HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
6/21/18 Permit Numbe
e ` R E(O."20E N E D
•
Building Permit Application JUN 21 2018
Planning and Development Services Perrrllttlng p�e a�tnlent
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 1 $t...Logie County,, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R
PERMIT APPLICATION FOR: Pool above ground
PROPOSED IMPROVEMENT LOCATION,:,,
Address: 2690 Rainbow Drive
Legal Description: 5 36 40 FROM NE COR OF N 375 FT OF S 1/2 OF NE 1/4 OF SE 1/4 RUNW 593.4 FT FOR POB,
TH CONT W 100FT, TH S 162.50 FT,TH E 100 FT,THN 162.50 FT TO POB-LESS THAT PART LYG N OF COMMON
Property Tax ID#: 3405-413-0001-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
z
Setbacks Front Back: I Right Side: Left Side
DETAILED DESCRIPTION OF WORK:
Install above-ground pool. 211411, CA
CONS.TRUCTION�,INFORM'AT10:_N:
Additional work to be performed under this permit—check all appy:
❑HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Constructcio-nn:/� Sq. Ft.of First Floor:
Cost of Construction: Utilities: Sewer Septic Building Height:
OWNER/LESSEE:; CONTRACTOR:
Name Cheryl Waters Name:
Address:2690 Rainbow Drive Company:
City: Fort Pierce State:FL Address:
Zip Code: 34981 Fax:772-461-0809 City: State,
Phone No.772-216-8015 Zip Code: Fax:
E-Mail:c.waters@callawayandprice.com Phone No.
Fill in fee simple.Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENT AL CONST
RUCTION LIEN LAW INFORMAThOnN:
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Cheryl waters Name:
Address:2690 Rainbow Drive AddreS5: 2690 Rainbow Drive
City: FortPierce State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 thepermit 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 Com nt must be recorded and posted on the jobsite
before the first inspection. If you intend to obtai i, r , consult with lender or an attorney before
commencing work or recording our Notice of C ent.
Signature of Owner/Lessee/Contractor as Agent for Own x 14iature of Contractor/License Holder
/ a m s
STATE OF FLORIDA . 2 on TE OF FLORIDA
COUNTY OF w NTY OF
The forgoing ins r t was acknowledge efore me i g � forgoing instrument was acknowledged before me
this�day of 20 J�by I, thi day of 20_ by
R
Che r LAJ 7Ec-C'-
Namo person making statement Name of person making statement
Personall wn OR Produced Identification Personally Known OR Produced Identification
Type of Identifi tion Type of Identification
Produced Produced
U 8
(Signature of Nota Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17