HomeMy WebLinkAboutBUILDING PERMIT APPPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �/ 07 /� Permit Number:
SCANNED
BY
St, Lucie County
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
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RECEIVED
DEC 1 22018
ST. Lucie County, Permitting
Residential X
PERMIT APPLICATION FOR: Pool inground III
PROPOSED IMPROVEMENT LOCATION: III
Address: 6446 CITRUS AVE
Legal Description: 09 36 40 E 619.80 FT OF W 634.80FT OF S 1/2 OF N 1/2 OF SE 1/4 OF SE 1/4 (4.80AC)
(OR 1902-2779)
Property Tax ID #: 3409-442-0010-000-5 Lot No.
Site Plan Name: NAIL POOL
Project Name: NAIL POOL
Setbacks FrontQ/ Back: � g_ Right Side: Left Side:
Block No.
I DETAILED DESCRIPTION OF WORK: III
CONSTRUCTION OF IN GROUND POOL WITH PAVER PATIO
CONSTRUCTION INFORMATION:
A itiona wor to e e orme under tispermit—checka apply:
EIHVAC ri Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers M Generator Roof
Total Sq. Ft of Construction: ScFt. of First Floor:
Cost of Construction: $ #X a o Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMIEIAMANDA NAIL
Name: JOHN M. MAY
Address: 6446 CITRUS AVE
Company: JM CUSTOM POOLS INC.
City: FT. PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.
Address: 2503 DYER ROAD
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 7721-240-3268
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: JMPOOLS@BELLSOUTH.NET
State or County License: CPC1458456
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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:
Address:
City:
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
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
commencing work or recording your Notice of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF Sf Z C�CYC COUNTY OF IT. L.uc/c
The for oing instrument was acnknowledged before me
this day it/GV 20by
Personally Known OR Produced Identification
Type of Identificati n Produced
Commission No.
Revised 07/15/2014
COMMISSION # G
EXPIRES APfd 12.
The forgoing instrument w s acknowledged before me
this fi day of P O 20_W by
W64
(Name of person acknowledging )
(Signature of Notary Pubr - State of Florida )
Known /V OR Produced Identification
JR P• WILLIAM H/CpPO� OVAN JR
fission No. ` COMMIS
a GG093571
�r EXPIRES April 12.2021
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