HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: " ��aC7�,(7 Permit Number: �I b ul 00��
r _ RECEIVED
Building Permit Application FES,®j;2020
Planning and Development Services
Building and Code Regulation Division permitting Departure",i
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie C00"
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:DEMOLITION
RROPOSED'IMPROVEMEN.TkLOCATION t
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Address: 8208 KIAWAH TRACE Port St Lucie, FL 34986
3327-705-0038-000-2 37 it
Property Tax ID#: Lot No.
Site.,Plari Name: SIX Block No.
Project Name.,SIX
DETAILED DESCRIPTION QF WORK A
DEMOLITION OF EXISTING POOL AND SCREEN ENCLOSURE
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CONSTRUCTION INFORMATION: -
Additional work to be performed under this permit—check all that apply:
_Mechanical —Gas Tank —Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
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Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer —Septic Building Height:
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OWNER/LESSEE r_ CONTRACTOR
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Name CORY B SIX Name:JAMES T LEONARD
Address:8208 KIAWAH TRACE Company-A&G CONCRETE POOLS,INC
City: PORT ST LUCIE State:. Address:8880 GLADES CUT OFF ROAD
Zip Code: 34986 Fax: City: PORT ST LUCIE State:FLI�
Phone No. L77a� L1$' 96110 Zip Code: 34986 Fax:
E-Mail: Phone No 772-878-7752
Fill in fee simple Title Holder on next page(if different E-Mail ABIRMINGHAM@ANGPOOLS.COM
from the Owner listed above) State or County License CPC1457902
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEM�NI'AL CONSTRUCTION LI'fN LAW INFORMATION z - � '}
DESIGNER/ENGINEER: _Not Applicable a MORTGAGE COMPANY: _Not Applica!le{
N a me:PARON ALLEN Name:
Address: Address:
City: State: City: State: 11
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLEHOLDER: _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 in,'dicated.
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
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"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 JOB SITE BEFORE THE FIR U INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN AURFNE ORE RECORDING YOU OTICE OF CO ENCEMENT.
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Signature of KOwContractor as Agent for Owner Signa tractor/ ' ense Holder
STATE ATE OF FLOR
COU Y OI COUNTY OF
The forgoing instr lLnent was acknowledged before me The for oing instr Tent was acknowledged before me
this day of nUaIM �20� by this a� day of nu 20o�bby
dal'Y12S T LeOJJnard James T. L em nard
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known r/ OR Produced Identification 1'
Type of Identification Type of Identification
Produced Produced
ANGELA BORSODI-BIRMING :'...Y Pue` ANGELA BORSODI BIRMIN H
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(Signat r of Notary Public-St d, i-a n 0 1 gnat r of Notary Public-St gi ) Commissionln GG 2446 5
o= Commission#GG 24962 +v -
�p `��or My Comm.Expires Aug 16, 22 of '" My Comm.Expires Aug ar,2 2
Commission N W Bo(�$e�l�rough National Notary sEd mission No. B �F rough National Notar, A n.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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