HomeMy WebLinkAboutPermit App New Contractor 5.26.22 (1)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �
Permit Number:
C(21U1K-L'-�'
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
CBDG Funding
PERMIT APPLICATION FOR: pool and patio
PROPOSED IMPROVI=MENT LOCATION:
Address: 4625 S. INDIAN RIVER DRIVE
Property Tax ID #: 2436-331-0001-000-9
Site Plan Name: FERREIRA
Project Name: POOL
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION OF IN GROUND POOL AND PATIO
Residential X
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Lot No, 2
Block No.
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:
OWNER/LESSEE: CONTRACTOR:
Name_ STEPH,EN FERREIRA Name; JOHN M. MAY
Address: 5215 HICKORY DRIVE Company: JM CUSTOM POOLS INC
City: FORT PIERCE State: FL Address: 2503 DYER ROAD
Zip Code: 34982 Fax: City:PORT ST. LUCIE
State: FL
Phone No. E- Zip Code: 34952 Fax: NSA
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 cnnstrurtinn ic ?Knn n, ,w..,ra n
- - -- ------ ..ticrnuncnl-CIf1Cn[ Is requtrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
'----•-�••. �-•+.. �+r+•... v!• i-irriiavi i : Hppiicacion is nereby 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 Hoeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult mwith 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 lender or an attorney before Commencing work or recording +o
�1 ur Notice of Commencement.
ure of Con ar - or - Owne) Builder as applicable
STATE OF FLORIDA
COUNTY OF S "7—,
Sworn to (or affirmed) and subscribed before me of Xhysical Presence or Online Notarization
this day of A 20 _4_Aby
.J�� ��►
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
re of Notary
or Florida]
Commission No., (Seat)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
�Vil_J,i yjnq Qox"'O / -
7yjNotary Public' W d Pbrida
William Henry Donovan Jr
My Commission 21 OB8457
Exprras o41t212025
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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