HomeMy WebLinkAboutBuilding Permit Application .4
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date: I b -nt3`" RECEIVED Permit Number: �� OLM
n JAN 2 0 2022
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�u15 St.Lucie County
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR: Swimming Pool
FBI
PROPOSED IMPROVEMENT LOCATION - � � �,-��� �� .
Address: 6804 Shelley Terr, Port St Lucie FL 34952
Property Tax ID#: 3415-705-0007-000-6 Lot No. 6
Site Plan Name: <:: I Block No. 1
Project Name: SABIA
DETAILED DESCRIPTION OF WORKj�
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yid
Swimming pool,_,-. pool plumbing, paver deck
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION y
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_ ,Electric x Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ p;(owls Utilities: —Sewer x Septic Building Height:
OWNER/LESSEE y ,' CONTRACTOR
Name Sabia, Shawn Name: Mindy Vitale
Address: 6804 Shelley Terr Company: Paradise Swimming Pools & Spas
City: Port St Lucie State: FL Address: 9000 Burma Rd Ste 103
Zip Code: 34952 Fax: City: Palm,Beach Gardens ' State: FL
Phone No. 561-294-8321 E- Zip Code: 33403 Fax:
Mail: permitting@paradisepoolsfl.com Phone No 561-294-8321
Fill in fee simple Title Holder on next page (if different E-Mail permitting@paradisepoolsfl.com
from the Owner listed above) State or County License CPC1458862
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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SUPPLEMENTALsCONSTRUCTION� LIENf'AW.INFORMATION
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Aquatic consulting Engineers Name: N/A
Address: 22171 Waerside Dr Address:
City: Boca Raton State: FL City: State:
Zip: 33428 Phone 561-445-1787 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: N/A Name: N/A
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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.
6�1)'Wlld �Ja_b
Si a u e of Contract r-or-Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF
Sworn t_Q(or affirmed) and subscribed before me of Physical Presence or Online Notarization
this W day of 140u" 20-2-L-by
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Name of per aking statement.
Pe so own OR Prod ent' ' n
Ty dentification Prod
(Signature of Notary ic-State of Florida) KENNETH NUNEZ
@otpRY.lssoc, NOTARY PUBLIC
Commission No. (Seal) -STATE OF FLORIDA
Comm#GG933285
•S��CEA Expires 1/19/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
RECEIVED
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