HomeMy WebLinkAboutBuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ( -a_q ' Ioao Permit Number:
Building Permit Applicatioin JUN 22 2020
Planning and Development Services
Building and Code Regulation DivisionPe `;,i.` i;�� ;� r �.s p 4 i f
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Res'id'entla'I_X 5'
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 3018 NW RADCLIFFE WAY j
Legal Description: RIVERBEND (PB 67-36)- LOT 6 (OR 4110-2912)
PropertyTax ID#: 4425-703-0011-000-5 Lot No. 6
Site Plan Name: RIVERBEND. Block No. 1
Project Name: MARLEY POOL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION OF IN GROUND POOL WITH HEATER&TRAVERTINE PATIO.
WATER ALARM AS(1)CHILD BARRIER,YARD FENCE BY OTHERS.
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CONSTRUCTION INFORMATION:
Additional Work to bnrtormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
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Electric 0 Plumbing [ISprinkiers Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 77,640. Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DAVID/BETH MARLEY Name: JOHN M. MAY
Address: 3018 NW RADCLIFFE WAY Company: JM CUSTOM POOLS INC
City: PALM CITY State: FL Address: 2503 DYER ROAD
Zip Code: 34990 Fax: City: PORT ST. LUCIE State: FL
Phone No. Zip Code: 34952 Fax:
E-Mail: Phone No. 772-240-3268
Fill in fee simple Title Holder on next page(if different E-Mail:jmcustompoolsinc@gmail.com
from the Owner listed above) State or County License: CPC1458456
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INF®RMAT{ON:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: M.RANDALL RODGERS Name:
Address: 1601 HAZELWOOD DRIVE Address:
City: FT.PIERCE State: FL City: State:
Zip: Phone: 772-201-1634 Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable . BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 str y1tures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNINqfTO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
im o e is to your property.A Notice of Commencement must be recorded and posted on the jobsite�
b o first inspection. If you intend to obtain financing, consult with lender or an attorney before
c m e i work or recordingour Notice of Commencement.
/6 wc/_A�1�5�'ture wrier/Agent/Lessee Sig ture of Co actor/Lice older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The fo ping instr m nt w s acknowledged before me The forgoing instrument was acknowledged before me
this `day of 20 by this A t day of 94 it 20,-&,by
I L2/^7 r / �Ch��4 ✓� ( �
f� r �
(Nam of person acknowle ing) (Name of person acknowledging)
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(Signaturef N ary Public- to of Florida) (Signature of Notary` Publi tate of Florida
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Personally Known V OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No 9 b I e"2e to y Public State of Flo'dfip fission N . M H DO JR
ylin J.May 41
My Commission GG 906951 1' MY COMMISSION#GG093576
Expires ininnionvA
EXPIRES ApnM.20211
-V.
Revised 07/15/2014
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REVIEWS;- FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
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