HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: l.M ' OWaa
RECEIVED
Building Permit Application FEB 24 1010
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _XXXX
PERMIT TYPE: SWIMMING POOL AND DECK
PROPOSED IMPROVEMENT LOCATION:
Address: 18705 MACH ONE DR. PORT ST LUCIE, FL., 34987
Property Tax ID #: 3215-801-0020-000-4
Site Plan Name:
Project Name: AREO ACRES
DETAILED DESCRIPTION OF WORK:
GUNITE POOL WITH CONCRETE DECK
CONSTRUCTION INFORMATION:
Lot No. 13
Block No. 1
Additional work to be performed under this permit —check all that apply:
r�` Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
7y Electric 1CPlumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 45,000
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: -
CONTRACTOR:
Name ANDREW & EVANGELINE BRUHN
Name: OWNER BUILDER
Address-18705 MACH ONE DR.
Company:
City: PORT ST LUCIE State: _
Zip Code: 34987 Fax: NIA
Phone No. 772-201-9364
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail:-abruhn@martin,fi.us
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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 whiI ich 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
BEFORE RECURRING
Signature of Owner/ Lessee/Con ractor as Agent for Owner Signature of Contractor/License
STATE OF FLO��QQA I ,� STATE OF FLORIDA
COUNTY OF �V. l/�M:L(' COUNTY OF
Th r oing inst m nt was acknowled�before me
thi ' dPg
day of 26 dEZy
Name of person making statement.
Personally Known Nc�_ OR Produced Identification
Type of Identification
Produced
(Signatu(e)of Notary Public- State of
99 Commission Nast a
REVIEWS
b7_IIq
The forgoing instrument was acknowledged before me
this_ day of 20_ by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
WCOMMISSION
affe
;�• �'= EXPIRES:1
Balled ThNNMay
20, 2023
bkOffigJMIIi9
f Notary Public -State of Florida j
No. (Seal)
FRONT
COUNTER I ROEVI NING W SUPERVISREVIEWOR I REVIEW PLANS I VEGETATIEV EWON I SEATURTREVIEW I LE
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