HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/31/2020 Permit Nui
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p , . Building Permit Applicati
Planning and Development Services
Building and Code Regulation Division Commercial R
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: above ground 'swim spa
PRO POSED`IMPROVEMENT-LOCATION:%.
SEP 9 2020
entiVLrie County, FL
Address: 1717 Primrose Ct. Port St Lucie, FL 34952
Property Tax ID #: 3426-703-0150-000/1 Lot No.136
Site Plan Name: Ruscoe residence Block No.
Project Name: swim spa
['DETAILED'DESCRIPTiON OF WORK:
Delivery of a swim spa with the following dimensions: L-174", W-93", H-52.75". It will be installed on a detached concrete slab.
Electrical hook-up will be done by All Power Electric Contracting, LLC who has already applied for the proper permit. The cover of the
swim spa will be a Covana power cover which can only be activated with a key. a, - am_IV '-�eqo g- or-) -)
New Electrical Meter Second Electrical Meter
CONSTRUCTION LNFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ A? ►a O. 00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dean Ruscoe
Name:
Address:1717 Primrose Ct
Company:
Address:
City: Port St Lucie State: F LL
City: State:
Zip Code: 34952 Fax:
Phone No.772-708-3216
Zip Code: Fax:
E-Mail:ecomaniac@beilsouth.net
Phone No
Fill in fee simple Title Holder on next page (if different
E-Mail
from the Owner listed above)
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION:
GINEER: `$- Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
N Not Applicable
State:
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:_
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with I&er or an attorney before commencing work or recording your Notice of Commencement.
Signature of Own
ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF [r) f ✓C;
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this- day of �s 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Iden ificatio
Produced >DIL ��V�(4A -/73 -6/,— l67 :P
(Signature of f: +B plic- CfdJ pFi
`� Notary Public - State of Florida
Commission N .' Commission r GG
MyComm. Expires Feb 26, 2024
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of , 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No.
(Seal)
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