HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �j
Date: � Permit Number: �003 - O00-21
Building Permit Applicatioll 1 MAR 0 2 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TVPE:SWIMMiNGPOOL 1Tnrrt9 11
PROVEMENT LOCATION:
Address: 3932 Shoreside DR Hutchinson Island, FL 34949
Property Tax ID a: 1423-56MO14-000-2
Site Plan Name:
Project Name: Gibbon / Timm -
DETAILED DESCRIPTION OF WORK:
INSTALLING A SWIMMING POOL
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Lot No.11
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 85-000.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gibbon/Timm
Name:BARRYMILLS
Address: 3932 Shoreside DR
Company:CRYSTAL POOLS
City: Hutchinson Island, FL 34949 State: _
Zip Code: Fax:
Phone No.
Address:4680 US 1
Cam. VERO BEACH State:FL
Zip Code: 32967 Fax:
Phone No772567-3067
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner fisted above)
E-Mail•IIMMYR@CRYSTALPOOLSIRC.COM
State or County License ,�fc 1 4.5 71 %0
If value of construction is $25W or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,5W or more, a RECORDED Notice of Commencement is required.
C�3Z3- opav
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVR: 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 Hume 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 Lurie 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU [MEND TO OBTAIN FINANCINry CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
nn
v —
Signature of owner/ Lessee/Contractor as Agent for Owner
Signature of Cony ctor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF : (_ V LL l
COUNTY OF 45 L W(
The for o" g i siyyaament was acknowledged before me
The forgoing instrument was acknowledged before me
this day If 20 74by
this day of Le/ 20 �by
Name of p rson making state L
Name of person making statemen
Personall Kn n OR Produced Identification
Personally Kno OR Produced Identification
Type of I ntifi tion
Type of Iden " do
Produ d
Produced
P'l •....>.,..., JAMESROUNN
(Signati a of Nota ate :� vemberb, 2020
•;;1.o�i�.•„
(Signature y S�tAke o 1 ria
S' nature Notary ((FF oI saouAN
m■COMMISSION M GG 008627
o,,;N.1y
BondedThmNotary PuhlicUndenrriters
".
y_Y;u `a IRE-
Commission NO.
Commi55 n NO.P+..°4-oa?oi• Bonded en1,2020
ry Rc Undem6ters p�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19