HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -� -A�' a04�H Permit Number:
' `` E G, A�' - r Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential YES
PERMIT APPLICATION FOR: new In ground pool w/deck
PROPOSED IMPROVEMENT LOCATION:
Address: 1601 EASY ST
Property Tax I D #. 3402-610-0625-000-3
Site Plan Name: INDIAN RIVER ESTATES UNIT 09
Project Name DONNELLY POOL
DETAILED DESCRIPTION OF WORK:
NEW IN GROUND POOL W/DECK
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.31,32,33
Block No. 92
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
/
lectric ✓ Plumbing _ Sprinklers _ Generator _ Roof _ Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 44,933.00
OWNER/LESSEE:
Name ANDREW DONNELLY
Address:1601 EASY ST
City: FORT PIERCE State:
Zip Code: 34982 Fax:
Phone No. 772-240-8235
E-Mail:ANDREW101991 @BELLSOUTH.NET
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: WARREN SIGMAN
Companv:PRO POOL BUILDERS LLC
Address:7813 SW ELLIPSE WAY UNIT F1
City: STUART State: FL
Zip Code: 34997 Fax:
Phone N0772-237-7665
E-Mail OFFICE@PROPPOLBUILDERS.NET
State or County License CPC1459646
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.
DESIGNER/ENGINEER:
Name: MARKHAM SERVICES INC (57216)
Address:1820 NE JENSEN BEACH BLVD t1685
City: JENSEN BEACH
Zip' 34957 Phone 954-941-1124
Not Applicable
State: FL
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
Citv:
Zip: Phone:_
MORTGAGE COMPANY:
Name;
Address:
Citv:
Zip: Phone:_
BONDING COMPANY:
Name:
Address:
City:
Zip:
Phone:
x Not Applicable
State:
x Not Applicable
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 attorney before commencing work or rec❑ our Notice of Commencement.
re of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
Contractor/License Holder
STATE OF FLORIDA
COUNTY OF RTC
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 4 day of To Iy . 2021 by this _-L't day of -Su L`J - 2021 by
>n7 0 Jry 1,L- 4 I l �.A M—
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification ✓
Type of Identification
Produced L- n
�►rc-, `i 1 , 5
(Signature of Nota
�►wY Notary Public State of Florida
Commission No. Kerry A Sisfg@a
ommismon G 950211
R Expires U112212024
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known _
Type of Identification
Produced
—"- OR Produced Identification
S i 5 rJ
(Signature of
4 � Notary Public State of Florida
.
Commission N Kerry A Sisson (Seal)
y U0mmisaion GG 950211
~a n Expires 01/2212024
SUPERVISOR PLANS ' VEGETATION SEATURTLE 1 MANGROVE
REVIEW REVIEW I REVIEW REVIEW REVIEW
J