HomeMy WebLinkAboutBuilding Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential YES
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:BRYAN ORTON
PROPOSED IMPROVEMENT LOCATION:
Address: 2421 TAMARIND DRIVE
Property Tax I D #: 1436-601-0039-000-9
Site Plan Name: FORT PIERCE SHORES
Project Name: ORTON RESIDENCE
DETAILED DESCRIPTION OF WORK:
NEW IN GROUND POOL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION -
Additional work to be performed under this permit —check all that apply:
_Mechanical
electric
Gas Tank
— Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 35200.00
_Gas Piping
—Sprinklers
Lot No.18 & 19
Block No. 2
Shutters _ Windows/Doors _ Pond
Generator
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name BRYAN ORTON
Name:WARREN SIGMAN
Address:2421 TAMARIND DRIVE
Company: FLORIDA LIFESTYLES POOL
City: FT PIERCE State: _
Zip Code:34949 Fax:
Phone No.772-359-9291
Address-1469 SW BALMORAL TERR
City: STUART State: FL
Zip Code: 34997 Fax:
Phone N0772-237-7665
E-Mail: 'br�ayn 0 SS 0 vaeaa .Cam
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail OFFICE@PROPPOLBUILDERS.NET
State or County License CPC1 457647
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: —
Not Applicable
MORTGAGE COMPANY: x
Not Applicable
N a m e: PROP POOL DESIGN
Name:
Ad d re S s: 30 SW 5TH WAY
Address:
City: POMPANO BEACH
c
State: FL
City:
State:
Zip: 33060 Phone954-941-1124
Zip:
Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY:
x
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 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 attouiev before commencine work or recording vour Notice of Commencement.
,Signature ofOwner/ Lessee/Contractor as Agent for Owner
Signature Contractor/Lic nse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST t tAC ie
COUNTY OF ST t t(_I e
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
'Physical Presence or _ Online Notarization
this day of M��.�, 202Q by
this - day of J�A a C-� , 202a by
Kerry A. Sisson
Kerry A. Sisson
..
Name of person making statement
Name of person making statement.
Personally Known OR Produced Identification _ o�
Personally Known d`- OR Produced Identification
Type of Identification
Type of Identification
Produced fl L
Produced
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(Signature
(Signature of Notary li - t t 2f.112ridlaL(Signature
of Notary Public- State of Florida)
Nome N=of Fbrdlo
Commission No.
Of NonryA�T/Flpge
Commission No.
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My Commission GG M211
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