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HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� —7
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Date: Permit Number�C�d 7 -
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° Building Permit Application
Planning and Development Services /
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVENiENTLOCATION. 4
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A'–d_ress:a: 52343 j S�"Ol, 19ze " n
f?tope,Tax-ID : ✓��J 7� A /(;P140AI46 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION 'OF WORK:"
New Electrical Meter Second Electrical Meter
-CONSTRUCTI'ON INFORMATION.
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank —Gas Piping —Shutters _Windows/Doors _Pond
Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: r Sq. Ft. of First.Floor: .
>_ost of C n /
struction:$ 457, 54L�� Utilities: _Sewer _Septic Building Height:
.OWNER/LESSEE: CONTRACTOR:
Name 7 Name:
Address: �s Com parry_:,;:
t.
City: 17,"IE94p. Stater Address:'
Zip Code:,_W,2;Z6 Fax: City: - State:
Phone No. ZW z V6?— 9 7,�7 Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County
:License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement-is required:
SUPPLEMENTAL`CONSTRUCTION LIEN LAIN INFORM4TION:- -
_
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 thepermit 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorneybefore commencingwork or recordingour Notice of Commencement.
d
'ISignature of O ner/Lessee/Contract r as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ;'< COUNTY OF
Sworn to for affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
h sical Presence or Online Notarization Physical Presence or Online Notarization
thisday of 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification 4r--- Personally Known OR Produced Identification
Type of Identificati. Type of Identification
Produced ���� Produced
( ignature of Notary Public-Mate of Flo ida) - _*�" "gyp= (Signature of Notary Public-State of Florida)
Commission No. (Seal %°�I.I���o Commission No. (Seal)
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REVIEWS FRONT ZONING ifiI R PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW VI REVIEW REVIEW REVIEW REVIEW
DATE "41,.m -
RECEIVED S c?o c
DATE X—d--n
COMPLETED ^'D cc-<0
ev. u
Fort Pierce Utilities Authority
FPUACustomer Service
206 South 6th Street (PO Box 3191)
COMMUNITY PROUD Fort Pierce, FL 34950 (34948) .
July 24, 2020
Henry&Florence Presley
5305 San Diego Ave
Fort Pierce, FL 34946
Re:Water service for 5305 San Diego Ave
Dear Mr. and Mrs. Presley:
Fort Pierce Utilities Authority's (FPUA's) records show there is water available to the address above.
Fees to initiate connection are paid.
If you have any questions, please call Customer Service at 772-466-1600 ext. 3900.
Sincerely,
Chontae Johnson
Customer Service Representative III
Our mission is to provide our customers with economical, reliable and friendly 2018
rservice in a continuous effort to enhance the quality of life in our community. IST
�towork
Reliable Public 5T wciE couaTv
Power Provider 772.466.1600 * www.fpua.com
Fort Pierce Utilities Authority _' •
"Committed To Quality" I:_
14.
Water/Wastewater Engineering -
206 South 6th Street
Ft. Pierce, FL 34950 Phone(772)466-1600
Fax (772)461-1938
CUSTOMER INVOICE
F
QUOTE FOR.:HENRY&FLORENCE'PRESLEY
JOB DESCRIPTION:]N STALL 5/8 k314"WATER METER ONLY; NO SEWER
INVOICE NO: SORD00004016285 PREPARED BY:JOHNSONCH
LOCATION ID: 10008146
ADDRESS: 5305 SAN DIEGO AVE FORT PIERCE FL USA 34946
ADDITIONAL INFO:
TASKS DESCRIPTIONS COUNT 'UN ITCOST CHARGES
W-3/4 MTR U/G WATER 3/4 METER ONLY U/G 1 $250.00 $250.00
W-CON FEE NEW WATER CONNECT FEE NEW GUST $0.01 $40.00
DEPOSIT INVOICE DEPOSIT FOR INVOICE NEW GUST $0.01 $60.00
TOTAL CHARGE $350.00
Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater
Connection Charge is paid - whichever is first . The cost of the service line from the point of delivery at the property line to the
house/building is the responsibility of the customer and is not included in this invoice . State laws require that a permit from the Health
Department must be obtained prior to initiating a septic tank abandonment.Contact the Health Department at (772)873-4931.
Construction cost estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at
the completion of the project . Should unforeseen circumstances be encountered during construction , including but not limited to adverse
weather conditions and construction conflicts , the customer will be responsible for increased costs . Additional costs incurred by the
customer shall not exceed fifteen ( 15 ) percent of the total estimated construction costs shown above . Estimated costs paid by the
customer that exceed the actual cost of construction will be refunded by Fort Pierce Utilities Authority .All fees are due prior to any
construction.
Note: Please submit accepted Customer Invoice to Customer Service at 206 South 6th Street,Ft.Pierce,FL 34950 or call(772)466-1600 to setup account.
Customer Signature: Date:
Printed Name:
PAGE 1 OF 1 PRINTED ON: 07/24/2020 AT 01:51 PM
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Below are the details you entered for this transaction:
Account; 10008146-217217
Number:
Customer
Name: FLORENCE PRESLEY
,
Address: ' 5305 SAN DIEGO AVE
City: FORT PIERCE
State: . FL
Phone Number: 7727086240
Email Address: : Florencepresley63@gmail.com
Payment 350.00
Amount:
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