HomeMy WebLinkAboutBuilding Permit ApplicationINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ilt- I'dd9,tv
Perprit Number: DO 7 - e
RECEIVED
Building Permit Application JUL 28 1010
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lurie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground 4 PATrcdr II
PROPOSED IMPROVEMENT LOCATION:
Address: 1206 DRIFTWOOD LANE
Legal Description: DRIFTWOOD MANOR - SECTION THREE - LOT 1 (0.50 AC) (OR 3660-1237)
Property Tax ID #: 3404-808-0001-000-6
Site Plan Name: DRIFTWOOD MANOR
Project Name: NORVELL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION OF IN GROUND POOL WITH CONCRETE PATIO
Lot No.1
Block No.
CONSTRUCTION INFORMATION: III
11HVAC
Gas Tank
❑Gas
Piping
UShutters
❑
Windows/Doors
11
Electric
0
Plumbing
[]Sprinklers
1:1
Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction:$ 11Q,1610.00
S Ft. of First Floor: _
Utilities:n Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RUSSELUDANIELLE NORVELL
Name: JOHN M. MAY
Address: 1206 DRIFTWOOD LANE
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: 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
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The f r Ing instru nt was acknowledgedbefore me
thig ay of _ June 20 by
L
Sig ature of Contra or Licens Holder
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrum nt was acknowledged before me
this /Odayof Tiny 201pby
Russel No(m( 0
(Name of person acknowledging) (Name of person
Msmrr
(�jgnatuM jNotary P,Ublic- State of Flddida ) J (Signature of Notary
Personally Known � " OR Produced Identification ally Known _
Type of Identification Produced Nc�ry a KI ri ype f Identret.'4�
//'� /' o j�(] ,p'� yry J. May Commission NoA';IQII &I � alasI'ManGGC06 om sslon
Revised 07/15/2014
OR Produced Identification
COMMISSION #R@Af1576
EXPIRES April 12. 2021
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