HomeMy WebLinkAboutBay Tree PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 17, 2020 Permit Number:
I'C•
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 x Residential
PERMIT TYPE: Swimming Pool Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 100 Pepper Lane, Jensen Beach, FL 34957
Property Tax ID #: 4511-503-0005-000-0
Lot No.
Site Plan Name: Bay Tree Tract E Block No.
Project Name: Baytree HOA
DETAILED DESCRIPTION OF WORK:
Install new QuartzScapes 3/8"-1/2" thick. Bring all Main Drain Covers to Code.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers —Generator — Roof _ Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10,970.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
— ---- -
N ame: Dustin Hardy
--------------- _
Name Bay Tree HOA
Address: 100 Pepper Lane
Company:Aquatic Surfaces Of Treasure Coast Inc.
City: Jensen Beach State:
Address: 635 NW Buck Hendry Way
_
Zip Code: 34957 Fax:
Phone No. 732 644-0559
E-Mail: christokanakis@aol.com
City: Stuart FL
State:
Zip Code: '^-00--4 772 334 7243
Phone No 772-225-4389 Fax:
Fill in fee simple Title Holder on next page ( if different
E-Mail dh.aquatic@gmail.com
from the Owner listed above)
State or County License CPC1459110
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
_ N -_- - -
Applicable RTGAGE COMPANY:
DESIGNER ENGINEER: x -gd5
Name: x Not Applicable
e:
Address:
ress:
City:
: State:
Zip: Phone
Phone:
FEE SIMPLE TITLE HOLDER: NDING COMPANY: Not ApplicableName:
e:Address:ess:
City:
City:
Zip: Phone: Zip: Phone:
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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
POSTED
AND
ON THE JOB S:TE BEFORE THE FIRST NNSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y LEN R AN ATTORNEY BEFORE RECORDIN
YOUR NOTICE OF COMMENCEMEN "-
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor Lic
rise Hol r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 71 COUNTY OF�/�iiir/
The forgoing instrument was acknowledged before me The fo,�r� oing instrument was acknowledged before me
this L day of �¢s�.2l� 20 - c, by
this _L day of 20<e by
Ctf2�S77�F'/fE/? /�i9R �gK DICC.S 77ti' Aieo j -
Name of person making statement Name of person making statement.
Personally Known OR Produced Identification rX Personally Known X OR Produced Identification
Type of Identification
Produced Type of Identification
Produced
(Signature of Notary Public- Sta Florid
F tkANORKOVARIK Signature f NotaryPublic- State of Florida )
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Commission No.66/630' �Smmission#GG 103387 �Y!4a,,c ELEANOR KOVARIK
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9jF sion # GG 1021
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FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
EDATE
REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETED
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