HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/11/17
Permit Number: I1 ��-�1Q _ �
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Building Permit Application IM 1 7 w1m
Planning and Development Services
Building and Code Regulation Division �' Wt,/'►✓ - s(,(/� -,.sus
2300 Virginia Avenue, Fort Pierce FL 34982 ! _ FL
Phone: (772) 462-1553 Fax- (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground
Address: 2805 S Brocksmith Rd, Fort Pierce, FL
Legal Description: Sub of McNurlen Farms, BLK 3, Lot 9
Property Tax ID #: 232050100410006 Lot No. 9
Site Plan Name: Block No. 3
Project Name: Moody Pool
Setbacks Front N/A Back: N/A
Right Side: N/A Left Side: N/A
Installing an inground pool for a new residential home under construction. Property is approx. 10 acres
Lam. HVAC
ZElectric
"Shutters
0 Plumbing Sprinklers E Generator F]Roof Roof pitch
Total Sq. Ft of Construction: 392
Cost of Construction: $ 36,000
S Ft. of First Floor: _
Utilities:n Sewer W1 Septic
QWindows/Doors
Building Height:
OWNS ESSEE } n.. .... , x. . ;_.Rr
CONTRFACI'OR "'� 4
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Name Ralph Moody
Name: Jared Odom
Address: 2805 S Brocksmith Rd
Company: Odom Custom Pools
City. Ft. Pierce State: FL
Address: 1056 Old Dixie Hwy
Zip Code: ! Fax:
City: Vero Beach State: FL
Phone No. 7725193721
Zip Code: 32960 Fax: 7722994074
E-Mail:
Phone No. 7724739692
Fill in fee simple Title Holder on next page (if different
E-Mail: jodom@odomcustompools.com
from the Owner listed above)
State or County License: CPC1458196
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGIN
Name: Harvey Kcehnen
Address:
City: PSL
Zip: 34952
7205 Elyse Circle
Phone:
Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name:
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
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 Airs-t
OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improverrfito your prop y. A Notice of Commencement must be recorded and posted on the jobsite
before,th, inspection.ff you intend to obtain financing, consult with lender or an attorney before
commer)cing work or recqfding4br Notice of Commencement.
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Signa rey Owner e s e/ n ctor as Agent for Owner Signaf Contractor/License Holder
STATE OF FLORID7 turSTATE OF FLORIDA CC
COUNTY OF -zf3,A� �,� i-P_ COUNTY OF
The forgoing instrument was acknowledged before me
this k� day of "'\Q_;C\kZ32x 01 . 20 Ley
VC
(Name person acknowledging)
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(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification U,
Type of Identification Produced �Y_ ir4k--'iOXa?�1-tQ�
Commission No. �0 I QQ
VIVIAN A. RIOS
The \ oin inst ment was acknowled a before me
g g
this ` day of �J 20 by
(Name of person acknowledging)
(Signature of No6roubl' - FI rida
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Personally Known dF
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�e0ldentification Pro
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WA07/15/2014 - Commission FF 999357
My Comm. Expires Jun 6, 2020
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