HomeMy WebLinkAboutPool Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
VIL50 • W -- 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: IN GROUND SWIMMING POOL WITH DECK
PROPOSED IMPROVEMENT LOCATION:
Address: 1505 N. 43RD STREET, FORT PIERCE, FL 34947
Property Tax ID #: 2405-505-0070-000-6 Lot No.
Site Plan Name: APOSTLE FAITH CHURCH Block No. 51
Project Name: APOSTLE FAITH CHURCH
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: $ 79,267 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name APOSTLE FAITH CHURCH OF DELIVERANCE, INC. Name: JAMES T. LEONARD
Address: 112 DEVONSHIRE DRIVE Company: A&G CONCRETE POOLS, INC.
City: FORT PIERCE State: FL Address: 8880 GLADES CUT OFF ROAD
Zip Code: 34946 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.
Planning & Development Services Department
Residential Pool Permit Checklist
When applying for a residential pool permit use the following checklist.
ITEM
HOW MANY?
COMMENTS
Building Permit
1
A completely filled out building permit application shall be
Application
submitted, including all required information. The
application shall be signed by the applicant(s) and the
signatures shall be notarized. If the applicant is the
contractor/qualifier, the application requires 2 signatures.
Notice of Commencement
1
A recorded Notice of Commencement for all construction
with a value exceeding $2,500 shall be submitted prior to
first inspection.
Construction Plans
2 sets
All proposed construction must be accurately shown on the
plans including but not limited to electrical wiring,
plumbing, and pool equipment detail. Both sets of plans
shall be signed and sealed by a Florida registered engineer
or Architect
Plot Plans/Surveys
2
2 Scaled Plots Plans with all dimensions of pool and deck
area. Include location of pool equipment. Show setbacks
of the pool/deck to all property lines and location of all
existing structures. Form -board survey shall be required
for poured concrete decks. Final survey shall be
required for paver decks.
Vegetation Removal Permit
1
A completely filled out vegetation removal application must
be submitted with the building permit application. Please
include one (1) survey or site plan, for review by the
Environmental Resource Department. A specific plan
for tree removal and preservation is required if
applicable.
Subcontractor Agreement
1 each
One subcontractor agreement with original signature is
required for each subcontractor on the job. The building
pen -nit cannot be issued until it has been determined that all
subcontractors are properly licensed and registered. The
use of unlicensed contractors is strictly prohibited.
Filled Land Affidavit
1
This form is required for all construction, except for
interior renovation. It shall bear the original notarized
signature of the property owner. This affidavit serves to
notify the property owner of their responsibility not to
adversely impact their neighbor's properties with
stormwater drainage and runoff.
Pool Alarm Affidavit
1
Indicate the type of barrier/alarm. Shall be signed by
property owner and notarized.
****An Application for a Pool Permit shall not be accepted without a Pool Enclosure permit application
and plans or a fence permit (or proof of existing fence enclosing proposed pool area).
Revised 9/10/18
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Na m e: AARON ALLEN Name:
Address: 26377 7TH STREET Address:
City: LAVERNE State: CA City: State:
Zip: 91750 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
UWIVER/ CUINTRACTOR 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 commencinE work or recording vnur Notice of CnmmPnr•Pmant
Signature of Owner/ Lessee/Contractor as Agent for Owner
$ighatu of Contractor/License Holdr�r—
STATE OF FLORIDA 3 G�I
COUNTY OF i'�•t C
STATE OF FLORIDA
Y
COUNTY OF ST. LUCIE
Sworn to (or affirmed) and subscribed before me of
Swor °to (or affirmed) and subscribed before me of
V PWical Presence or Online Notarization
thi —day of 1=Y 202� by
V Physical Presence ar Online Notarization
thi_E' day of O�Jd V Q Fv U , 202b by
Q (o C 1Q 1 Vet
JAMES T. LEONARD
Name of person making st tement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Iden ' tcation
Produced �� SX,
Type of Identification
- I
Produced
(Signature of Notary Public- Sta o '�tt a
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Commission No(�ealyty Commission GG 2
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMP LETE D
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FL