HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: !) q . I� Permit Number: Vn
RECEIVE®
Building Permit Application AUG 2 8.20V
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
.PROPOSED IMPROVEMENT LOCATION:
Address: 11700 APPALOOSA CT, PORT ST LUCIE FL 34987
Legal Description: PONY PINES -UNIT ONE, BLOCK A, LOT 15
Property Tax -ID #: 3309-605-0018-000-3
Site Plan Name:
Project Name: SIGEL
Setbacks Front � Back: I LO Right Side
DETAILED DESCRIPTION OF WORK: .
INGROUND SWIMMING POOL WITH DECK
Left Side:
Lot No.15
Block No. A
CONSTRUCTION INFORMATION:
Additional work o e nefformed under this permit —check all t= apply:
[3HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator O Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 33,844.00 Utilities:0Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJUSTINE SIGEL
Name: WADE M CLARKE
Address:11691 APPALOOSA CT
Company: HORIZON POOLS INC
City: PORT ST LUCIE State: FL
Address: 5423 STATELY OAKS ST
Zip Code: 34987 Fax:
City: FT PIERCE State: FL
Phone No.772-332-0700
Zip Code: 34981 Fax:
E-Maii:justinesigel@yahoo.com
Phone No. 772-801-8510
Fill in fee simple Title Holder on next page ( if different
E-Mail: horizonpools@att.net
from the Owner"listed above)
State or County License: CPC1458644
If value of construction is.52500 or more, a RtcuRutu notice oT Lommencemenr is regwrea.
SCM0 EndoSore- l`7o�" 6 �9O
5UPPL_EMENTAL.CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: Not Applicable
MQRTGA§g GgMPANY: — AI?P.,4cble
N a m e: GREGORy ARIAS
Name: NIA
Address:
Address:12115 56TH PLACE, N
City: WEST PALM BECH State: F-
City: State:
Zip:33411 Phone30,5-87M541
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
I BONDING COMPANY: Not Applicable
Name: N/A
Name: N/A
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 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
commencine work or recording vour Notice of Commencement.
Signa of Owner/ Lessee/Co'ntractd as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF----
COUNTY OF! ----
The forgoing instrum nt was acknowledged before me
this day of &7 20 Eby
The forgoing instrurVpnt was acknowledged before me
this day of 20� by
Name of person aki statement
... .-.�
Personaiiy Known ✓✓✓ urc Produced identification
Type of Identification
Name of person making statement
I1. �ORr--_J_____I I_I C_
rersur�a��y kiiuv�i� vrt rrCuu�ru wei�iiu�aiiuii
Type of Identification
Produced
Produced
(Ginn IIIru of Nntmni D.iklir- St�t� f
,_.b.
NOTARY P U I1
Commission N OFF���8R
(9 ura of Nntnry Piihlir- Stay Florida 1
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40sandra A
Commission No Y�E�aI)
Ceram# U0p325W
N sI° Expires 3/0/2020
STATE PP FLORIDA
WC=Q* 6GO32556
E 'res 3/02020
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS VEGETATION I SEA TURTLE • MANGROVE
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17