HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
iCOUNTY
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: NEW In- Ground Pool & Paver Deck Build
PROPOSED IMPROVEMENT LOCATION:
Address: 5711 Hickory Drive Ft. Pierce, FL 34945
Property Tax ID#:
3402-609-0426-000-4 Lot No.28& 29
Site Plan Name: Pinedo Residence Block No. 63
Project Name: Pinedo Residence
[DETAILED DESCRIPTION OF WORK:
NEW Residential In-Ground Pool & Paver Deck Build
New Electrical Meter Second Electrical Meter
FONSTRUCTION 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: $ 37,600.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Nam _ 1eQ (t Q✓ Name:Adam Hall
Address: U -:�-I I 0 ietorq, Company: Palm Pool and Spa, Inc.
Ft. Pierce, State: ��— Address:3141 Fairlane Farms Road Ste 2 Wellington, FL 33414
City: —
Zip Code: 34945 Fax:(561)792-0788 City: Wellington State:FL
Phone No. (772) 646-3966 Zip Code: 33414 Fax:
E-Mail: mpinedo805@gmail.com Phone No(561) 792-5326
Fill in fee simple Title Holder on next page(if different E-Mail officeadmin@palmpoolspa.com
from the Owner listed above)
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: Name:
Address: Address:
City: State: City: State:
Zip: Phone(561)792-5326 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 recordin ice of C mmencement.
Signat re of Ow er/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA Pa6 &6:�, STATE OF FLORf I rn � 1�COUNTY OF COUNTY OF 1' (�(,! i' t
Swore to(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
VV Pkysical Prespoce Online Notarization sical Pres a or Online Notarization
this day of r 2020 by this P day of 202P by
Name of person making statement. Name of person making statement. /
Personally Known OR Produced Identification Personally Known OR Produced identification ✓/
Type o I entificat' n Type of ntificatio�
Produ Produ d
6W S
(Sign ture of No ary Pu lic-State of o 8��`. Notary Pubiic-State off re of otary Public-Sta a,tlltary Public State of Florf
fy y Commission HH 48045 Commission N HH 048045
Commission No. EJ'1//o/"[ � j MY Comm.Expires S p�g 2024i ion No. .°►n ( �C�(pp1,Expires Sep 29,20 4
Bonded through National ot`aF%l 8pn d thr ugh National Notary As n.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.