HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCENTED
Date: '�/_� Permit,,Number:I`\V Vtdi�
RECEIVED
Building Permit Application FEB 04
Planning and Development Services 2019
Building and Code Regulation Division 00fraitunB oepdtt
2300 Virginia Avenue, Fort Pierce FL 34982 Lu°le Countyent
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 SCANNED III
PROPOSED IMPROVEMENT LOCATION: gf Luele Ofjt�ll Address: 2503 DYER ROAD
Legal Description: ST LUCIE GARDENS 25 36 40 BLK2 N 165 FT OF S 1155 FT OF LOT 6 (1.31 AC) (MAP34.25N
(OR 4023-219: 4023-328)
Property Tax ID #: 3414-501-1406-100-2
Site Plan Name:
Project Name: MAY POOL
Setbacks Front )0 A Back:1'4 k
DETAILED DESCRIPTION OF WORK:
Right
CONSTRUCTION OF IN GROUND SWIMMING POOL AND PATIO
Left Side:
Lot No. 6
Block No. 2
CONSTRUCTION INFORMATION: III
11HVAC U_ Gas Tank ❑Gas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ ' �s01� org
Shutters ❑ Windows/Doors
Generator Roof
S Ft. of First Floor: _
Utilities: Sewer E]Septic
"Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name dOHN/KAYLIN MAY
Name: JOHN M. MAY
Address:2503 DYER ROAD
Company: JM CUSTOM POOLS INC.
City: PORT ST. LUCIE State:FL
Zip Code: 34952 Fax:
Phone No. 772-538-0942
Address: 2503 DYER ROAD
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-486-0821
E-Mail: kaylin1@bellsouth.net
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 $2506 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
STATE OF FLORIDA
COUNTY OF S-1- 11aDe
The for oing instrumept y!as acknowledged before me
this May of /—"b 20 14 by
AV/1-
(Name of persbn dck as pi
•ysr:%J WILLIAM H ONOVAN JR
My COMMISSION # GG093571
+F eYPIRES Aonl 12.202J
STATE OF FLORIDA
COUNTYOF Sf G�zle
The for oing instrume w s acknowledged before me
this T day of e-0 20 14 by
of person
Personally Known OR Produced Identification Personally
Type of Identificati Produced Type of Id(
Commission No.- ?) 76 (Seal)
Revised 07/15/2014
wILLIAM H DONOVAN JR
MY COMMISSION # GG09351
EXPIRES April 12, 2021
of
W ILLIAM H DONOVAN JR
My C:iP.6MISSION # GG09357'
OR Produced Identification
Commission No.6t74?'& � 7r (Seal)
My COMMISSION # GG093576
EXPIRES April 12.2021
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
MANGROVE
REVIEW
SEATURTLE
REVIEW
DATE
COMPLETE
INITIALS
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