HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !n p
Date: �P a a.a Permit Number:
Building Permit Application
JUN 2 9 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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:,
Address: 3y0\ >4N� Q xha Df
Legal Description: MONTE CARLO COUNTRY CLUB -UNIT ONE -LOT 27 (OR 2264-1981)
Property Tax ID #: 1327-801-0031-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
1 DETAILED DESCRIPTIONOF WORK:
Right Side: Left Side:
Install Pool Heat Pump Thermeau TH-125 COP 80-80-80% 5.5
80-80-63% 5.3
50-80-63% 4.0
Lot No. C
Block No.
CONSTRUCTION bINFORMATION:
ona work to e e orme under tispermit—Checka apply:
❑HVAC MGasTank []Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction:.
Cost of Construction: $ 2200
S Ft. of First Floor: _
UtilitiescnSewer Oseptic
Building Height:
OWNER/LESSEE:.
CONTRACTOR`; ,
Name Donna Galbraith
Name: Frank A. DeTura
Address: 3401 Bent Pine Drive
Company: Morningside Pools
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-359-6691
Address: 1768 SE Port St Lucie Blvd
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772-337-2737
Phone No. 772-337-7151
E-Mail: wkdjk84@aoLcom
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: morningsidepoolsgbellsouth.net
State or County License: CPC-1456784
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLENIENTAL.CONSTRUCTION LIEN{LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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 and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
CO U NTY O F st ucie
COUNTY OF st wcm
The forgoing instrument was acknowledged before me
S[U1
The forgoing instrument was acknowledged before me
May day
this- day of 220 ZV by
this of 20 by
Name of person making statement
Name of personlnaking statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17