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HomeMy WebLinkAboutBusby Permit AppAll APPLICABLE INFO} MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 117/2021 Permit Number: �rU L,L�C,'EC� Building Permit Application Planning and Development Services Building and Cade Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Residential x PERMIT APPUCATION FOR:New Residential Pool with heater and Paver Deck PROPOSED IMPROVEMENT LOCATION: Address: 1800 Mach One Or, Port St Lucie, FL 34987 Property Tax ID #: 3215-801-0011-000-8 Lot No.4 Site Plan Name: Block No. Project Name: New Pool DETAILED DESCRIPTION OF WORK: Install new pool and heater with paver deck. No concrete New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical Gas Tanis — Gas Piping _ Shutters — Electric — Plumbing — Sprinklers Total Sq. Ft of Construction: 476 Cost of Construction: $ 78,800 Generator Sq. Ft. of First Floor: Windows/Doors _ Pond Roof Pitch Utilities: Sewer _Septic Building Height: OWt4ERELESSEE': CONTRACTOR: Namedames © Busby Il and Kristina A Busby Name: Harold Marsh Address:1800 Mach One Or Company:A11 Ways Pools LLC City_ Port St Lucie State: Zip Code: 34987 Fax: Phone No.561-718-3049 Address:5275 SE Harrold Terr City: Stuart Sta#e: FL Zip Code: 34997 Fax. Phone Nc561-628-6600 E-Mail:lamiea@gladesag.com Fill in fee simple Title Holder on next page ( if different from the owner lister! above) E-Mailmarsh3family@gmail.com State or County License CPC1457097 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,5W or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: x Nat Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: - BONDING COMPANY: Name: Address: City: Zip: Phone - x Not ApplicableT� State: x Not Applicable 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 Assodation rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed far 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 Co my and pasted on the jobs ite before the first inspection. If you intend to obtain financing, consult wi h Ien er or an att ney before com menci ng work or recor i ng your N oti cg of Eommencement. of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF CW Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this —I day of _sJCf ,-_vim va.rLi— 202t-by __aaL KaLsL.,.,,,. Name of person making statement- ------ Personally Known Known }( _ OR Produced Identi Type of Identification Produced (Signature of (Votary Public- State of Florida } 5 "' Commission (Seal) Z J� N N Signatu e of Contractor/License Holder STATE OF FLORIDA COUNTY of C, JA- 0 Sworn to (or affirmed) and subscribed before me of I Physical Presence or Online Notarization this -1 day of �qo1. rL, 2o2%Lby Name of person making statement. Personally Known X OR Produced Identificat nil Type of identification Produced Y C O {Signature of Notary Public- State of Florida } CVtj3 Ct25& (Seaij a w, Commission No. W rn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED []ATE COMPLETED Iic Y. JJvl4V