HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: 03/15/2017 Permit Number: / ®�• Os—CRA
- - - — - Building Permit Application RECEIVED
Planning and Development Services MAR2 4 �01�
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Pool inground
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PRDPOSED�IMPR® LIVENT¢gLOCATI®"hl , S f ,.;
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Address: 8833 ONE-PUTT PLACE, PORT ST. LUCIE, FL 34986
Legal Description: POD 33 AT THE RESERVE PHASE 1 KINGSMILL LOT 74(OR 3945-578)
Property Tax ID#: 3334-500-0085-000-9 Lot No.74
Site Plan Name: TANG Block No.
Project Name: TANG
Setbacks Front_ 90- Back: 5 � Right Side: 20_1(�Left Side:
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INGROUND SWIMMING POOL WITH SPA, DECK (& SCREEN ENCLOSURE)
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�ONS�Tt�UC�TIONI;NiFORl1/IATIC�I�h -
.�_,��am ���-c:�3 itiona war to e e orme un er t is permit-c ec a apply:
❑HVAC GaS Tank Gas Pi in _Shutters Windows/Doors ^— ❑ P g ❑
ZElectric ❑✓ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 64,500 Utilities: Sewer 0Septic Building Height:
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Name PETER&MARY TANG Name: DAVID BRAMS
Address:8833 ONE-PUTT PLACE Company: CHAMPION POOLS&SPAS, INC.
City: PORT ST LUCIE State:FL Address: 1700 UPLAND ROAD
Zip Code: 34986 Fax: City: WEST PALM BEACH State:FL
Phone No.203-400-7448 Zip Code: 33409 Fax: 561-683-2333
E-Mail:pktang@gmail.com; maryctang@hotmail.com Phone No. 561-687-8807
Fill in fee simple Title Holder on next page(if different E-Mail: PERMIT@CHAMPIONPOOLS.COM
from the Owner listed above) State or. County License: CPCO57289
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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�U`PPLEf ENTAL GONSTR;UGTIONH ENi AkwVI/�I�FOR�6 A,TION�� ���
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Q Name:
Address: Address:
City: s? P(c C Y) S ate:?-L- City: State:
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Zip: Phone: GfS Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 your paying twice for
improvements to your property.A Notice of Commencement must.be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Wvner/Lessee/Codtractor 0 Agent for Owner Signat roof Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF V ryC 't'�2��^ COUNTY OF Va.(.rr fr-A-r—h
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-&-day of kacch 20 ]Zby this day of HQ,,a h 20 LI by
ANA MARIA RIZZO
n �t t ANA MARIA RIZZO DAVID BRAMS NOTARY PUBLIC
(Name of person ack n STATE OF FLORIDA (Name of person ac i �TATE OF FLORIDA
Comm#FF921331 Cornm#FF921331
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Expires 9123/2019 19�� Expires 9/23/2019
ignature ary Public-State of Florida) ( ' ature of N Wry Public-State of Florida)
Personall nown OR Produced Identification Personally K own �//OR Produced Identification
Type of Identification Produced !(_ (�L_ Type of Identification Produced
Commission No. 35) (Seal) Commission No. J5:!a2 3 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW RE/VIIEWO/� REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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