HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. LCICIE
COUNTY
F l o R I D A
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Ruotolo, Ronald
PROPOSED IMPROVEMENT LOCATION:
Address: 1409 NW Lancewood Terrace Palm City, FL 34990
Property Tax ID #: 4426-804-0029-000-7
Site Plan Name: Ruotolo, Ronald
Project Name: Ruotolo, Ronald
DETAILED DESCRIPTION OF WORK:
Install generator
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 12,925.00
Generator
Sq. Ft. of First Floor:
Residential X
Lot No.9
Block No. 19
Windows/Doors _ Pond
_ Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ruotolo, Ronald
Name: Roger Hawkins
Address:1409 NW Lancewood Terrace
Company:Xt Holdings, Inc-Dba Generator Supercenter, Inc
City: Palm City State: _
Address:2271 Palm beach Lakes Blvd
Zip Code: 34990 Fax:
City: West Palm Beach State: FL
Phone No. (772) 600-4339
Zip Code: 33409 Fax:
E-Mai1:ronruotolo@gmail.com
Phone N0561-774-7714
E-MaiIpermitcoordinator@generatorsupercenter.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License EC13010145
It value of construction Is Z500 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 LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: Rw-H
Name:
Address: 227' Pwm such Laws awd
Address:
City: WM Pakn State: R
City: State:
Zip: 334M Phone56+-n+-n+d
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: X Not Applicable
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Names—
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 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
wi der or _orne before commencingwork or recording your Notice of Commencement.
v9fAD.
Vgnatkirl of Owner/ Lessee/Contractor as Agent for Owner Vignaturii of ContractorfLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFStLd I COUNTY OFs'L-d•
i
Sworn to (or affirmed) and suJ3scribed befor �� o w Sworn to (or affirmed) and subscribed before m
_ Physical Presence or ✓ Online Not v _ Physical Presence or ✓ Online Notariz on
this �_ day of 2020 N this _, _ day of ! _._ �? , 2020 by
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Name of person making statement. Z ; •F E Name ot person making statement.
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Personally Known OR Produced Ide afonly Personally Known_ OR Produced Identifi do ' E
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Type of Identification Type of Identification
Produced y"L I7L �z sp' - Produced T- L)L ` •
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(Signature Notary Public- State of Florida) - (Signature of otary Public- State of Florida ) I tip,. '<
Commission No. (Seal) Commission No. (Seal
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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COMPLETED