HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Num
BY
_° Y� • ; St.LudeCounty
Building Permit Applicatio
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
AUG 19 2019
Permitting Department
St. Lucie County, FL
Residential X
PERMIT APPLICATION FOR: Pool inground III
PROPOSED IMPROVEMENT LOCATION:
Address: 7001 S, INDIAN RIVER DRIVE
Legal Description: OLMSTEAD PLACE S/D LOT 6 (OR 3893-649)
Property Tax ID #: 3412-502-0007-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK`.
CONSTRUCTION OF IN GROUND SWIMMING POOLAND PATIO w /J.[ A2M [Oool 6ukRD�
4P.D f tgoclk- 13y oT 2S•
�ceP/L 7 l POP'dig/'
CONSTRUCTION INFORMATION:
itiona wor to e e orme peit under isrm-c ec a appy:
CIHVAC Gas
❑Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator 1:1 Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 42,700
S Ft. of First Floor: _
Utilities: 0 Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DIANE PHILLIPS
Name: JOHN M. MAY
Address: 7001 S, INDIAN RIVER DR.
Company: JM CUSTOM POOLS INC.
City: FORT 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. 772-240-3268
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
a value or conscruaion is ,,Z5DD or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
(Name: M. RANDALL RODGERS, PE
MORTGAGE COMPANY:
Name:
_ Not Applicable
AddreSS: 1801 HAZELWOOD DRIVE
Address:
City: FORT PIERCE State: FL
Zip: 34982 Phone: 772-201-1634
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 vour Notice of Commencement.
S ature of Owner/ Ag t/ Lessee
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
thisI q day of .4u.c, -r- 20 Aby
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced_
Commission No.
Revised 07/15/2014
STATE OF FLORIDA
COUNTYOF ST.LUCIE
The forgoing instrument was acknowledged before me
this i—y— day of A ctC u&c 7 20-4 by
�o!-fN fYL - vr1A��
(Name of person acknowledging)
(Signature of tiotiry Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
WfL(ORM H DONOVAN J ommission No.
My COMMISSION 4 GO0935 5
W16EWIA H DONOVAN JR
MY COMMISSION A GG093571
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
&6liciR
COMPLETE
INITIALS