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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� Date: �0 -/ Permit Number: ' 2,0 BY RECEIVED • . ���� Count Building Permit Application JUN 0 6 2018 Planning and Development Services Building and Code Regulation Division I ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from d'ropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: i Address: 11675 Twin Creeks Drive Fort Pierce, FL 34945 Legal Description: Property Tax ID #: OC Site Plan Name: Ortiz Project Name: Pool Setbacks Front Back: OS Right Side: '333— - DETAILED DESCRIPTION OF WORK: Construction of inground pool and paver patio. Screen enclosure byiothers. CONSTRUCTION INFORMATION: Additional work to be Dertormed under 11HVAC I Gas Tank IRElectric © Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 3 O this permit — check a a Left Side: �y L_JGas Piping I II Shutters Sprinklers [] Generator S . FtFtj of First Floor: _ Utilities: L Sewer 0 Septic Lot No. Block No. QWindows/Doors E]Roof Building Height: OWNER/LESSEE: CONTRACTOR: NameJaviar Ortiz Name: John M. May Address:11675, Twin Creeks Drive Company: JM Custom Pools Inc. Ft. fierce, FL City: State: _ Zip Code: 34945 Fax: Phone No: Address: 3134 SW Dimattia Street City: Port St. Lucie State: FL Zip Code: 34953 Fax: 772-A07-5481 Phone No. 772-240-3268 E-Mail: jmpools@bellsouth.net E-Mail: Fill in fee simple Title Holder on next page (if different State or County License: CPC1458456 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea. Ln cIm I I (?P, : 13 nt„ SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: City: Address: City: Zip: Phone: 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 of Commencement may result in your paying twice for ncement must be recorded and posted on the jobsite ancing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. WARNING TO OWNER: Your failure to Record a Notice improvements to your property. A Notice of Comme before the first inspection. If you intend to obtain fin Signature of O^ wnner/ Agent/ Lessee STATE OF FLOR COUNTY OF _ (�rl P I The forgoing instrument was acknowledged fore me this __V_ day of k ),k n e , 20 IV by 'Ja V, (--# 6 r-b Z' (Name ofpersorAacknowledging) Publid $tate of Florida ) Personally Known V OR Produced Identification Type of Identification Produced G' L 31 0,*%v Pyo Notary Public State of Floi Commission No. : l'SeKoylin J May y�c� My Commission FF 91431 �` of f og Expiros 10/03/2019 Revised 07/15/2014 Sign ure of Contractor ' Holder STATE OF FLORIDA �� `� COUNTY OF The forgoing instrument was acknowledged before me this _�L_ day of luvt, e— , 20-0 by (Name of person acknowledge g ) (Signature of Notary Public- St of Florida ) Personally Known OR Produced Identification of Identification Produced WI 1 H DO'NOVAN JR- Co mission No. � MY COMMisStON * GC30835iE ,4Md0F EXPIRES ApA t2, 2o21 Z' � REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE ,< MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I� INITIALS