HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/15/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:REPLASTER POOL
PROPOSED IMPROVEMENT LOCATION:
Address: 6200 NUEVO LAGOS FORT PIERCE FL 34951
Property Tax ID#: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name: SPANISH LAKES FAIRWAYS
DETAILED DESCRIPTION OF WORK:
APPLY NEW PLASTER AND NON SKID STEP TILES TO SWIMMIMG POOL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: $ 14,600.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameWYNNE BUILDING CORP Name:BRIAN FELTER
Address: Company:BRIAN FELTER'S POOL SREVICE AND REPAIR INC.
City: State: Address:3485 SW SAN BENITO ST.
PORT ST LUCIE FL
Zip Code: Fax: ,>: City: State:
Phone No. Zip Code: 34953 Fax: 772-446-9491
E-Mail: Phone No772-332-5625
Fill in fee simple Title Holder on next page(if different E-Mail BRIANWATERFALLS@COMCAST.NET
from the Owner listed above) State or County License CPC-1457766
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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _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 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 I nder or an attorney before commencing work or recording our Notice of Commencement.
ignature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA COUNTY OF �1.•�-STATE OF FLORIDA
COUNTY OF sa Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this SD day o 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Ty of Identification Type of Identification
Jg
ced L. Produc dnature of Notary Pub' -State of Florida) (Sign re of Notary Public-State of Florida)
Commission No. Commission No.i`I'-ems
�° LAASHAFINA INGRAM.RgHMING s ' .�; HNA INGRAM-RAHMING
`•: MY CpM S ;.: MY COMMISSION#
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Fud•o. : EXPIRES:Dece FFIOP. EXPIRES:December2 ,2022
REVIEWS R Nfivpu VI R PLANS VEG ` ' BG 6cU OVE
COUNTER REVIEW REVIEW REW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20