HomeMy WebLinkAboutBuildiing Permit ApplicationPlanning & Development Services Department
Residential Pool Permit Checklist
When applying for a residential pool permit use the following checklist.
UPP
COUNTY`
F L O R I D A —40
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
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COu NTY
r L O EZ 1 D A'
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit AppkaUon
Commercial Residential x
PERMIT TYPE: IN GROUND GUNITE SWIMMING POOL
PROPOSED IMPROVEMENT LOCATION:
Address: 465 SE VERADA AVENUE, PORT ST. LUCIE
Property Tax ID #: 3419-530-0052-000-2 Lot No. 52
Site Plan Name: CUESTA Block No. 32
Project Name: CUESTA
I DETAILED DESCRIPTION OF WORK: I
INSTALL GUNITE SWIMMING POOL AND SPA WITH CONCRETE DECK
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
Electric Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ I I qC�O 00 Utilities: —Sewer —Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name DENNIS AND IULLET CUESTA
Name: LAMES T. LEONARD
Address: 465 SE VERADA AVENUE
Company: A&G CONCRETE POOLS INC
Address: 8880 GLADES CUTOFF RD
City: PORT ST. LUCIE State: FL
Zip Code: 34983 Fax:
City: PORT ST LUCIE State: FL
Phone No.
Zip Code: 34986 Fax:
E-Mail:
Phone No 772-878-7752
Fill in fee simple Title Holder on next page ( if different
E-Mail HvfzzopANGP001.s. M
State or County License CPC1457902
from the Owner listed above)
If vdwe oT construcuon Is;oziuu or more, a KtLUKUtU Notice of Lommencement 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
MORTGAGE COMPANY: X Not Applicable
Name:A ARnN A T FN
Name:
Address: 26377 7TH STRFET
Address:
City: LA VERNE State: CA
City: State:
Zip: 91750 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
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 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 thejobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing worLor--recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sig o ctor icense Hol er
STATE OF FLORIDA
ATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this — day of 20 by
The forgoing instrument was acknowledged before me
this 2a day of sJan� f.2r 20� by
'�
eYi
'n\ l /� l \ �' ��1 C�
JAMES T LEONARD
Name of person making statement. r
Name of person making statement.
Personally Known OR Produced Identification V
Type of Identification
Personally Known X OR Produced Identification
Type of Identification
Produced DRIVER LICENSE
Produced
(Signature of Notary P I' - a of Flori oar_ Notary ?7b is sue-
_
!U\ 1r M Cc^—i Ex,:i'GC93722023
Commission No. (eaij ;.
o'(bgd3 ure of Nota lic State of Florida)
�4,9MM Sion No. GL � �y (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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