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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCI PTE Date: Per it Number: • Building Permit p lication Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential x PERMIT TYPE: IN -GROUND POOL AND PATIO PROPOSED INPROVEMENT LOCATION: 103 Eden Creek LN Jensen Beac i, FL 34957 Address: 103 Eden Creek LN Jensen Beach, FL 34957 Property Tax ID #: 4509-807-0006-000-3 Lot No. 3 Project Name: MAY DETAILED DESCRIPTION OF WORK: IN -GROUND CONCRETE SWIMMING POOL & PATIO CONSTRUCTION INFORMATION: Utilities: _Sewer _Septic ILO Sq. Ft. of First Floor: `, Cost of Construction: $ " 7 DS� ` Total Sq. Ft of Constructi n: 704 FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from floodplain: Nonresidential Farm Building:_ Temp. Bldg./Shed used e Mobile/Modular for temp. construction office: Bldg. involved Other: Flood Zone:_ No Rise Certificate with supporting data attached? Y/N All other applicable state and federal permits shall be obtained construction. B clu BF pri ilding Code that are in the ively for construction: in distrib. of electricity: _ :_ Floodway? Y/N If Y, r to commencement of OWNER/LESSEE: CONTRACTOR: Name Jonathan J May Name: MIKE A Company: AL Address: 50 NE. City: STUART Zip Code: 34 Phone No 772 E-Mail ALEXA State or County EXA DER Address: 103 Eden Creek LN XAN ER CUSTOM POOLS City: JENESN BEACH, FL State: Zip Code: 34957 Fax: Phone No,954-930-0319 DI IE HWY (1-1) State: FL Fax: 772-444-3904 158 94 E-Mail: 444- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) DE USTOMPOOLS@HOTMAIL.COM Licf nse CPC1457939 wux�m.uun n ?a ur more, a KMUKUCU Notice OT LOmmencement If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: _ Not Applicable Name: RANDAU RODGERs MORTGAGE Name: Address: City: Zip: OM ANY: _ Not Applicable Address: 1801 RAZELWOOD DRIVE City: FORTMERCE State: FL Zip: 34982 Phone 772-zm-,e34 State: one: P FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: Address: City: Zip: _Not Applicable Address: City: Zip: Phone: P one: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a pE Emit do the work and mstauation as mmcawa. 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 th per it holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or a d cc enants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for ny restrictions which may apply. Inconsideration of the granting of this requested permit, I do hereby agree that I will, in II respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie COLntyA Tiendments. The following building permit applications are exempt from undergoing a full concu rrenc freview: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory u ies to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commenceme t m y result in your paying twice for improvements to your property. A Notice of Commencement must b recorded and posted on the jobsite before the first inspection. ![you intend to obtain financing, consult with I nder or an attorney before ,..,A:..... .ni..t�,•o .,F r,�mmonrcmon+ Signature of O er/ Le a/Cont r a gent for Owner Signature of Co trac riense Holder STATE OF O ID COUNTY OF STATE OF FL COUNTY OF RIC e; The fo going instrument was acknowledged before me this day of FQ ' Z . 2020 by The forgoing in this? day tru nt was acknowledged before me 20 Z© by Name of person making statement. Name of perso i m6 in7tatement. Personally Known OR Produced Identification Type of Identificatiorh� Produced 1IJJ Personally Known Type of Identif Produced catio i�OR Produced Identification (Si a e 6 .•'qy SARA DONOVAN ALEXANDER Commission ag' • z MYCOMMISSION ikQ 050 EXPIRES: June 11, 2021 F ` Bonded TYau Notary Pubk UndeWftm (Signature of Commission N ota •,�;:ji;?yew•.,,• ALIENE S. DONOVAN MYCOMMI��f3N 1jGG 014371 EXPIRES:October 1, 2020 •;FCr , :F Bonded Thiu Note °ubk Underw%im REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VE I GETi EVII TION IV SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED nev. i/77tuiv