HomeMy WebLinkAboutBuilding permit application �l
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: (—dJ�J��
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:, SWIMMING POOL CONSTRUCTION
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Address: 2365 DYER ROAD
Property Tax ID#: 3414 501 1409 350 0 Lot No.SL GARDENS
Site Plan Name: BEDDOME Block No. 2
Project Name: BEDDOME
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NEW POOL CONST AND DECK
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
T Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 35,000.00 Utilities: —Sewer —Septic Building Height:
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Name BRAD BEDDOME Name.FRANK RUSSO
Address:2365 DYER ROAD Company:FAMILY POOLS INC
City: PORT ST LUCIE State:_ Address:873 SWS MACEDO BLVD
Zip Code: 34952 Fax: City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone No7728788452
Fill in fee simple Title Holder on next page(if different E-Mail FRANK@FAMILYPOOLSINC.COM'
from the Owner listed above) State or County LicenseCPC1456929
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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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:SIDKVONER Name:
Address:139 ISLE VERDE WAY Address:
City: PALM BEACH GARDENS State: FL City: State:
Zip: 33418 P h o n e 5613864385 Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Ckt 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 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA ST U10 E STATE OF COUNTY OF.
COUNTY OF o .57-1-uCCL
The f oing ins �n as acknowledg. efore me The f oing instrume t s acknowledg efore me
this day of /1 ,20by this day of AAZ y
Milo
Name of person making statement.. Name of person making statement.
Personally Known R Produced I wn V OR Produced Identification
Type of Identificatio app Notery Public 009fggen ication
Produced Nichole Apo
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it OF Expires 05104 024
(Signature of Notary Public)State of Florida) (Signature of Notary Public-State of FI rida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119