HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: b 6lao g( Permit Num
Building Permit Applicatiol
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
JUN 2 9 2020
Permitting Department
St. Lucie Count: t, EL.
PERMIT APPLICATION FOR: Pool inground III
PROPOSED IMPROVEMENT LOCATION:
Address: 3411 INDIAN RIVER DRIVE
Legal Description: Einsel's S/D that part of S 82.75 ft of Lot 4 LYG E of RR and N 40 ft of S '104.75 ft of Lot 4 ext
from Ind Riv to pt 310 ft W of W R/W Ind Riv with RIP RTS-Less Rd -
Property Tax ID #: 2426-502-0007-0004
Site Plan Name: Indian River Dr
Project Name: YESCHEK
Setbacks
Back: Right Side: Left Side:
Lot No. 4
Block No.
DETAILED DESCRIPTION OF WORK: III
CONSTRUCTION OF IN GROUND POOL WITH HEATER/CHILLER AND PAVER PATIO
CONSTRUCTION INFORMATION:
Mona worKtOnenertormed under tispermit—check all apply:
0HVAC Gas Tank ❑Gas Piping ri _ Shutters ❑ Windows/Doors
Electric Plumbing Sprinklers O Generator Roof
Sp
Total Sq. Ft of Construction: G1 V -3 "), S Ft. of First Floor:
Cost of Construction: $ -Z _37 D • d D Utilities: 11 Sewer D Septic Building Height:
,
OWNER/LESSEE:
CONTRACTOR:
Name DAVID/MONICA YESCHEK
Name: JOHN M. MAY
Address: 3411 INDIAN RIVER DRIVE
Company: JM CUSTOM POOLS INC
City: FORT PIERCE State: FL
Zip Code: 34982 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: lmcustompoolsinc@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: III
DESIGNER/ENGINEER: _ Not Applicable
Name: M. RANDALL RODGERS
Address: 1801 HAZELWOOD DRIVE
City: FT. PIERCE State: FL
Zip: Phone: 772-201-1634
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
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
commencing work or recording vour Notice of Commencement.
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The for Ing instr was acknowledged before me
this May of d ILAY16 2010 by
1l5CYhC.�_
(Name of person acknowledging)
E111111=1
Known V OR Produced Identification
Type of
Commission
Revised 07/15/2014
STATE OF FLORIDA
COUNTYOF ST.LUCIE
The for oing instr�u 11ent was acknowledged before me
this day of-% N, A) C 20_U by
`I
(Name of person acknowledgin
170',Ia
(Signature of Nota ic- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
W ILLIAM H DONOVAN JR
EXPIRES April 12, 2021
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