HomeMy WebLinkAboutRevels Bldg Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
oUlmQ 404 41.
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Residential X
Aaaress: . 1 ur[Ivr-, r-Uml t"ItKUL, I-L 34982
Property Tax ID #. 3402-610-0349-000-4 Lot No.1
Site Plan Name: REVELS Block No. 82
Project Name:
L DETAILED DESCRIPTION OF WORK:.
INGROUND SWIMMING POOL & CONCRETE DECK
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 _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name REVELS, MICHAEL
Name:WADE M. CLARKE
Address:5807 BAMBOO DRIVE
Company: HORIZON POOLS INC.
p y
FORT PIERCE
City: State: FL
Zip Code: 34982 Fax:
Phone No.772.905.7102
Address:1810 SW BILTMORE STREET
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
Phone No772.405.1130
E-Ma i 1: LI FES4LIVEN24@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2snn nr ..,.,.o Drr r%or,vr% m....:__
E-MailTKISS-HORIZONPOOLS@GMAIL.COM
State or County License CPC1458641
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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: x Not Applicable
Name: R.ROGERS
Name:
Address: 1801 HASELWOOD DRIVE
Address:
City: FORT PIERCE State: FL
City: State:
Zip: 34981 Phone772.201.1634
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
with lender or an attorney before commencing work or recording our atce of Commencement.
Ak,,
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSAINTLUCIE
COUNTY OFSAINTLUCIE
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 _L day of � _ c _ 202 by
this day of hi uR 202.2 by
MICHAEL REVELS
WADE M. CLARKE
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
J'rodu�d�''/ -
Prod "d 1 —
(Sign ture of Notary .ublic- St
KA LEEK G LOEH
i`_I-t�tary
ture of Notify Public-
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,�t�zYPGa, LEE,N G LOEHRI
HH136372 �° Public state of FI
Commission NO. = mission # HH 1363
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mission No. HH136372
�r° cs Notary P blic-State of Flori
=' ¢ Ck;sion # HH 136372
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My Commission Expir
June 01, 202
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ate
'� o=`�t: My commission Expires
���� " June 01, 2025
PLANS
VEGETATION
REVIEWS FRONT ZONING SUPERVISOR
SEATURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. S 0