HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building 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 fMPROVEMENT LC►CATION
Address:- 5_0 y/y 11AQ,� : fit)_';iU_-.�f— 1 __S
Property Tax ID#: 4K( 1 tb3"7 3 Lot No.
Site Plan Name: Block No.
1 f
Project Name
DETAILED DESCRIPTION O,F WCaRK ,fr s
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INSTALLING A SWIMMING POOL AND CONCRETE DECK
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION i
;Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond -
_Electric _Plumbing —Sprinklers _Generator _Roof Pitch
Total Sq..Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: 7,61. y -� Utilities: —Sewer —Septic Building Height:
V1%;IVER/LESSEE ..CONTRACTOR'
>.,.. �
Name S Name:BARRY MILLS
ddress: T21U Company:CRYSTAL POOLS
City: �&fjpw r S-ok State: fl Address:4680 US1
Zip Code e —7, Fax: City: VERO BEACH State:FL
Phone No. Zip Code: 32967 Fax:
E-Mail: Phone N0772-567-3067
Fill in fee simple Title Holder on next page(if different E-MailJIMMYR@CRYSTALPOOLSIRC.COM
from the Owner listed above) State or County LicenseCPC##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.
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DESIGNER/E WEER: Not Applicable MORTGAGE COMPANY: ._ Not Applicable
Name: Name:
Address: Address:
City: State: City: ; State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ,Not Applicable BONDING COMPANY: 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 Count 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-residentlal 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 and posted on the jobsite before the first inspection..If you intend to obtain financing,consult
with lender or an attornev before commencing work or recording your Notice of Commencement.
gnature of Owner/Lessee/Contractor as Agent for Owner ( Signature of Co tractor/License Holder
F
STATE OF FLORIDA STATE OF FLORIDA
COUN FSTLUCIE COUNTY OFSTLuaE
Sw n to(or affirmed)and subscribed before me of Sorn (or affirmed)and subscribed before me of
P stcal.Prese�}��►or Online Notarization sical Presen a or Online Notarization
this day of y�Y 2021 by day of 202P by
LEE BAUMANN
BARRY MILLS
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Kno x OR Produced Identification
Type of Identification Type of Ident! cat! n
I Produced Produced
n
R01lAN
(Signatu aof Notary P IR a oh&*itt0c state of Flonda a {Signature o otary ! ate o oridaFrances Donzat#FiH 55034ire Nov 4,2024Commission No. o Ey�Cot�o)1r�ic" o924ao CommIs510 No. RQNotary Assn.
Or F5 res$or�P/1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
e: