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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a-�X3111 Permit Number: • - RECEIVED FEB 13 2017 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �L �V.6R-1/oAJ PRO POSED.IMP,ROVEMENT,LOCATION: Address: 6311 Green Dolphin Streeent"� Legal Description: Por 13 hm:� C-Wwc) PP'-P_1<_ Property Tax ID#: 1301-606-0269-000/0 Lot No.13 Site Plan Name: Lakewood Park Unit 6 Block No. 69 Project Name: Voyta-Petersen Setbacks Front Back: Right Side: Left Side: .DETAILED DESCR(PTION;OF'WORK: Install pool heat pump oAJ pADt e L)pp&pT1- L:)/jMp OOu57-iP.�CC'h1®N P86 C_ POOA I T CONSTRUCTION INFORMATION: Additional work toe e orme under t —checkispermit a appy: HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors ZElectric 0 Plumbing Sprinklers E Generator 0 Roof Roof pitch Total Sq. Ft of Construction: SFt.of First Floor: Oa Cost of Construction:$ goo• Utilities: _Sewer E]Septic Building Height: OWIV:ER/LESSEE ,, : ., .CONTRACTOR.: Name Dawn Voyta-Petersen Name: Robert W.Grabowski Address:6311 Green Dolphin Street Company: Flamingo Pools&Patios, Inc City: Ft. Pierce State:FL Address: 3400 SE Dixie Hwy Zip Code: 34951 Fax: City: Stuart State:FL Phone No.978-618-5439 Zip Code: 34997 Fax: 772-220-4080 E-Mail: Phone No. 772-220-0627 Fill in fee simple Title Holder on next page(if different E-Mail: flamingopools@comcast.net from the Owner listed above) State or County License: RP 00672MI If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: 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 improvements to your property. A Notice of Commencem ust be r corded and posted on the jobsite before the first inspection. If you intend to obtain financin consu w' lender or an attorney before commencing1_._, work or recordingour Notice of Commencem t. I ► s Signature of Owner/Lessee/Contractor as Agent for Owner Signaturk of Contrac"tor)VcensV Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Or kL)CI The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me this day of 20 by this day of�Z fP 20 a by kolbt-kr 0®W6K (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary,Public-State of Florida) (Signature of Not ry Public-State of Florida) Personally Known V OR Produced Identification Personally Known V OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Comm' ' ) S,.� AMY BARNES my COMAMSSION a enS EXPIRES:October 17,2020 Revised 07/15/2014 ` , a J �.a�c� "''•:,X,.. r BoodedThruNotaryPubllcUnderMtua REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 04/28/1994 23:36 7722204080 FLAMINGO POOLS & P4 . PAGE 01 R FEB 14 2017 -- DESIGNER/ENGINEER: Not Applicable MORTGA61F MhdPANV: Not pplicable Name. Name:Address: Address;City: State: City:Zip: Phone: Zip: Phone:FEE SIMPLE TITLE HOLDER, Not Applicable BONDING COMPANY: Not) pplicable Name- Name:Address: Address:City: city:Zip: Phone: Zip: 'Phone:I certify that no work or Installation has commenced prior to the issuance of a permit.which 1.5 In vo with anX applIcable Home Owners Association rules, aw. ilts that may rempfricl pro rib, such In consideration of the granting of this requested permit I do hereby agree that I will,in all respects,perform the w)rk in accordance with the approved piens,the rioride ouildins codes and St.Lucia County Am-andr"aAft.The following building permit applications are exempt from undergoing a full concurrency review:room additions,accesso uctures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-reside al use I NER:Your failure to Record a Notice of Commencement may result In your paying Ice for im ro ments o your operty.A Notice of Commence st be r d d and posted on t e jobsite Co I IS Ai0orna.r c3r an a-rcarney tore-m rit b W3 11 S Signature of Owner/Lessee/ClonthWbir as Agent for Owner Signatur4 of ContraaorVcensV Hold&STATE OF FLOR A STATE OF FLOINDA COUNTY OF !K COUNTY OF—Qr &LIO ff or,going in kefore me Thef Ing Ins rumen this t�f- day of. E 201*1by this Tay of 20 NG TIT A4(Name of per n acknowledging) �Pame of kn led rif Nnt 0 Public-State of Florlda-j— (Signature of No V public-State of Florida TvDe AW UAMNS Revised 07/15/2-0-14 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE DATE COMPLETE NITIALS