HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED OTT
Date: 1 P_ k q _=9 Permit Number: D'
U1ro [L C IE
p
p`� p Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:SWIMMING POOL
PROPOSED IMPROVEMENT LOCATION:
Address: 6909 DONLON RD FT PIERCE FL 34951
Property Tax I D #: 1301-612-0302-000-3
Site Plan Name:
Project Name: BAUMANN
[DETAILED DESCRIPTION OF WORK:
INSTALLING A SWIMMING POOL AND CONCRETE DECK
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical ` —Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 41,395.00
_ Generator
Lot No.14
Block No. 131
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWN ERAESSEE:
CONTRACTOR:
NameLEE BAUMANN
Name:BARRY MILLS
Company: CRYSTAL POOLS
Address:6909 DONLON. RD
City: FT PIERCE State: _
Address:4680 US1
Zip Code: 34951 Fax:
City: VERO BEACH State: FL
Phone No.772-834-6688
Zip Code: 32967 Fax:
E-Mail:
Phone N0772-567-3067
Fill in fee simple Title Holder on next page ( if different
E-Mail J IMMYR@CRYSTALPOOLSIRC.COM
from the Owner listed above)
State or County License CPC#1457120
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
S'IJP.PLEMENTAL CON$TRUCTION'LI.EN LAIN I'NF0RMATl0N:,, .
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 paying twice for
improvements to your.property. A Notice of Commencement must be recorded in the public records of St.
Lucie County an
,� posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender orfarh attornev before commenciniz work or recording vour Notice of Commencement.
On ess a/Contractor as Agent for Owner
SignaturJF'F[w)
ctor/License
Signature of CoZRIDA
Holder
STATERIDA
STATE OF FL
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
Sworn to (or affirmed) and subscribed before me of
rn to (or affirmed) and sub
ibed before me of
ftsical Presence or Online Notarization
Physical Pres nc or
day
Online Notarization
` 2020 by
this day of 2020 by
this /1� of
LEE BAUMANN
BARRY MILLS
Name of person making statement.
Name of person making st
ment.
Personally Known x OR Produced Identification
Personally Kno n OR Produced Identification
Type of Identification
Type of ]den ' ica on
Produced
Produced
(Signat a of No ublic- State of Flori a)
(Signature N
• JAMES R
N"': �J@�ll}
FIW
Fes?' '�•o•:
_ r'
Commissi n N :*=
JAMESROUAN
MY COMMISSIONCommission (b)3sz7
MMISSION # GG 008627
9. o;
••'%$
IRES: November4,2020
EXPIRES: November4, 2020
P
;° Bonded Thru Notary public UndeWinm
ervm ers
REVIEWS
VISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
FRONT
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.