Seal) Commission No. 'FFq`{ 1�3y (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
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JORDYN HIRN Ij t JORDYN HIRN
Commission N FF 9a7E34 {1l Zvi•` °•?a.
My Commission Expires "E Commission N FF 997934
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