HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED h
Date: ���-� PermitNumber*:
P 9 PR
OWN
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application W,
Commercial Residential x
PERMITTYPE: INGROUND SWIMMING POOL WITH PAVERDECK
PROPOSED JNPROVEMENTLOCATION
Address: 8208 Kiawah Trace Port Saint Lucie, FL 34986
Property Tax ID #: 3327-705-0038-000-2 Lot No. 37
Site Plan Name: Six Block No. 'Pod 25
Project Name: Six
DETAILED DESCRIPTION OF WORK:, '
INSTALLING GUNITE SWIMMING POOL WITH PAVER DECK
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:
Cost of Construction: $ �) 1511•
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
'OWNER/LESSEE:
CONTRACTOR:
Name Cory BSix
Name: TeMFc•1• iFnNAFT)
Company:__ A&G CONCRETE POOLS INC
Address: 8208 Kiawah Trace
City: Port St Lucie State: -EL
Zip Cade: 34986 Fax:
Phone No. `-
Address: 8880 GLADES CUTOFF RD
City: PORT ST LUCIE State: FL
Zip Cade: �49se Fax:
Phone No 772-878-7752
E-Mail:
Fill In fee simple Title Holder on next page( if different
from the Owner listed above)
E-Mall ABIRMINGHAM@ANGPOOLS.COM
State or County License CPCI457902
- --•-- -• . "v' w' ` , al—w) a nGumnucu mouce uT 1ommencement Is required.
If value of HVAC is $7,900 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name; aAanuArrau Name•
Address:_ 26377 TTH S_TRF_ET Address:
City: LA VERNE State; CA City: State: _
Zip: 91750 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 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 l 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 thejobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or rpcnrdinF vnor Nntira of rnmmanramon*
Signature of Owner/ Lessee/Contractor as Agent for Owner
Si u rac or/License Holder
STATE OF FLORIDA
S TE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF_sT LrrcrE
The f Ding instr ment was acknowledged before me
this 3rdayofdanu�.20gJ0by
The f Ding instr ent w s acknowledged before me
this -rdayof��2610by
Cory B Six
Name of person making statement.
Name of person making statements
Personally Known OR Produced Identification x
Personally Known x OR Produced Identific
Type of Identification
Type of Identification
2 o i
Produced Driver License
Produced
o o a
zx go
(Signature Notary Public -State of Florid
o
0
(Sign t re of Notary Pub _ , .m: o ary bl c - State of Florida
� j Commission K GG 249625
Commission No. GG2 9 5�'!br n9:' My C(Seal(xpires Aug 16,2022
Commission No. GG249625 (Seal)
Banded through National Notary Assn.
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