HomeMy WebLinkAboutBuilding Permit App - Atlantic Beach Blvd All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/09/2021 Permit Number:
91Jo Lum
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone: (772)462-1553 Fax:(772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
Address: 2416Atlantic Beach blvd
Property Tax ID#: 1436-601-0030-000.6 Lot No. 8
Site Plan Name: Block No.
Project Name: Pool heater installation
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Install Thermeau Model TH105105K BTU Electric swimming pool heat pump
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters `Windows/Doors Pond
Electric —Plumbing —Sprinklers —Generator _Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 2400•00 Utilities: —Sewer _Septic Building Height:
Name Jonathan Joseph Name: Joel Dramis
Address: 2416 Atlantic Beach BLVD Company: JD Pool Clean, Inc.
City: Fort Pierce State:FL Address: 1734 SW Ocean Cove Ave
Zip Code: 34949 Fax: City: Port Saint Lucie State: FL
Phone No. 786-469-0846 E- Zip Code: 34953 Fax:
Mail: jonathan.joseph7@gmail.com Phone No 772-588-2300
Fill in fee simple Title Holder on next page(if different E-Mail jdpoolclean@gmail.com
from the Owner listed above) State or County License CPC1459089
Ltf 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: ^Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 conflicts with any applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners 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 lend atomv-60m commencing work or recording our Notice of Commencement.
ature of Ow Lessee/Contr 6r as Agent for Owner
STATE 0 FLORIDA
COUNTY OF 5r.t.wi;F-
Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this_01t day of GtUVEP eZL ,2021 by
Name of person making statement.
Personally Known OR Produced Identification AA
Type of Identification Produced .CA WCA b52- -o p Ogloz f zoz�
(Signature of Notary Public-State of Florida)
Michael B Rickard
Commission No. (Seal) My Commission GG 962484
Expires 03/30/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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