HomeMy WebLinkAboutFelch pool permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
r, LLLLL
Building PP Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
t PROPOSED IMPROVEMENT LOCATION:
Address: 5419 Stately Oaks St, Ft Pierce FL 34981
Property Tax ID #: 3404-711-0004-000-0
Site Plan Name: Felch
Project Name:
DETAILED DESCRIPTION OF WORK:
Inground swimming pool with Deck and Heat Pump
SLI(een L-Nooswe * 5Pikph 6u
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.16
Block No.
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: S 24 �,
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Name Brian D Felch or Can Ann Cahill
Address:5419 Stately Oaks St
City: Ft Pierce State:p-
Zip Code: 34981 Fax:
Phone No. 5SD 41+5 - �1�5
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Wade M Clarke
Company: Horizon Pools Inc.
Address:1810 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
Phone No772-405-1130
E-Mail honzonpools.sandy@gmail.com
State or County License CPC 1458644
If value of construction is 25W or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,So0 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Na me: R Rogers
Name:
Address: +ao+ w a
Address:
City: State: FL
City: State:
Zip: 3wi+ Phone772peN
Zip: Phone. -
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 ermit hold to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anScovenants 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 inspe ion. If you intend to obtain financing, consult
witthh lender or annattorney before commencin work or recor i our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA /,1�
COUNTYOF U 4�.t—
STATE OF FLORIDA ��
COUNTY OF -5" LLL" P�
SwoTto (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this Ia�dayof &k(1c4� 202,by
Sw to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this!9 dayof M,496T_ .2024by
CA' C6c- h , 11
L1 I , W)
Name of person making statement.
Name of person makingstatement
/
Personally Known OR Produced Identification ✓
Type of Identificatior� `
Produced
/ I
Personally Known V OR Produced Identification
Type of Identification
zgduced
fSiqhftture of Notar ublic- a e of Florida)
V t Josandra A. Ingraham
Commission No. NOTARY R98W
.a - z SETxATE OF FLORIDA
gnature of tary Pu i State ,/ jlgf .)ngraham
NOTARY PUBLIC
Commission No. STATE Oi51HabP,--
Cmvnrl GG954178
REVIEWS
FRON t ZgF NGO
COUNTER REVIEW
SUPERVISOR
REVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.