HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR: IN GROUND SWIMMING POOL WITH DECK
PROPOSED IMPROVEMENT LOCATION:
Address: 3046 NW RADCLIFFE WAY, PALM CITY
Property Tax ID #: 4425-703-0018-000-4
Site Plan Name:
Project Name:
MELIANS
MELIANS
DETAILED DESCRIPTION OF WORK:
i (1 s-i-a L i a i n 1 _u
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 13
Block No.
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: $ "E V , S obq)• oo Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SUSAN AND SANTIAGO MELIANS
Name: JAMES T. LEONARD
Address: 3046 NW RADCLIFFE WAY
Company: A&G CONCRETE POOLS, INC.
City: PALM CITY State: FL
Zip Code: 34990 Fax:
Phone No.
Address: 8880 GLADES CUT OFF ROAD
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax:
Phone No 772-878-7752
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail HVIZZO@ANGPOOLS.COM
State or County License CPC1457902
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:AARONALLEN
Name:
Address: 26377 7TH STREET
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 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 attorney before commencing work or recording our Notice of Commencement.
=—, '
�i
Sigma t r 6 of Owner/ L(�ss�/ ontcactncas-Agentlor Owner
Sight re o Contractor/License 1-191&r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF ST. LUCIE
Sworn to (or affirmed) and subscribed before me of
�✓ Physical Presence or Online Notarization
th'is3L f' day of :YA- iLC. 202$ by
Sworn to (or affirmed) and subscribed before me of
ti PhXsical Presence or Online Notarization
this i[±� day of 'JIA ,Q , 202t by
an -4-; a q�) M Q l ) Ckn S
JAMES T. LEONARD
Name of person mAing statement.
Name of person making statement.
d
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Iden 'fii ation
P oduced` 1 V$ ( 1 n�
Type of Identification
Priaduced
(Signature of Notary Public- St ' o o
�p
oe ota, Public State of Flori
�Gal�a�5 3 =° th
Heather Vizzo
Commission No. _::'., Sea ommission GG 26265
FOFMoo- Expires 11/13/2022
ature of Notary Public- Sta (fda d
Y weather Vizzo
a < M Commission GG 26265'
�G��a� S 3 _, o EEEv
��o woe eei`is 11 13 2022
Co mission No. dl
e %`
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5 0