HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: i Recei t# Permit # - l�
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652 C
�_. Tel. 561-462-1553
SPECIALTY PERMIT APPLICATION C4C'e co
111261
❑ Electrical Plumbing ❑ HVAC ❑ Fence
❑ Shed Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 899 Woodlands Drive
2. Parcel ID Number: 3415-701-0017-000-7
Office Use
Only
Section
Township
Range
Map Page
Zonfig
I Land Use
I Initials
3. Description of Project or Work Activity: Woodlands Drive Project - Water hook-up
4. Owners Information
Name: Thomas Pesula
Address: 899 Woodlands Drive
City: Port St. Lucie State: Florida
Zip: 34952
5. Contractors Information
FL Reg/Cert #:
County Cert#
25597
Business Name: City of Port St. Lucie - Utilities
Phone:772-878-0928 Phone (772) 873-6400 Fax (772) 873-6405
6. Value of Construction: $ 544.00
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done
in compliance with all applicable laws regulating construction and zoning.
Jesus A. Merejo
PRINT QUALIFIERS/OWNERS NAME S NATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF St. Lucie
4"C 201 q BY Jesus A. Merejo
ACKNOWLEDGED BEFORE ME THIS 3 DAY OF
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION..
(seal)
SIGNATURE O NO ARY TYPE OR PRINT NAME
OFF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER AC
C '
IRENE G. PINTO
MY COMMISSION # EE 069224
+tag WIRES: Appril 4, 2015
Bondad Thra Notary ,oblla Undowlbers
St. Lucie County Specialty Permit Application rev. 8/25/05 ding
11:19:01 02/26/14 Page 1
wol50-ls A-10 kaylar
WORK ORDER:
***** CUSTOMER *****
18558,8
PESULA, THOMAS J
899 WOODLANDS DR
PORT ST LUCIE FL 34952-8254
7728780928
943546 SCHEDULED: 02/26/14
***** LOCATION ***** REPORT:02/26/14
313248 BY:kaylar
899 WOODLANDS DR
WD/10
PORT ST LUCIE LOT AND BLOCK
014-0217 17-THE WOODLANDS
NOTES: SET 5/8" WATER METER
NO SPRINKLERS BYPASS SOFTENER.-
WOULD
LIKE TO BE PRESENT FOR INSTALL
772-878-0928 **WATER ONLY**
--------------------------------------------------------------------------------
WORK - DESCRIPTION CHARGE
AMOUNT DESCRIPTION
CC A4fA`L WATER METER 0
.00
0
.00
FEB 2 6 2014 o
�0
.00
.00
0
.00
------ LLTJLUY ,�.y,,3T_E4At--------------------------------------------------------------
LOCATION MESSAGE: X-OLEANDER AVE
--------------------------------------------------------------------------------
WA-0 READ DT PREV READ CURR READ SERIAL NO SIZE DIALS STAT
OLD 0 75 4 OFF no
NEW
--------------------------------------------------------------------------------
DATE TIME RDG INIT
DATE TIME RDG INIT
] CODE 1 SAME DAY/EMERGENCY TURN ON
] CODE 2 TURN ON WA
] CODE 3 LEAVE WATER ON EVEN IF SOMETHING IS RUNNING
] CODE 4 TURN OFF
] CODE 5 REREAD
] CODE 6 CAN'T LEAVE WATER RUNNING. SOMETHING RUNNING.
] CODE 7 DA CHECK
] CODE 8 DA / LEFT DOOR HANGER
******* F I E L D C O'M M E N T S*******
- - - - - - - - Pro -Inspect Due - - - - - - - -Pre-Inape t Com I tion Dated a/�ol y j rcf . �- - - - -
--------- ILCaceR --- - - - � �-----------------------------
--------- �l �--- � ---..-----------------------------
X-Street locate No.Due By
--------- otificationOrman omcq------------'-=--= =- - - - - -- Sod Type (B/F) - - - - --
---------fleetrician------P1umDEr --.A����-. :�::-u i�r=, r �� ..- t�--..PusnSide_------
Meter Mfg _�....,y. 1n' t i .11il!c)Meter No _._ _Size
Comments:
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