HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 6, 2020 Permit Number:
Property Tax ID #.: 34035805-0139-000-0 Lot No 1771871912C
Site Plan Name: above ground pool Block No. 7
Project Name: jen young
install a'l 20volt circuit for above ground pool pump
.................. ..... ....................... . ............ . . .. ... .. . . . . ................ . ........ . ...........
Additional work to be performed under this permit check all that apply:
Mechanical Gas Tank Gas Piping,, Shutters Windows/Dobrs
Electric Plumbing Sprinklers. Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 750.00 Utilities: Sewer Septic Building Height:
Namejohn williams Name: William carson
216 smallwood ave
Address: Company: forward electric and ac
State
City:
Fort pierce Address: 4437 sw port way
e
Zip Code: 34982 Fax: City: •palm city State: fl
Phone No. <;L fit. Zip Code: 34990 Fax: 772-221-3180
(Y"N
E - M a i 1: c)'_XV-N C' VN1CX_-> Phone No772-221-1660
Fill in fee simple Title Hjolder on next page ( if different E-Mail amber@fwd-electric-air.com
from the Owner listed above) State or County License ecl 3007849
it vaiue of construction is 5Z500 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.
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DESIGNER/ENGINEER:
Not Applicable
........... .... ........ ..........
.......... Not Ap11 plicable
MORTGAGE COMPANY:
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.
UwivtK/ LUN I KAL;TUK AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 y 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR VNDER. OR AN ATTORNEY BEFORE RECORDING YOUR AjeTICE OF COMMENCEMENT.".
Signature Owner/ Lessee/Contractor as Agent for.Owner Signature of,Contractor/License Holder
STATE OF FLORIDA STATE OFFLORIDA
COUNTY OF CO U NTY O F Martin
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledgedbefore, me, this day ofr
Alp ewC.. , 207.9 by this 6 -day-of April , 20 b
Name of person making statement.
Name of person making statement.
Personally Kno OR Produced Identification X OR Produced Identification
TY ion Type o entification
Prod ced
i
(Signature of N ary&%, S to IIrMd.aKNYON
Notary Public - State of Florida
` * Commission No
Commissio(S)G 015542
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9, �•�,� My Comm. Expires Jul 25, 2020
Bonded through National Notary Assn
Produced
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State of Florida
_ inmmi - i-9n GG n15542 (Seal)
My Comm, Expires Jul 25, 2020
Bull led throaq
REVIEWS I FRONT I ZONING SUPERVISOR I 'LPLW
COUNTER REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7719
EGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW
BOUNDARY 4SURN/F=Y
ABBREVIATIONS:
LEGAL DESCRIPTION:
SURVEYORS NOTES:
SET = Set 5/8" iron rebor With
IIoW cap marked PSI 5543
Lot 17,18,19, 20 & 21 in
Block 7 of RUHLMAN SUBDIVISION
1. Unless otherwise noted only platted easements
V=Valueas measured in field
��
OH--OH--OH—= Over Head gyres
according to the plat thereof
are shown hereon.
2, o underground
N utilities or improvements Were
X--X--X—= ChQin Link Fence
as recorded in Plat Book 9
55
located unless otherwise shorn.
FD=F and 5/8 Iron Rebor
pages of the
3. This site lies Within Flood Insurance Rate eta
1N p
R.O.y. = Right of Way
Public Records of St. Lucie
Zone X (dap# 12111CO277J Dated 2/16/12.
0--0--0—= Wood Fence
�= FPL Transformer Pad
County, Florida.
4. Flood Zone shown hereon is an interpretation
PL=Vaas platted
by the surveyor and is provided as a courtesy.
�'EAS-
The flood zone should be verified by a
= Concrete
determination agency.
C.P.= Conc ete Pad
5. Bearings shoyyn hereon are based on the South
EB= dater deter
line of LotS 17-20 as being N90'00'00"E
= PoWer Pole
according to the Plat described hereon.
= Bell South
6. P.U.D.E. denotes Public Utilities and Drainage
®_ We I I
Easement.
7. All Lot dimensions shoyyn are per plat unless
otherwise shorn.
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Smallwood Avenue -
216 Smallwood Avenue
Cer t i f i ed to: Christine H. BlockWelder & John R. illiams
SCALE:1 „=40'
Atlantic Land Designs il
DATE: 10 16 12
of the Treasure Coast, LB7468
754 NE Jensen Beach Blvd.
DRAWN •) C
Jensen Beach, FL 34957
Mailing Address:
1 hereby certify that the survey sho*n hereon is true and correct
and is based on actual measeur emen i s taken in the field. This
2012-0663
P.O. Box 1421 Jensen Beach, FL 34958
ALD5543@gmail.com (772) 398-4290
survey meets the 1 i n imum Technical Standards of Chapter 5J-17 M CZ
Florida administrative code. C, IFiCAT�O
DATE:
REVISIONS
PSM 5543
2/4/20
add tots 4-6, update survey
Digitally signed by James A. Cesiro Jr.
Y DN: cn=James A. Cesiro Jr., o=Atlantic Land Desig s
James A C e S I rO J
a
. 1 . 'af the TC, ou, emall=Jlms5543@gmall.com, c=US
Date: 2020.02.04 16:00:24 -05'00'
�rG STATE OF
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LAST FIELD DATE : 1 /21 /20
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