HomeMy WebLinkAboutRichard Permit Application TH-125 01-20-2021 NotarizedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
1yLl ' 5
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: REPLACE EXISTING POOL HEATER
PROPOSED IMPROVEMENT LOCATION:
Address: 9616 ENCLAVE PLACE
Property Tax ID #: 3322-800-0008-000-0
Site Plan Name: ENCLAVE AT THE REZERVE LOT 5 (OR 2222-2696)
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING ELECTRIC POOL HEATER WITH SAME THERMEAU TH-125 80, 80, 80 COP 5.5
80, 80, 63 COP 5.3
50, 80, 63 COP 4.0
New Electrical Meter Second Electrical Meter
Lot No. 5
Block No.
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_Electric xPlumbing _Sprinklers _Generator
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name GARY RICHARD
Name: FRANK A. DETURA
Address:9616 ENCLAVE PLACE
Company: MORNINGSIDE POOLS, INC.
City: PORT ST LUCIE State: _
Zip Code: 34986 Fax:
Phone No. 516-807-4645
Address: 1768 SE PORT ST LUCIE BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax: 772-337-2737
Phone No 772-337-7151
E-Mail: 9arygperichard.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail morningsidepools@bellsouth.net
State or County License CPC1456784
„ vmoe ui cuns[ruaoon is cauu or more, a nacurcUEU Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Si' � L.LC. it-
STATE OF FLORIDA
COUNTY OF !� �- 4k Gi C_
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
✓ Physical Pre ce or Online Notarization
this �i7dayof G u!t 2024 by
✓ Physical Presen�ece or Online Notarization
this �dayof JQ h 4 r by
.
.2020
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known . f OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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REVIEW
DATE
RECEIVED
DATE
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