HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date. Permit Number: . co] �IY
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v L`L, Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential YES
2300 Virginia Avenue, Fart 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 ID #: 1436-601-0039-000-9 Lot No.18 & 19
Site Plan Name: FORT PIERCE SHORES Block No. 2
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 _ Gas Tank —Gas Piping _ Shutters —Windows/Doors _ Pond
%--TIectric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 35200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
N RA OR:
NameBRYAN ORTON
Name: R N SIGMAN
Address:2421 TAMARIND DRIVE
Company: FLORIDA LIFESTYLES POOL
City: FT PIERCE State:—
Address-1469 SW BALMORAL TERR
City: STUART State: FL
Zip Code:34949 Fax:
Phone No.772-359-9291
Zip Code: 34997 Fax:
E-Mail: iar�nm n SS IO `%asaa.Co-n
PhoneN0772-237-7665
Fill In fee simple Title Holder on next page ( if different
E-Mail OFFICE@PROPPOLBUILDERS.NET
State or County License CPC1457647
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
N a me: PROP POOL DESIGN
Name:
Address:3o sw sn+wnv
Address:
City: POMPANO BEACH State: FL
City: State:
Zip:33oBo Phones+-B.1-3+2+
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 attRFnqy before commencing work or record' Notice of Commencement.
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Signature ofOwner/ Lessee/Contractor as Agent for Owner
Signature CobY ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S-T ll1Gle
COUNTY OF S"T t C_le
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
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification ge
Personally Known d*, OR Produced Identification
Type of Identification
Type of Identification
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Produced
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(Signature of Notary Public- State of Florida )
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qev,5/6/20