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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Or.L51�1��L5 \ Yj - Building fPelrmot Appkati®n 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: IN GROUND SWIMMING POOL WITH DECK PROPOSED IMPROVEMENT LOCATION: Address: 9140 PUMPKIN RIDGE PORT SAINT LUCIE, FL 34986 Property Tax ID#: 3322-505-0019-000-4 Lot No. 10 Site Plan Name: ROBBINS Block No. Project Name: ROBBINS DETAILED DESCRIPTION OF WORK: INSTALL GUNITE SWIMMING POOL WITH CONCRETE DECK 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: $ 61,445.00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name THOMAS G ROBBINS Name:JAMES T.LEONARD Address: 30 S PLEASANT ST Company:A&G CONCRETE POOLS, INC. City: MERRIMAC State:MA Address:8880 GLADES CUT OFF ROAD Zip Code:01860 Fax: City: PORT SAINT LUCIE State: FL Phone No. Zip Code: 34986 Fax: E-Mail: Phone No 772-878-7752 Fill in fee simple Title Holder on next page(if different E-Mail HVIZZO@ANGPOOLS.COM from the Owner listed above) 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:AARON ALLEN 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. Signature of Owner/Lessee/Contractor as Agent for Owner '.�ig a re'—bT Contractor/License H Ider STATE OF FLORIDA STATE OF FLORIDA COUNTY OF C/V� C I-� COUNTY OF ST.LUCIE Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of `/ Physical Presence o Online Notarization ��Physical Presen or Online Notarization this day of �1�,1�(� 2026 by this y day of UL 202 by JAMES T.LEONARD Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of[dent tio Type of Identification Produced L/! ►t/Y ( I apt Produced (Signature of Notary Public-'Sta ''�`` � na re of Notary Public-Sta o o�ierdfla Notary F+.'f'Ir:�cate of Flo i °"M Poo, Notary Public State of to W 2° r H�,�t11e1'•i°zzo t, Heather VizzO GG 262 Commission NO. y, s�l)tsy Commission GG 7. 206mmi Sion No. 19S •i}Fo"ti°o-ls� ��es 1 t%t s'?)22 �' 9fc,�Qe` Expires 1 1113.2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED iev. 5/6/20