HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
iiIVE D
Building Permit Application .1 2017
f >i
Planning and Development Services ri jSt. Lucie county
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: „ ? A
d
Legal Description: WIDE WATERS S/D LOT 4
Property Tax ID #: 4436-510-0008-000-3 Lot No.4
Site Plan Name: Block No.
Project Name:
Setbacks Front p C t Back: 135 Right Side: .!q-7' Left Side: $
DETAILED DESCRIPTION OF WORK:
BUILDING POOL ENCLOSURE
SWIMMING POOL BY ALEXANDER POOLS
CONSTRUCTION INFORMATION:
Additionalworktobegertormed under this permit = check all that apply:
OHVAC L _I Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
aElectric 0 Plumbing 1 prinklers Generator g Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 2375.00 LY ONUtilities:0 Sewer a Septic Building Height:
�ir
OWNER/LESSEE:
CONTRACTOR•
Nam
Name:
Address: 001lr0 �e f
Company: MARIO RUSSO ALU NUM
City �! v State:F�
Address
Zip Code: 34990 Fax:
City: ��� State: FL
Phone No.
Zip Code: 34983 Fax:
E-Mail:
Phone No. 772-370-8671
Fill in fee simple Title Holder on next page (if different
E-Mail: russocustomflooring@yahoo.com
from the Owner listed above)
State or County License: 30367
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: SUNCOAST ALUMINUM ENGINEERING
Name:
Address:
Address:13630 56TH ST N. SUITE 101
City: CLEARWATER State:FL
City: State:
Zip:33760 Phone727-532-9000
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
_Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency.review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with len or an at wey before
commencine work or recordine vour Notice of Commencement. _ _4zz 1 .10%
----$- 9
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of . 20_ by
Name of person making statement
Personally Known OR.Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Holder
STATE OF FLORID
COUNTY OF as Az
The forgoing instrument was acknowledged before me
this VvIday of 20Y) by
Wn 2:_N�se
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
ProducedlnN1lr;�oas
�ZbpS�(�k'1044��
(Signature of Notary Public- State of Florida )
Commission No.
.Seal) KERI WHELAN
Notary Public - State of Fl
Commission # GG 1175
' My Comm. Expires Jun 21,
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Rev. 8/2/17 /1�