HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I "" 10 S900e Permit Number: /� V CD11I
RECEIVED
Building Permit Application NOV 10 2021
Planning and Development Services 5t. Lucie County
Building and Code Regulation Division Permitting,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT' LOCATION
.
Address: 10650 Heil Road
Legal Description: Ft Pierce Gardens of 21-35-39 Blk B Lot 11 Less E 55 ft and less W 94.98 ft Less Rd RM
(2.30 AC) (OR 628-1439)
Property Tax ID #: 2321-501-0023-000-7 Lot No.
Site Plan Name: McInerney Block No.
Project Name: Pool
Setbacks Front Back: Right Side: Left Side:
.DETAILED"DESCRI'PTION`OF WORK...= .
CONSTRUCTION OF IN GROUND POOL WITH HEATER AND PATIO
CONSTRUCTION INFORMATION
Additional wor to je ne orme under this permit— check a apply:
L [1HVAC J Gas Tank F]Gas Piping In Shutters ❑ Windows/Doors
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Sprinklers Generator Roof
S Ft. of Pirst Floor: _
Utilities: Sewer ElSeptic
Building Height:
,OWNER/LESSEE :.
,CONTRACTOR:.
Name Jesse/Brandi Mclnemay
Name: JOHN M. MAY
Address:10(eSO k(r= a— 8-D
Company: JM CUSTOM POOLS INC
�� / �� State: FIL
City: T
Address: 2503 DYER ROAD
Zip Code: �3q 1 1 % Fax:
City: PORT ST. LUCIE State: FL
Phone No.
Zip Code: 34952 Fax: 11 IA.
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN IN,FORIVIATION:
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:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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 or recording your Notice of Commencement.
STATE OF FLORIDA
COUNTY OF ST. LUCIE
y " /. , 0
Lessee Sign/06re of Contractor/Lice a Holder
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The fo going instr ment was cknowledgRby
efore me
this T day of 20
of person
Personally Known V
Tjrpe o I entificat1on
Commission N
ng
The forgjoing instrument was acknowledged before me
this _ U day of . A 14&"-1— 20_V by
—,/ 0 H /V /'yl ' / /,
(Name of person acknowledging)
4ad 1,10 d. Ivad
blic- Stath of Florida) J (Signature of Notary Pu - State of Florida )
Revised 07/15/2014
OR Produced Identification
Personally Known —t,/-- OR Produced Identification
Type of Identification Proditcpd
�SeRj,ary Public State of FlorpIto ission No
ylin J. May �9'9d�II
My Commission GG 906941
Note PubIj� State of Florida
Willi i'1�jlry Donovan Jr
F My Commission HH 086457
Expires 04/12/2025
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