HomeMy WebLinkAboutGoedeke- permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
:COUNTY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED INPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential x
Address: 5814 MYRTLE DR FORT PIERCE FL, 34982
PropertyTax ID #: 3402-609-0336-000-6
Site Plan Name: INDIAN RIVER ESTATES -UNIT 08 -
Project Name: GOEDEKE
DETAILED DESCRIPTION OF WORK:
INSTALLING GUNITE SWIMMING POOL WITH CONCRETE DECK
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Lot No. 18
Block No. 61
Windows/Doors
— Roof Pitch
Cost of Construction: $ LA Q., I 2—n. CXR Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PHILLIP M & KAITLIN GOEDEKE
Name: JAMES T. LEONARD
Address: 5814 MYRTLE DR
Company: A&G CONCRETE POOLS INC
City: FORT PIERCE State: FL
Address: 8880 GLADES CUTOFF RD
Zip Code: 34982 Fax:
City: PORT ST LUCIE State: FL
Phone No.
Zip Code: 14996 Fax:
E -Mail:
Phone NO. 777._878-775
Fill in fee simple Title Holder on next page ( if different
E -Mail_ 1IVI770nANCPOnLS C:OM
from the Owner listed above)
State or County License_ CPC1457902
If vnhio of rnne+r e#.;nw G, 6-2rnn _
-_ _ _ -_ _.__. _, w — a . 111 1 --Tiro a requirea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _ Not Applicable
Name: AARON ALL N
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 96377 7TH
City: STREET LAV RNE State: CA
Zip: 91750 Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
U VV ivrry LUIM i KALI UK HI -1 -MVI I: 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
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or -recording vni,r Nntiro of rr mrmmnr•or nnf-
LUCY BAROCIO
yF.' Commission # GG 937274
My Comm. Expires Dec 4, 2023
Bonded through National Notary Assn.
LUCY BAROCIO
Commission 9 GG 937274
My Comm. Expires Dec 4, 2023
Bonded trough National Notary Assr.
Signa o ra or/LicenP Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF CT T.IJC'TF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day ofMcg (C'�1,—� 20a_0 by
this &L day of W me 20 0 by
\l�
�QA\ Xt(i �`� l , �� r \�
TAMES T T.FONARD
Name of person making state ent.
Name of person making statement.
Personally Known OR Produced Identification X
Personally Known OR Produced Identification
Type of Identification
_X
Type of Identification
Produced DRIVER LICENSE
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary ublic- State of Florida )
Commission No. 8C; " I'l214 (Seal)
Commission No. C—i 3 �� (Seal)
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DATE
RECEIVED
DATE
COMPLETED
Rev.9/26/19
LUCY BAROCIO
yF.' Commission # GG 937274
My Comm. Expires Dec 4, 2023
Bonded through National Notary Assn.
LUCY BAROCIO
Commission 9 GG 937274
My Comm. Expires Dec 4, 2023
Bonded trough National Notary Assr.