HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.— 17 Permit Number: C9 I
USTS 111 RECEIVED
Building Permit Application MAY 0 7 2021
Planning and Development Services
Department
Building and Code Regulation Division ParSt. L g e COUntY
2300 Virginia Avenue,Fort Pierce FL 34982 Sr. LOCI@ COL'I5t/
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential .X
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 17 MAJECTIC WAY
Legal Description: QUEENS COVE-UNIT 1 -BLK 18 LOT B
Property Tax ID#: 1414-701-0170-000-8 Lot No.B
Site Plan Name: WYNNE Block No. 18
Project Name: WYNNE POOL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION OF IN GROUND POOL WITH PAVER PATIO AND HEATER.
CONSTRUCTION INFORMATION:
Additional work to e ne rmed under this permit—check all apply:
1JHVAC 0 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric E] Plumbing Sprinklers El Generator E]Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$��,IfD?>-oD Utilities. I Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJames/Jamie Wynne Name: JOHN M. MAY
Address: 547 Wash Roberts Lane Company: JM CUSTOM POOLS INC
City: McMinnville State: TN Address: 2503 DYER ROAD
Zip Code: 37110 Fax: City: PORT ST. LUCIE State: TN
Phone No. Zip Code: 34952 Fax: n/a
E-Mail: Phone No. 772-240-3268
Fill in fee simple Title Holder on next page(if different E-Mail:jmcustompoolsinc@gmail.com
from the Owner listed above) State or County License: CPC1458456
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Ahf .,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: M.RANDALL RODGERS Name:
Address: 1801 HAZELWOOD DRIVE Address:
City: FT.PIERCE State: FL City: State:
Zip: Phone: 772-201-1634 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work o r our Notice of Commencement.
Si natutetiof ,'. gent/Lessee Sr ture of Contract /License H Ider
STATE FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The for oing instrument was acknowledged before me The fo oing instrunne t wa acknowledged before me
this 3 day of "aV'C h 20 by thisM day of 20-21 by
(Name of person ackn ledging) (Name of person acknowle ging)
` l W a✓
(Si -ati.Yriofotary b'c-State of ida) (Signature of Notary ic-State of Florida)
Personally Known/ OR Produced Identification Percnnalle=K__������ OR Produced Identification
Type of Identification Produced Type of Identification Produced
d&R� q0ionCommission N e I No. WOE]
Florida
�p�` �q� Notary Public State ofFlorida van Jrae457Expires o4tW2025
'+ap Expires 10/03/2023
Revised 07/15/2014
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