HomeMy WebLinkAboutWeinberg Permit Application TH125 SLC 02-04-2021All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�i IJo LSl:1Lll15 -1
JJ
L 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 5803 BALSAM DRIVE
Property Tax ID #: 3402-610-0340-000-1 Lot No.14-15
Site Plan Name: INDIAN RIVER ESTATES UNIT-O-BLK 81 LOTS 14 & 15 (MAP 34112S)(OR 618-2168) Block No. 81
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE EXIS"I ING 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
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric XPlumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark Weinberg
Name: FRANK A. DETURA
Address: 5803 Balsam Drive
Company: MORNINGSIDE POOLS, INC.
Address: 1768 SE PORT ST LUCIE BLVD
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-465-4890
E-Mail: markw1199mac.com
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax: 772-337-2737
Phone No 772-337-7151
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
If value of construction is 25oo or more, a RECORDEO Notice Or lornmencement is reyun cu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION'. I
Not Applicable
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: * Not Applicable
Name:
Arlrlrpcc-
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: NotApplicable
Address:
City: City:
Zip: Phone: Zip:.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the worK ana inblallaaoo co IIIVR01--
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
:.,_ I__J_.. _...._ _.......,... I...s...,..•.....••. npin.. ,r,nrlr nr rpr•nMino vnur Nntire of Commencement.
WRIT ICIIuCI 11 OLLUI IIV YGIVIG evnu n.:. ,..0••..••�..•
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Signature of Owner Le see/Contractor as Agent for Owner
Signature of Contra .tor/License o
STATE OF FLORIDA
COUNTY OF St L4-_c,, e—
STATE OF FLORIDA
COUNTY OF St c L
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
V Physical Presence orOnline Notarization
— this 3 day of & r_ 202$ by
✓ Physical Presence or Online Notarization
this 3 day of i—e brL u .^202Q by
Name of person making statement.
Name of person making statement.
Personally Known V OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Ce
(Signature of Notary Public- State of Florida)
A ALA
(Signature of Notary Public -State of Florida )
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Commission NoL7�T I(e7 l 87 Seal
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Commission Not? I4, qg� 4(Seal
.' ExOm January 25.
Conmitslon 200167
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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