HomeMy WebLinkAboutFerreira Pool Permit-Needs to be updatedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Permit Number:
Building Permit Application
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:S. Z"'J-T�zvp�-rj biz-f-VE
Property Tax ID #: Q43(,- 3 3 (- 0061 OCO Lot No. a
Site Plan Name: Block No. AZIA—
Project Name: FE D P NLLO P-001.
DETAILED DESCRIPTION OF WORK:
N e-W ( fi x ad zr-� G-"y n 'r7 P a.a L, W 1 ie
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 .—Generator
Total Sq. Ft of Construction:
Cost of Construction: $
OWNER/LESSEE:
Windows/Doors Pond
Roof — Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
CONTRACTOR:
Building Height:
Name Name:WARREN SIGMAN
Address: R'• e't D2. Company: Pi4 VaDL Bum LD_EA-�S LL_C-
City: f=orr State: FL Address: -":h� 5w F-Li. Z-fe3E W A Y
Zip Code: 3y7 k;Z Fax: City: STUART State: FL
Phone No. 7 7o2 - 77:3 - 1-135 Zip Code: 34997 Fax:
E-Mail: C v 66 /e-r 4/4,o o c�J SIAAo0 - C o ••1 Phone No772-237-7665
Fill in fee simple Title Holder on next page ( if different E-MailOFFICE@PROPPOLBUILDERS.NET
from the Owner listed above)
State or County License CPC ly 15--q6 f
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 INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: MARKHAM SERVICES INC (57216)
Address: 1820 NE JENSEN BEACH BLVD #685 C
City: JENSEN BEACH State: FL
Zip: 34957 Phone 954-941-1124
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:_
Address:
City;_
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
x Not Applicable
State:
BONDING COMPANY: x Not Applicable
Name:_
Address:
City:`
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
with lender or an attorney before commencing work or recordiW your Notice of Commencement.
Signature wner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF L oe_.X�F_
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this Q( day of A96V . , 2021 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification L
Produced
(Signature of Notary Public- State of Florida )
Commission No.
(Seal)
Contractor/License Holder
STATE OF FLORIDA
COUNTY OF rLi�
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 1 day of A) oVGrnBe-2 , 2021 by
Name of person making statement.
Personally Known 'K OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _ -
D A_TE
COMPLETED