HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3'a 3� a� Permit Number: as d3-d 5 d
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
FRECEIVED
Building Permit Applic 19 2020
ounty, Permitting
Commercial Residential x
PERMITTYPE: POOI ingrOund{,h(�,�.
'PROPOSED INPROVEMENT LOCATION:
Address: 12790 NW Cinnamon WAY Palm City, FL 34990
Property Tax ID #: 4425-602-0033-000-5 Lot No. UNIT 34
Project Name: RUUD
DETAILED DESCRIPTION, OF WORK:
IN -GROUND CONCRETE SWIMMING POOL & PATIO
LCONSTRUCT)ON INFORMATION:
Utilities: _Sewer _Septic w Sq. Ft. of First Floor:
Cost of Construction: $ 414a Total Sq. Ft of Construction:
1960
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from'Building Code that are in the
floodplain
Nolir'esidential'Farm;Building: _ Temp. Bldg./Shed used exclusively for construction:
Mobile/Modular for temp. construction office:._ Bldg. involved in distrib. of electricity:
Other: -, Flood Zone: , BFE:_ Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
Ahl other applicable state and federal permits shall be obtained prior'.to commencement of .
construction.
OWNER/LESSEE: "
CONTRACTOR'. "
Name Alan & Patricia Ruud
Name: MIKE ALEXANDER
Address:12790 NW Cinnamon WAY
Company: ALEXANDER CUSTOM POOLS
City: PALM CITY, FL State: _
Address: 50 NE. DIXIE HWY (1-1)
City: STUART State: FL
Zip Code: 34990 Fax:
Phone No. 262-880-7917
Zip Code: 34994 Fax: 772.444-3904
Phone No 772-444-3158
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail ALEXANDERCUSTOMPOOLS@HOTMAIL.COM
State or County License CPC1457939
from the Owner listed above)
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 permit will authorize the permit holder to build the subject structure
which is in con lict 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 do the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencingwork or recordingour Notice of Commencement.
ev.
SUPPLEMENTAL CONSTRUCTIONIIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name• RAROnLL RoocERs
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address' ,80, HAZELWOOD DRIVE
Address:
City; FORT PIERCE
Zip: 34982 Phone»z-zo,-,634
Mate; R
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
fS iFre_of:Owner lessee/Contractor as Agent for Owner
Signature of tractor/License Holder
STATE OF FLORIppqq
STATE OF FLORIDA
COUNTY OF St-Lu.Ctn
COUNTY OF 5'r u_t.et•6
The for Ing instrument was acknowledged before me
The forggoing instrument was acknowledged before me
CJt Y • l'1 .20� by
this ay of''nn
thisSr'� day of M.lrCeN . 20Zc� by
--
W \ Y�.l 1,LC�
NI. t6N 1rE 1.
Name of person making statement. /
Name of person making statement.
✓/
�
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Ideni�ication
Type of Identification
Produced
Produced
(Signs ure of Notary Public- •= a earl f�5 �GMMISSIGN # GG 014371
(�Iwuile o o ry Pu ., '• 'e;' EMISSION # GG 093050
' EXPIRES: June 11, 2021
•n'
•f,
EXPIRES: October 1, 2020
°�%:
Commission No. ',• `� 9oneaQsmafpuxy WNb Undenmters
Commission No. d: tt°�°' Bono(�®aI]aolBryPuEAc Underwn
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