HomeMy WebLinkAboutBuilding Permit CompleteAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
Permit Number:
Building Permit Application
2300 Virginia Avenue, Fort Pierce FL 34982
Phone.* (772) 462-1553 Fax: (772) 462- 5 8
1
Commercial
Residential X
PERMIT APPLICATION FOR: New ln-Ground Poo I 8c Spa Build
PROPOSED IMPROVEMENT LOCATION:
Address,. 1530 Pineburke Lane Ft. Pierce, FL 34947
Property Tax ID #: 2302-601-0027-000-3 Lot No. 23
Site Plan Name: Shapard Residence
Block No.
Project Name: S.hapard Residnce
FDETAILED DESCRIPTION -OF WORK:
New residential in -ground swimming pool and spa build
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATIO'N:
Additional work to be performed under this permit — check all that apply:
Mechanical
Electric
Gas Tank
VOPO'lumbi,n a
Total Sq. Ft of Construction:
Cast of Construction: $ 847790..00
OWNER/LESSEE:
Gas Piping
I5prinklers
Shutters
Generator
Sq. ft. of First Floor:
Windows/Doors
Utilities: _Sewer _Septic
CONTRACTOR.
Name George & Tracy Shapard
Address: 1530 Pineburke Lane
city, Ft. Pierce Sate:
�: p bode: 34947 fax:
Phone No. (410) 253-3451
E-Mail. GAShapardl684@gma*ll.com
Fill in fee simple Title Holder an next page if different
from the Owner fisted above)
Roof
Building Height:
Pond
Pitch
Name-. Adam Hall
Company: Palm Pool and Spa, Inc.
Address: 3141 Fairlane Farms Road Suite 2
City: Wellington State: FL
Zip Code: 334.14 Fax: (561) 792-0788
Phone No (561) 792-5326
E-Mail officeadmin@palmpoolspa.com
State or County License CPC1458139
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: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:I Name:
Address: Address:
City: State: City: State:
Zip: 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.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that s granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home 01wners 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.
Inconsideration 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, walks, 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 pasted on the jobsite before the first inspection. If you intend to obtain 'Financing, consult
with lender or an att me before commencingwork or recording Y9.�-�-�ot'e� of Commencement.
S'igrfa'tuWof Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA � � �^� I_ STATE OF FLO��
COUNTY OF fla COUNTY OF r �
Sw� �o (or affirmed) and subscribed before me of
v al Pres c r Online N tarization
this day of 202by
Name of person making statement.
Personally Known OR Produced Identification
Type o nt
rode ed
(Sig ature of Lary P7bii _•`
ublic - State of Florida
Commission # HH 048045
Commission N. '` fires Sep 29, 24
Bonded through National NotaryAssn,
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Swor to (or affirmed) and subscribed before me of
V6 al Pre r Online Notarization
this y ay of , 2020 by
Name of person making statement.
Personably Known
Type of Identific io
ProdAcd
OR Produced Identification V/
(Sidnature 0 Notary Public- S
Commission No.tf+j
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REVIEW
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t q%`.''`,..,.. , rid a TONYA S. GUEST
* Notary Public - State of Florid
fission # HH 048045
, . Expires Sep 2 ;
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