HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAII'APPLICABLE INFO MUST BE COMPF, ) FOR APPLICATION TO BE ACCEPTED / n
Date,21' 9 �'�%"iR, Permit Number:
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Building Permit Application AUG 212019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R
PERMIT TYPE: Generator
PROPOSER'.(NIPROUEIVIENTOCATIO:IV:'
Address: 710 Olive Street Fort Pierce, FL 34982
Prooertv Tax ID t#: 3410-601-0030-010-5
Site Plan Name: WHITE CITY ESTATES BLK 2 B 12 LOT 9 AND S 1n of W 12 LOT 10(028 AC)(OR 3635-2272:4063Q621)
Project Name: GENERATOR
DETAIL'EpDESCRIPTIOWO;FWWK -
Installing a 22KW generator with an Automatic Transfer Switch.
Lot No.9,10
Block No. 2
CONSTRUCTION INFORMATION � ,i_; � w , ;�.� ,_;�r;,
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping Shuttets
Electric _ Plumbing _ Sprinklers -,�.)G enerator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:_
Cost of Construction: $ 2200.00 Utilities: _ Sewer _ Septic
Windows/Doors
Roof Pitch
Building Height:
`CONTRACTOR;:
Name Beverly J Johnson (TR)
Name: Matthew Raulerson
Address:812 W Bitterbush LN
Company: Matthew Raulerson Inc
City: Port St Lucie, FL Stater
Zip Code: 34952 Fax:772-210-5928
Phone No. 772-210-6100
Address:709 Kearney Rd,
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
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 License EC13008220
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.
MORTGAGE COMPANY:
Not Applicable
Address: Address:
City: State: City: State:
Zip: Phone I Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
---Phone:
BONDING COMPANY: _Not Applicable
Address:
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 YOUR PAYING
TWICE FOR IMPROYEMENTS 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
WITH YOUR LENDER O ATTORNEY BEFORE RECORDING YOUR NOTICE OF MMENCEMENT."
Signature of Owner/ Lessee/Contractor as A ent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA
�dtiGLf.
STATE OF FLORIDA
COUNTYOF
COUNTY OF
The for oing instr ent was acknowledged before me
N
The forgoing instru nt was acknowledg d before me
this day of � 20)q.by
this 37 day of �. 20/* by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Ident2k ion
Type of Identifi o _ J
Produced— C. -
Produced (jl LA
On Anwr
ublic-State of Florida)
(Sig tore of Notatwi
(Signature of Nota u
Commission No.••: AHREY
UDREY HU PHRLY
COMMISGG300617
Commission No. t= MyCOMMISB.HUMPG30 817
.:PWRE52023
.
EXPIRES: Match 6,2023I
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REVIEWS
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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