HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTE
Date: 12'/-// Permit Nur
By
St.ILIlcbCOURRY
- - Building Permit Apl
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 ,Pax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 1417 LONE PINE DRIVE
Legal Description: LONE PINE SUBDIVISION (PB 51-21) LOT 14
Property Tax ID #: 3409-505-0019-000-0
Site Plan Name: -
Project Name: MILLARD POOL
Setbacks Front Back:
Right Side
d 7- 0.5 as
JUL 15 2019
Permitting Department
St. Lucie County, FL
Residential X
2498-1441
Left Side:
Lot No.14
Block No.
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION OF IN GROUND POOL WITH CONCRETE PATIO
c e_ 19 L9 7-a.�ra�
I CONSTRUCTION INFORMATION: I
HOaulandl WorKLo ue errormea under tms perni cl
OHVAC D Gas Tank ❑Gas Piping
RI -Electric 0 Plumbing [:]Sprinl
Total Sq. Ft of Construction:,'
Cost of Construction: $ 3al 0 d D
L_JShutters Windows/Doors
ElGenerator E]Roof
S Ft. of First Floor: _
Utilities:cn Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WARREN & ANGELA MILLARD
Name: JOHN M. MAY
Address: 6040 N.W. RELIEF CT
Company: JM CUSTOM POOLS INC
City: PORT ST LLUCIE State: FL
Zip Code: 34983 Fax:
Phone No.
Address: 2503 DYER ROAD
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-240-3268
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: tmpools@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 MORTGAGE COMPANY: _ Not Applicable
Name: M. RANDALL RODGERS, P.E. Name:
Address: t901 HAZELWOOD DRIVE Address:
City: FORTPIERCE State: FL City: State:
Zip: 34952 - P-hone:-772-201-1634 _ Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
BONDING COMPANY: _Not Applicable
Name: _
Address:
Zip: Phone: I 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anScovenants 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 vour Notice of Commencement.
- id�l_ -
Sig Lure of Owne essee
STATE OF FLORIDA
COUNTYOF ST. Lu sit
The forgoing instrument was acknowledged before me
this ASS day of _ Eu " E 20 A by
Sign re o ontr story ' se Holder
STATE OF FLORIDA
COUNTY OF 57'-- Z u sic'
The forgoing instrument was acknowledged before me
this _'X%ay of ':;F(C AJ20_fi by
(Name
Notary PubligJSfate of Florida )
Personally Known _� OR Produced Identification Personally Known _� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. iA 'sik (MPAM H DON JV� mission No. WIL��R1�)H DONOVAN JR
CJ r7'6�- 7 j 7j� : ° ( COMMISSION # GG09 576 �j.�0�3 j 7� 4
J i� - MY COMMISSION # GG093576
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
16 la
INITIALS