HomeMy WebLinkAboutAPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
�COUNTY .1i
Building Pe rm K 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:
PROPOSED INPROVEMENT LOCATION:
Address: 9008 SHORT CHIP CIRCLE PORT ST LUCIE
PropertyTax ID #: 3334-501-0182-000-2 Lot No. 44
Site Plan Name: LAKES AT PGA VILLAGE Block No. D
Project Name: BROWN
DETAILED DESCRIPTION OF WORK:
INSTALLING GUNITE SWIMMING POOL WITH CONCRETE DECK
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
X Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $L Oo
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ANDREW BROWN & DONNA MADAFFERI
Name: TAMES T. LEONARD
Company: A&G CONCRETE POOLS INC
Address: 9008 SHORT CHIP CIRCLE
City: PORT ST LUCIE State: FL
Address: 8880 GLADES CUTOFF RD
Zip Code: 34986 Fax:
City: PORT ST LUCIE State: FL
Phone No.
Zip Code: 34986 Fax:
E -Mail:
Phone No 772-s7R-7752
Fill in fee simple Title Holder on next page ( if different
E -Mail HVIZZOLANGPOOLS COM
State or County License CPC1457902
from the Owner listed above)
IT value of construction is !�z5uu 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: A ApnN AT T r.N
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address: 26377 7Tx STREET
City: LA VERNE State: CA
Zip: 91750 Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 thepermit 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 thejobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Sign at_ul e'of'fwner/ Lessee/Contractor as`Agent 'r wner
STATE OF FLORIDA
COUNTY OF ST LUCIE
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of e10�20,D by this _day of -}-o�h _. 20Lby
Lolafn JAMES T LEONARD
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification )_
Type of Identification
Produced DRIVER LICENSE
(Signature of Notary Public- State of FJbrtaaj
Personally Known X OR Produced Identification
Type of Identification
Produced ,� n
(Signature of Notary PublpStap of Florida
Commission No 1+�*Y°n., (SeCVBAROCIO
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Notary lic
Commission No.g3`l2�ci
LUCY EAROCIO
�I)otaryPublic-State of F'
�, u - State of Florida
Commission 4 GG 937274
P °::
k'P Commission x GG 9372
oFOF My Comm. Expires Dec 4, 2023
an: My Comm. Expires Dec 4,
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cr.ded fnrougn
Nar.Onal Notary ASS.,
ZONING
REVIEWS
FRONT
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Planning & Development Services Department
Residential Pool Permit Checklist
When applying for a residential pool permit use the following checklist.
COUNTY
F L 0 R I D A
ITEM
HOW MANY?
COMMENTS
Building Permit
1
A completely filled out building permit application shall be
Application
submitted, including all required information. The
application shall be signed by the applicant(s) and the
signatures shall be notarized. If the applicant is the
contractor/qualifier, the application requires 2 signatures.
Notice of Commencement
1
A recorded Notice of Commencement for all construction
with a value exceeding $2,500 shall be submitted prior to
first inspection.
Construction Plans
2 sets
All proposed construction must be accurately shown on the
plans including but not limited to electrical wiring,
plumbing, and pool equipment detail. Both sets of plans
shall be signed and sealed by a Florida registered engineer
or Architect
Plot Plans/Surveys
2
2 Scaled Plots Plans with all dimensions of pool and deck
area. Include location of pool equipment. Show setbacks
of the pool/deck to all property lines and location of all
existing structures. Form -board survey shall be required
for poured concrete decks. Final survey shall be
required for paver decks.
Vegetation Removal Permit
1
A completely filled out vegetation removal application must
be submitted with the building permit application. Please
include one (1) survey or site plan, for review by the
Environmental Resource Department. A specific plan
for tree removal and preservation is required if
applicable.
Subcontractor Agreement
1 each
One subcontractor agreement with original signature is
required for each subcontractor on the job. The building
permit cannot be issued until it has been determined that all
subcontractors are properly licensed and registered. The
use of unlicensed contractors is strictly prohibited.
Filled Land Affidavit
1
This form is required for all construction, except for
interior renovation. It shall bear the original notarized
signature of the property owner. This affidavit serves to
notify the property owner of their responsibility not to
adversely impact their neighbor's properties with
stormwater drainage and runoff.
Pool Alarm Affidavit
1
Indicate the type of barrier/alarm. Shall be signed by
property owner and notarized.
****An Application for a Pool Permit shall not be accepted without a Pool Enclosure permit application
and plans or a fence permit (or proof of existing fence enclosing proposed pool area).
Revised 9/10/18