HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��nn� //��1 /�
Date: 7`/G`�� Permit Number: r�Ul l I _ 0 152—
RECEIV5o
Building Permit Application JUL 14 2020
Planning and Development Services
Building and Lade Regulation Division fir. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground -+ PAr'O
PROPOSED IMPROVEMENT LOCATION:
Address: 5724 PAPAYA DRIVE
Legal Description: INDIAN RIVER ESTATES UNIT 09 BLK 79 LOT 15 (MAP34/12N) (OR 2511-0794; 3746-8)
Property Tax ID #: 3402-610-0280-000-2
Site Plan Name: INDIAN RIVER ESTATES
Project Name: DARE
Setbacks Front Back: Right Side:
Left Side:
Lot No.15
Block No. 79
1 DETAILED DESCRIPTION OF WORK: III
CONSTRUCTION OF IN GROUND POOL WITH CONCRETE PATIO
I CONSTRUCTION INFORMATION: III
HVAC LJ Gas Tank UGas Piping
Electric 0 Plumbing Sprinklers
Shutters ❑ Windows/Doors
Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
o3tofCsnstructian: g' Utilities: SewerF]Septic
Building Height:
OW N ERAESSEE:
CONTRACTOR:
NameKATHY/JASON DARE
Name: JOHN M. MAY
Address: 5724 PAPAYA DRIVE
Company: JM CUSTOM POOLS INC
City: FORT PIERCE State: FL
Zip Code: Fax:
Phone No.
Address: 2503 DYER ROAD
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-240-3268
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: jmcustompoolsinc@gmail.com
State or County License: CPC1458456
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: M. RANDALL RODGERS
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 1801 HAZELWOOD DRIVE
Address:
City: FT. PIERCE State: FL
Zip: Phone: 772-201-1634
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
Lessee
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The for oing instucI���eent was acknowledged before me
thisday of cJl l fl 20 by
aso 6 ba.a .
(Name of person acknowledging)
Personally Known
Type of Identification Pi
Commission
Revised 07/15/2014
OR Produced Identification
STATE OF FLORID-X-
COUNTYOF ST.LUCIE
The forgoing instrument was acknowledged before me
this L day of -Z71r L. y 20_W by
(Name of person
(Signature of Notary PqW- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
M
WILLIAM H DONOVAN JR
EXPIRES April 12, 2021
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