HomeMy WebLinkAboutBuilding Permit ApplicationAILAPPLiCABLE INFO MUST BI'k_,.!NIPLETED FOR APPLICATION TO BE ACC,,. -JD
Date: Permit Number:
9tLLEVILe
"to, "WRTI-r
Building Petmit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (712) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: IN GROUND SWIMMING POOL
PROPOSED IMPROVEMENT-LOCATION3i,
Address: K) P? , 9 C— ,-.L
Property Tax ID #: 3'SX'7 - Sol - 003o-I - ooO-ff Lot No.
(_,
Site Plan Name: Block No.
Project Name: —K;-0-tjz
,DETAILED DESCRIPTION OF_WORK:_-
IN GROUND SWIMMING POOL
New Electrical Meter -Second Electrical Meter' (Affidavit required)
CONSTRUCTION
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:$ Utilities: —Sewer _Septic Building Height:
O-WNE14A.,E$SEE:." ,
___
'CONTRACTOR -:-
Named kc V 4-t— (0c) AD CC
Name: BARRY MILLS
Address.. 8208 S OCEAN DRIVE
Company: CRYSTAL POOLS
City: JENSEN BCH state: FL
Address: 4680 US1-
Zip Code: 34957 Fax:
city; VERO BEACH State: FL
Phone No. E-
Zip Code: 32967 ,
Mail:-,
—Fax:
Phone No772n567-3067
Fill in fee simple Title Holder on next page (if different
E-Mail
from the Owner listed above)
-jimmyra-crystalpoolsirc.corn
State or County License CI PC -1457120
If un If go of
,-c v uummencement is requirea.
If value of HAVC-is $7,500 or more, a RECORDED Notice of Commencement Is required.
I:SUPPLEMENTAL CONSTRUCTION UEN.LAW INFORMATION
DESIGNER/ENGINEER: _ Not
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:' _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
COMPANY: NotApplicable
Name:
Address:
City:
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 isgranting apermit 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 attorne before �comrriencin' " work orrecordin our Notice of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF $T LUCIE
Sworn to (or affir d) and subscribed bq4qme of ✓Physical Presence or Online Notarization
this la. ay of 20 by
vVL4
Name of p son making
Personally Known " Ofi(prodficed -I d entifi cation
Type of Identification Produ c!
(Signature of Notary Public
Commission No.
of Florida)
(Seal)
REVIEWS I FRONT I ZONING
COUNTER REVIEW
,TE
CO
v ohs., JAMES ROUAN
i4�? Notary Public State of Florida
�commission # HH 55034
'? of c�°• My Comm. Expires Nov 4, 1024
Bonded through National Notary Assn.
S PLANS EGETATIEA-TURTANGRO
REVIEWOR I RE EW IyREVIEWON - I. S REV EWLE I MREV EWVE