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Home My WebLink AboutBUILDING PERMIT APPLICATIONIII ALL AP, LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I� Ip� �� Dater Permit Number: IR E oY-1 C W-M Building Permit Application Planni g and Development Services SEPQ)i Buildii'g and Code Regulation DivisionPermitting OOnt 2300 Wginia Avenue, Fort Pierce FL 34982 Phonel: (772) 462-1553 Fax: (772) 462-1578 Commercial S1titI� FL. 17, �s PERNA"IT APPLICATION FOR: Pool inground 90ANNIR PROPOSED IMPROVEMENT LOCATION Addres Legal G Prope Site PI Projec Setba •DET 114 QUEEN CATHERINA CT ption: QUEENS COVE -UNIT 2- BLK 22 LOT E(OR 3669-2438) y Tax ID #: 1414-702-0015-000-7 Lot No. E i Name: Block No. 22 Name. PENNELL cs Front Back: %� c Right Side: Left Side: LIED. -DESCRIPTION -OF -WORK:, INSTALLING AN INGROUND SWIMMING POOL w15 1,, 41 q4m_ 4/_ CONI TRUCTION INFORMATION. Additional work to jeer orme under t is permit— check a apply: VAC I_J Gas Tank FIGas Piping _ Shutters E]Windows/Doors FlElectric 0 Plumbing Sprinklers` FiGenerator L=1 Roof Roof pitch Total Sq. Ft of Construction: 1 wL- 2 /�� fttA �7 S . Ft. of First Floor: I I�1 Cost off Construction: $ g 3��-- Utilities: _ Sewer L I Septic Building Height: OWNER/LESSEE _ CONTRACTOR: -CRYSTAL POOLS_.. NameQDAN PENNELL Name: BARRY MILLS Addr s1 s:114 QUEEN CATHERINA CT Company: CRYSTAL POOLS PIERCE State:F� City: ,IIT Address: 4680 US1 Zip G ' de: 772-567-9824 Fax: City: VERO BEACH State: FL Phone E-Mail: Fill in�fee i' No. Zip Code: 32967 Fax: Phone No. 772-567-3067 E-Mail: JIMMYR@CRYSTALPOOLSIRC.COM simple Title Holder on next page (if different fromi he Owner listed above) State or County License: CPC1457120 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUP'' L—EMENTAL CONSTRUCTION LIEN-LAWINFO'RMATION: — — — DESIGNER/ENGINEER: Name: Add City Zip '1 _ Not Applicable DAN PENNELL MORTGAGE COMPANY:' _ Not Applicable Name: BARRY MILLS Address: 114 QUEEN CATHERINA CT City: VERO BEACH State: Zip: Phone: Less: 114 QUEEN CATHERINA CT ICIFTPIERCE State: d Phone FEE Naffel Address: City-, Zip: ,(I 'll SIMPLE TITLE HOLDER: _ Not Applicable : BONDING COMPANY: _Not Applicable Name: Address: 4wo us' City: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certi. 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, in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such struct 're. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In con' I Ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accgrdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The fo owing 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 WAR ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impr "I'ivements 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 rnmri_r ring vrrk nr rPrordino vniir NntirP of (nl'Y rnPnrPmPnt_ Signki ure of Owner/ Le see/Contractor as Agent for Owner Signature of C ntractor/Ucense Holder STA CO � E OF FLORI NTY OF LV �� STATE OF FLORIDA COUNTY OF 3 T^ (. u1Lt The this Ding instru e t w s acknowledged before me day of 20� by The fgr�Ding instrument was acknowledged before me this _G_C__ day of s 20_ by Name of pers n ting statement Name of person m ing statement Perslbnally Known Produced Identification Personally Known OR Produced Identification Typ of Identification Type of Identification Proc Liced Produced (Sig CO °ature ISSIo ,o J.M4FS ROUAN "MY COMMISSION ;; (sign COm t - ma- UQ Ruhlii fit tes3f bridal- PO<aAY�u9�!, JAMES ROUP.N MY COMMISSION # GG 006627 ($ (r al) _T. November4, 2020 EXPIRES: Novom er4, 2020 ....• Bonded Thru Notary Public Undenva ars '•;;oF F '" Bonded Thru Notary Pubic Underwri,ers RE I IEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DA iE CO , PLETED II Rev. 8/2/17