HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /`
Date: Permit Number: // 6 S- V -
�72
(DECEIVED
o l�:l ll AUG 19 Zell
Building Permit Application
permitting Department
Planning and Development Services St. Lucie county
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:SWimming pool and patio
PROPOSED IMPROVEMENT LOCATION:
Address: 3142 Tidewater Circle Fort Pierce FL 34945
Property Tax ID #: L.h Zf
Site Plan Name: 42AZt�
Project Name: Romanello Residence
Lot No'.t (_
Block No.
DETAI LE U DESCRIPTICN`OF`WORK-'
Gunite swimming pool, brick paver patio, and pool equipment
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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
�.
Sq. Ft. of First Floor.-< :�
Utilities: _ Sewer _ Septic
-.OWN-ER/LESSEE:-� c _v__ _ a :� =_=_p _. __ -CONTRACTOR-
-
NameJarret Romanello
Name: Hannah Becker
Address:3142 Tidewater Circle
Company:ABJ Custom Pools LLC
City: Fort Pierce FL State: _
Address:4911 Jorgensen Road
Zip Code: 34945 Fax:
City: Fort Pierce FL State:
Phone No.772.801.9729
Zip Code: 34981 Fax:
E-Mail:jarretromanello@hotmail.com
Phone N0772.539.3025
Fill in fee simple Title Holder on next page ( if different
E-Mail anjcustompools@gmail.com
from the Owner listed above)
State or County License32304
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 IN'FORMgTION.'
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name' Sidney Kovner
Name
Add res s: 139 Isle Verde Way
Address:
City: Palm Beach Gardens State: FL
City: State:
Zip:3U16 Phone5e.M4385
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
wit ighlder or an attornev before commencine work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lucia
COUNTY OF Saint Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 21 day of May2021 , 2020 by
this 21 day of May 202 . , 2020 by
PoC�K 10a
Name of person making statement.
'me of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identificen
Produc d
e "P Y� /o A—,9 "I
Produced
(Signature of Notary - t e f
OidnaRbire of Notary Pu c- S
tYPUB ; ARWEN DADAMS
'yr'r�e:. ARWEN DADAMS
Commission No. GG 272920 Nota(S@Ac - State of Florida
Commission # GG 272920
Commission No. GG 272920 '• ��_ IsmPp blic - State of Florida
•
"4 ComiAission # GG 272920
•i7A: '
My Comm. Expires Oct 31, 2022
.• 1�� '
�
My Comm. Expires Oct 31, 2022
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Kev. 5/6/10