HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: 2/25/20 Permit Number: 2 0 (;rI
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Pool deck
PROPOSED IMPROVEMENT LOCATION:
Address: 5312 Palmetto Dr
Property Tax ID #: 3402-606-0094-000-8
Site Plan Name:
Project
DETAILED DESCRIPTION OF WORK:
RECEIVE[
Building Permit Application FEB 2 5 2020
ST. Lucie County, Permitting
Commercial Residential xx
Remove and replace half of pool deck with 4" thick 3000 psi 8x8 footers (1)#5 rebar
Lot No.26/27
Block No. 24
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: � Sq. Ft. of First Floor: _
Cost of Construction:$ 4-OOc:� Utilities: _Sewer _Septic
-Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Fisheating Creek Trust
Name: Jose Vides
Address:540 SW Siesta WAY
Company:JosB Concrete Perfection
City: Stuart State: _
Zip Code: 34994 Fax: WA
Phone No.7728125066
Address:383 SW North Shore Blvd
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No7728125066
E-Mail: NIA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailjosbconcreteperfection@hotmail.cwm
State or County License25230
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.
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 �ermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoc bylaws that
ation rules, or and covenants 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 JOB SPiE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDERAR AN ATTORNEY BEFORE RECORDING YOUR CE OF COMMENCEMENT.°
ev.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Signature of Owner/ Les ee ontractor ent for Owner
Signature o Con actor/License Ho er
STATE OF FLORI /�
STATE OF FL A
COUNTY
COUNTY OF
The r oin instru ;acknowledge efore me
g
The f in instru s acknowledged efore me
gg
thi day of, 2 by
t sday o�fp 20�by
\) tD�
(��� V ► OE.S
Name of person making statement.
frame of person making statement.
�
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identific rt
DL
Type of Identifica '
AL
Produced
Produced f✓
cf�
(Signature of Notary Public- Stater —of —Florida
(Signature