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HomeMy WebLinkAboutBrunnerPoolPacket All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: , "�;LQc) Permit Number: C0UNTY Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT TYPE: � Q 71 PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID#: c( o at,i O C Q �3 ���, Lot No. Site Plan Name: G'0.r Block No. Project Name: Q2CA [DOETAILED DESCRIPTION OF WORK: 6 C' CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical Gas Tank _Gas Piping —Shutters Windows/Doors —Electric Plumbing Sprinklers _Generator _Roof Pitch Totaf Sq. Ft of Construction: Sq. Ft,of First Floor: Cost of Construction:$ Lrj Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: c, e ri , Address: Q Company-Hai —f)-c 5 e City: G State:A Address: I(.,,L) Zip Code:3 _�y,Q► Fax: City: State:�f Phone Na. �j� I Q `3 Zip Code: -4" Q)— Fax?'1Q 1Jk, E-Mail: Phone No Fill in fee simple Title Holder on next page(if different from the Owner listed above) State or County License �� a 5 6U If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of FNAC is$7,500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: _ _ Address: City: State: City: State: Zip: Phone_ Zip: Phone: FEE SIMPLE TITLEHOLDER: _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 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 JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee n ractor as gent for Owner Signature of Cont r/Llcense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF S f L,v c.! c , The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this, )day of 10'17� _,20-*;t I by this,,,_day of In 2}0Q by j �GJ c- f� Name of person making statement. Name of person making statement. ersonally Kno OR Produced Identification Personally Kna OR Produced Identification y In I ication n Ification Produced Produced nt � � 1 (Signature of Notary nnP lid JState of Florida) (Signature of Notary i - l� 1 L1 0l J r' N Publ l F a Commission No. Seal} Commission No. My commiLii011 G 942752 aftoj IV Eyoft 12r2612923 Not Iry REVIEWS �y b PE ISO R PLANS VEGETATION SEA TURTLE MANGROVE R Irii823 REV W REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. - - SC]LI#R ENERGY SYSTEMS - ESTIMATE and PROPOSAL An Energy Management Company O 160 Smallwood Ave. Florida State Certified Solar Contractor#CV C056637 Ft.Pierce, Florida 34982 Martin Co. Indian River Co.. State 464-2663 288-0442 562-8999 1-800-330-7657 DATE 20 NAME PHONE CELL E-MAIL ADDRESS CITY STATE ZIPCODE REF# SPECIFICATIONS: Solar Energy Systems offers to furnish and install' 0 SOLAR HOT WATER C7 SOLAR POOL/SPA HEATING 13 HEAT PUMP 177 GAS HEATER SOLAR WATER HEATING SYSTEM SOLAR POOUSPA HEATING SYSTEM #_. Collectors 4 x 8 4 x 10.5 4 x 12.5 $ C'I Heat Pump $ O #_ Collectors X— -- - _ n Manual 3 Way valve --- O # Tank Size _ Serial# INAutomatic Control-_ G -Pump Type. O Pool Blanket(x) $ O _ f _Over 60 Foot Run. O Pool Blanket Roller � $ O _ Tilt_ rl Additional Piping Over 60'(') _ $ © Roof Type. 0 Replacement Pump(HP) •-- $ O 2 Story_ — - _ d Trenching $ Q 2 Tank Tie In C7 Spa Tie-in � $ 177 �a 10 Year Warranty 1W Roof Type ( $ TOTAL$, _ TOTAL$ �PC PUMP INFO SREQ IONS �1E H( ' )h �-lr7 tr . Load Center Type 1'"T 1 1, Breaker Req. A Wire Gauge A � � � �-�s?'S /},f �J' C Distance to Service T' 220 Service Needed p r )- ,r.. L F-zJ. "POOL.BLANKET- - Slab Needed _ Legal Description: � t �' �� =� REQUIRED � q� FOR OPTIMAL '� Service to be supplied by owner Parcel- I Q# t..1� l�3 ��!�N U[ r PERFORMANCE" Yes No _ 0 LOT BLK SUB INDICATE SOUTH - APPROVED BY INSTALLATION I understand that this is only an estimated date,and that I will be contacted prior to this date to Submitted By; BATE t.J f"r^ schedule actual installation. Customer Can Buy At This Price Until: Building/Pool Phone# (DATE) Contractor: e hereby propose to furnish labor 8 materials-Complete installation to existir)g premises m accordance wish above specifications,for the sum off: TOTAL. . § r' 7 L ` '' DOLLARS$ , A ;- With payments to be made as follows 3 DEPOSIT$ - -1 BALANCE$ a-'l t1PON CQMPLETION 13 TO 8E FINANCE© All system components meet FSEC standards.All work is to be completed In aworkmanilke manner according to standard practices.Any alteration or deviation from above specifications Involvleg a#- costs,wilt be executed only upon written orders,and will became an extra charge over and above the estimate.Ail agreements are contingent upon strikes,accidents or delays beyond our control. The above prices,specifications and conditions are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. Payments not made upon completion subject to late fees after 10 days.See cancellation agreement on back of page. DATE (CUSTOMER'S SIGNATURE) (SPOUSE'S SIGNATURE) SMEMBER - FLAB Oa PA CUSTOMER WHITE OFFICE:PINK INSTALLER:MANILLA 94. FLORIDA