HomeMy WebLinkAboutDemo appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit NL mber:
- J
MANUA TO
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Demolition
PROPOSED INPROVEMENT LOCATION:
Address: 12790 NW Cinnamon WAY Palm City, FL 34990
Property Tax I D #: 4425-602-0033-000-5 Lot No UNIT 34
Project Name: RUUD
DETAILED DESCRIPTION OF WORK:
DEMOLITION AND REMOVAL OF EXISTING SWIMMING POOL AND PATIO AREA
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 2000.00 Total Sq. Ft of Construction: 822
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building
floodplain:
Code that are in the
Nonresidential Farm Building: Temp. Bldg./Shed used exclusively
Mobile/Modular for temp. construction office: Bldg. involved
Other: Flood Zone: BF
No Rise Certificate with supporting data attached? Y/N
for construction
in distrib. of electricity:
: Floodway? Y/N If Y,
All other applicable state and federal permits shall be obtained prio
construction.
to commencement of
OWNER/LESSEE:
CONTRACTOR:
Name Alan & Patricia Ruud
Name: MIKE ALEXAN
D ER
Company: ALEXANDER
Address: 12790 NW Cinnamon WAY
CUSTOM POOLS
City: PALM CITY, FL State:
Address: 50 NE. DIX
E HWY (1-1)
Zip Code: 34990 Fax:
City: STUART
State: FL
Phone No. 262-880-7917
Zip Code: 34994
Fax: 772-444-3904
E-Mail:
Phone No 772-444-3
58
Fill in fee simple Title Holder on next page { if different
USTOMPOOLS@HOTMAIL.COM
E-Mail ALEXANDER
from the Owner listed above)
State or County License
CPC1457939
..• —"U :vn-.PLJWu &Jf nIVIC, a MC%-LJ ULU IVOTICe OT LOmmencement is req
If value of HVAC is $7,500 or more, a RECORDED Notice of commencement is requ
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE C
Name: RANDALLRODGERS Name:
Address: 1801 HAZELWOOD DRIVE Address:
City: FORTMERCE State: FL City:
Zip: 34982 Phone772-201-1634
Zip:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMP)
Name:
Address:
City:
Zip; P
'ANY:
lone:
4y:
one:
Not Applicable
State:
Not Applicable
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 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 fora y 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 concurrent review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory u es to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement m result in your paying twice for
improvements to your property. A Notice of Commencement must be rec rded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with I nder or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20_ by
Signature of Contractor/License Holder
STATE OF FLORID
COUNTY OF 5T L-u G i V—
The forgoing instrume�t was acknowledged before
this (v day of hrffc , 20 ZD by
Name of person making statement. Name of person maki
Personally Known OR Produced Identification Personally Known —)
Type of Identification Type of Identification
Produced Dr.A A
statement_
OR Produced Identificati
J
2
c
(Signature of Notary Public- State of Florida ) {Signature of Notary P blic- State of Florida )
Commission No. (Seal) Commission No. (Seal)
REVIEWS=ROZONING SUPERVISOR PLANS VEGETATI N SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.