HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLE-i cv FOR APPLICATION TO BE ACCEPTED
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Date: June 15th, 2017 Permit Number:
RECE '
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Building Permit Applic tion
NOV 0 3 2017
Planning and Development Services
Building and Code Regulation Division
Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial StR&4i►cdltFaQWntY, FL
PERMIT APPLICATION FOR: Pool ese-e Ca-v\ Secorid.f7
,PROPOSED iMPROUEM'ENT LOCATION A,.
P'l ..,
Address: 7912 S. Ocean Drive, Jensen Beach, FL 3495.7
Legal Description: Lot 4 Diamond Sands Plat 2
o
Property Tax ID #: 3527-501-0005-000-0 Lot No.4
Site Plan Name: Diamond Sands Block No.
Project Name: Simmermacher Residence
Setbacks Front 20 Back: 40 Right Side: 7•5 Left Side: 7.5
`DETAfLED DESCRIPTION OF VI/ORK1 ;
NEW CONSTRUCTION" OF A SINGLE FAMILY RESIDENCIAL POOL (in conjunction with
construction of a home).d Gl on -7P ci r
CONSTRUCTION INFORMATION f
apply:
Additional work to De errtormed under tis permit - check aMShutte
OHVAC a
Gas Tank in Windows/Doors
❑Gas Piping rs
_
11 Electric Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ftofof First Floor:
Cost of Construction: $ 50,000 Utilities: nSewer EiSeptic Building Height,
QWNER LESSEE �_ � CQ,NTRACTOR "
Name Louis Simmermacher Name: Barry Mills
Address: 2200 S. Ocean Lane, Apt 2002 Com an rystal Fools of Indian River, Inc.
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City: Fort Lauderdale FL
State: Address: 4680 N. US 1
Zip Code: 33316 - Fax: City. Vero Beach FL
State:
Phone No. 954 847-9553
Zip Code: 3�967 Fax: 772 770-5961
E-Mail: Isimmermac@aol.com Phone No. 772 567 s 67
Fill in fee simple Title Holder on next page ( if different E-Mail: marbucci@comcast.net
from the Owner listed above) State or County License: CPC145712D
If value of construction is $2500 or more, a RECORDED Notice of Commencement is reauired-
14
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SU;PPLEIVI�ENTAL CONSTRUCTION;
'LIEN LAV1/
4.
INFORMATION
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: curtis-sinclair.lnc•
Name:
Address: 8259 N. Military Trail. site 3
Address:
City: Palm Beach Gardens
State: FL
City:
State:
Zip: 33418 phone: 561630-8534
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X
Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
Address:
Address:
City:
City:
Zip: Phone:
I
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
commencini; work or recording vour Notice of Commencement.
Signature
as Agent for Owner Signature of Co
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF 13rowc cA COUNTY OF ST-QV &Q_
The forgoing instrument was acknowledged before me The forgoing instrumeD,t was acknowledged before me
this l5 day of Jury 20 l`) by this 0 day of 20 20 _Qby
-k
(Name of person acknowledging) (Name of
' 2z —
(Signature of Notary Public- State of Florida )
Heather Levels ,
Personally Known uJit "' iggn
Type of Identification :Pr QRIi ersv—Commission No.`>; FF949i303
ExpWil li/2020
Revised 07/15/2014
(Signature of
edging)
4.,0%,
ry Publ" - State of Florida )
Personally Known JZ OR
Type of Identification P99W
Commission No =',� 'Y.it ''" -(-Se,al,�fember4,2ozo
P':;i q, nIV- 13, . ,# rublic Undarvdars
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