HomeMy WebLinkAboutAPPLICATION 651 N FFA RDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
41
4w....
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce R. 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT TYPE: Residential Pool
Address: 651 N FFA Rd, Fort Pierce, FL 34945
Property Tax ID #: 2304-443-0001-000-7
Lot No.
Site Plan Name:
Block No.
Project Name: Sapp Pool
Construct inground gunite pool and spa with travertine deck behind existing home onA5 acres
31,
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: $ 69,200
Utilities: _ Sewer Septic Building Height:
Name Gail Beville
Address: 651 N FFA Rd
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No. 772-201-5417
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Jared Odom
Company: Odom Custom Pools
Address: 1056 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-299-4074
Phone No 772-473-9692
E-Mail jodom@odomcustompools.com
State or County License CPC1458195
If vague of consTruction 1s ,>zbuU or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a iRECORDED Notice of Commencement is required.
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DESIGNER ENGINEER: _ Not Applicable
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MORTGAGE COMPANY: Not Applicable
Name: M. Randall Rodgers, PE
_
Name:
Address: 1801 Hazelwood Drive
Address:
City: Fort Pierce State: FIL
City: State:
Zip: 34982 Phone 772-201-1634
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
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 applicabile 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 JOB SITE 13EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
_WlIT'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
of Owner/ Lessee/Contractor as Agent for Owner Sig ure�of ontractor/License Holder
Sign t�11`
I
STAB FLORIDA STATE OF FLORIDA
COUNTY OF S,l,d (ez v, -e r COUNTY OF P,t
, t =, d t4, 101K e-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 h' clay of //%o, r/ J 20� by this !/ day of V 20x6 by
Gal 1 3eyiNe- JGr-e d 6do/Y1
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification ✓ Personally Known t'� OR Produced Identification
Type of Identification ri- Dv,, ve_r ; C rr- --n s e- Type of Identification
Produced B I L1 r, . 2 g �'- 6 3 O Produced
(Signature of N Si nat re,pf" vftar Pu
ROBERL4M.MILLER ( g ; ^,a�. Yb�tIQ�RFlorid )
;ems. NotaryPublic- StateofFlorida `r.�\. NotaryPublk-State of Florida
Commission Nb.`._•',.- C�mmissiontGGlq�l) Commi 1`D •_.r' CommissionxGGt22530
My Comm. Expires Jul9,2021 ;q�jfryF; ufi9,2021 eal)
- BsrdedthroughNancralNotary Assr. BordedthrouChNationalNotary Assn.
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,0111,jiv P, ��.,, RCIBERTA M. MILLER
Public
'r* Notary - State ofFlorida
Commission 0 GG 122530
pF,„',`,�•' Bonded tl,rough National Notary Assr.