HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 (� Permit Number:
Building Permit Application
Planning and Development Services MAY 17 -1017
Building and Code Regulation Division
PEf;iMTTiNG
2300 Virginia Avenue, Fort Pierce FL 34982 �. L cie Go nty, FL
Phone: (772) 462-1SS3 Fax: (772) 462-1S78 Commercial Reside4iaY
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5313 S I U L
Legal Description: LOT
u--i e-'nl �t?ti 5
Property Tax ID #: 3494 -710 9 00'-% 000 O Lot No. 2
Site Plan Name:
/I ••nn Block No.
Project Name: W h EU ilf-r-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
_JNIrou4 > Sw j MAL,ag Pool-- wl C.e-kcre-+e -P*-ri c
CONSTRUCTION INFORMATION:
Additional work to e er orme un er this permit - check a apply:
F1HVAC 11 Gas Tank []Gas Piping _ Shutters 0 Windows/Doors
1-1 Electric F]Plumbing Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S�Ftj of First Floor:
Cost of Construction: $ 310 -00 _ Utilities: U Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ri eeA Gr— ,C Uln1
Name: 1i a e.
Address:_ 31 _. !L_r �4if ()WS $
ompany:
04ZL fQ cc),s _ZtG
City: (74-Pi erO-L State: FL
Zip Code: 3498 I Fax:
Phone No. rf 1a - 7) 911 - 24YW %
Address: 2-3 'S-o-+tl�/
City: r 4)4e-ca G State: ft.-
Zip Code: 34q!y I Fax:
Phone No. 772 Spi -95,l t)
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: %on Z on 20 01 S C a-'t't' ne-t
State or County License: PGly,5816-44
9VO UV LPi w11NuuLuun n ?43uu or more, a KtwKUtU notice oT commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: 2 o
Not Applicable
MORTGAGE COMPANY: _Not Applicable
Name:
Address: IZl)
ll►t'C
Address:
City: LJ C5T&
Zip: 3 3411 Phone: 3 07
State: t2
S79 • 05q I
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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
commencing Work* recording vour Notice of Commencement.
ure of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA / , , n 1
,�
COUNTY OF vLC �.
The forgoing instrurpent was acknowledged before me
this � day of _ 20/Zby
(Name of person acknowledging }
ti
(Signat a of Notary Public- State of FI ida )
Personally Known OR Produced Identification
Type of Identification Produced _1) LL
Josandim A. Ingraham
Commission No. V44k, Lki-recaf3aMM ir.
STATE OF FLORIDA
Revised 07/15/201 E j9 Expires 3/9/2020
P,cE� s
Signature of Contractor/License Holder
STATE OF FLORIDA
��
COUNTY OF
The forgoing instr ent was acknowledged before me
this )) % day of 20 �7 by
��&
(Name of person acknowledging )
A-1 Q/�--
( nature of Notary Public- Stat&f Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced_
Commission No.
NOTAR&�LIC
STATE ORIDA
Comm# GG032559
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
a
COMPLETE
INITIALS
00"
JOSEPH E. SMITH, CLERK THE CIRCUIT COURT - SAINT L E COUNTY
FILE # 4309402 OR BOOK 997 PAGE 580, Recorded 05/1,2017 09:43:16 AM
W
mm ; 7 2017
F iING
St. Lu�:`'- _;junty, FL
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 3" 1110 - 0 007 ODO -
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this _N,o`tice of Commencement.
Legal Description of property and address if available S0U H1C+Yf Di4iC5 G `S. s)^l)T Z
Wh
General descripl1t�ioa of improvements i D140 D w)
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Ownerllesseel//.Ffilsibnl% s GiGr' di IV.QLi{Rll�v
Address 3 i 3 J}0. [ y V A
Interest in property: tTw(% e.,,-
Fee Simple Title holder (if other than owner) ]i
Address
Contractor H effAzaN )eDDIS J�j c--
Aaaress }."t 3jT qk& C;F'
Surety fit &
Address
Amount of Ron64
Lender
Address
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Phone# 77Z
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Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues: (4
Name Phone#
Address Fax #
In addition to himself, owner designates
Phone #
Fax #
of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year front the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER TIT, E..XPMATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR NMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COIMMENCRMENT MUST BE'RECORDED AND POSTTLD ON THE JOB SITE. BEFORF THE FIRST INSPECTION. TF YOU TNTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE CON=OR RECORDM YOUR NOTICE OF
COMMEIYCMENT. JL
Owner.R.[aste, orj
r's or *'s AuthodredOt$cer/Director[Partnerl!Maaagtt! Sigaatare
c wnee-
Signatory's Title/Office
State of Florida, County of t i l
Acknowledged before me this day of ice) f 10 j _] , by 4
wh personaIt own t me or who has produced 0 -1:% L, as ident] cation.
Si ture of Notaiy Type or Print Name of Notary (Sea])
-w—vlre A inp shell
Title: Notary Public Commission Number W)TARYPkMX
STA OF P ARI0A
Co. 401900010
3/9 AM
C7
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
KIWI i
Building and Code Regulations Division
2390 VIRGE4IA AVE
FORT PIERCE, FL 34982 MAY 1 7 2�1'
(772) 462-1553 Fax (772) 462-1578
PERMITT►i,;G
AFFIDAVIT OF REQUIREMENT COMPLIANCE St. Lucie County, FL
Residential Swimming Pools, Spa, and Hot Tub Safety Act
I (WYN
acknowledge-that a newswi�m/mm ool, spa, or hot tub will be constructed or installed at
5 JTGea Q1, & :5 T and hereby affirm that one of the following methods
(Please print str et address)
11 be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-9 I (Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
pressure rating of 85decibels at 10 feet.
All doors providing direct access from the home to the pool will be equipped with selfclosing, self latching devices with release mechanisms
placed no lower than 54 inches above the floor or deck.
I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree,
punishable by fines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the
above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been fmalized.
1, the contractor, agree to instruct the owner of the proper use and maintenance of su h spfeq device.
/W ,
CONTRACTOR SIGNATURE !�, O SIGNATURE
ST TE OF FLORIDA, CO OF LU.G e— sT OF FLORIDA, COUNTY OF F
N ARV PUBLIC NOTARY PUBLI
The foregoing instrument was acknowledged before me
this '5� day of ' , ` (�� ( , 20 1-7
,
by `CICQ�
Personally Known or Produced Identification
Josandra A. Ir ahern
Type of Iden 'VISOEExpires
MoNRY PUBLIC
STATE OF FLORIDA
Cann# GG032559
3/9/2020
SLCPDS Revised 07/22/2014
The foregoing instrument was acknowledged before me
this `t6 day of tk-'! 201 7
by La-r.3 ►.�
Personally Known or Produced Identification ✓
Type of Identification produced: L
Josamxira A. IttW*wn
ivNOTARY PUBLIC
STATE OF FLORIDA
Comm# GG032559
isExpires 3/9/2020