HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ�.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `� a� Permit Number:
RECEIVED
9 Uo WCUrs5 .�
Q0 a .
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578
SEP 0 S 2021
St. Lucie County
Permitting
Commercial., Residential X
PERMIT APPLICATION FOR: NEW FIBERGLASS POOL INSTALLATION WITH CONCRETE DECK
PROPOSED IMPROVEMENT LOCATION;
Address: t4l3 LAURLLS PLACE,. PORT SAINT LUCIE, FL 34986
Property Tax ID#:.3322=501-0007-000-5 Lot No.4
Site Plan Name: SOCRATES DEMET Block No.
Project Name. DEMET RESIDENCE
DETAILEDDESCRIPTION OF WORK;
NEW FIBERGLASS POOL INSTALLATION 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 r 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: $ 7100.0.00 Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SOCRATES DEMET
Name: ROBERT COLASURDO
Addressc7413 LAURELS PLACE'
Company: POOL- DOCTOR OF THE PALM BEACHES
City: PORT SAINT LUCIE State:
Address:1408 N KILLIAN DRIVE SUITE 103
-Zip Code: 34986- Fax:
City: WEST PALM BEACHES State: FL.
Phone No:772-380.7255
Zip Code: 33403 Fax: 561-444-0276
E-Mail:socnsales@gmail.com
Phone N0561-586-2815
Fill in fee Simple Title Holder on next page'( if different
E-Mail CUSTbMERSERVICE@POOLDOCTORPB.COM
from the Owner listed above)
State or County License CPC1458452
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.
SURPLEM'ENl'AL;CONSTRUCTION LIEN,LAW I,NFORIVIATION.r :~
.DESIGNER/.ENGINEERi' T Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Name: -
Address: Address:
City: ^ State: City,: State:
Zip: Phone Zi Phone: -
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING"COMPANY: Not Applicable
Name: f Name:
Address: Address:"
City' City:
Zip: Phone: Zip: Phone:_
DWNER/. CONTRACTOR AFFIDVIT: Application is herebv made to obtain a ner"mit to de the wnrk and �n�rauatinn intlirm+arl
I certify that no work orinstallation has,commenced prior to the issuanceof a permit.
St. Lucie Count makes, no representation that,is granting a permit will, authorize the.ppermit 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. Pleasm
e. consult with your Hoe Owners Association and review your deed:for any restrictions Which mayapply.
In consideration of the granting of -this requested. permit; I do hereby agree that l 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, wails; 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 Notiee ;of Commencement must be. recorded in the public records of St.
Lucie County and posted pri the jobsite before the. first inspection, if you intend to obtain financing, consult
With Ipnripr ih an,' nrnPV hpfnra rnmvnanriinontn+:,-e .,F r: w.....:.............�
Si n ture. of owner/ Lessee/(ontractor asAgent for -Owner
Signat r f'Con or/License Holder
STATE OF FLORIQ
COUNTY OF I ACi
STATE F FLORID .
COUNTY
r .7� -
OF ,IhVI W7 1
1Sworn or affirmed) and subscribed. before.me of
Sworn to (or affirmed) and subscribed before me of
hysical Pre _ ce or, Online Notarization
this day of r by
Physical Pre nce or Online Notarization
thi * day of , 2020 by
.V) rn lam v rd v
Name of person making state ent.
Name of person making statement.
.,Personally Known OR Produced Identification
Personally Known X—OR Produced Identification
Type of ldentifi at cLn 1
Type; of Identification
PrQdixed i C 1 1 CQf)l
Produced
rr�
(Signatu e�"�o Votary Public- St a°CAROL SHAAS
(S nature of No P b ' - fate of Florida `s . • • �' • • h� °
_� Notary Public - State of Flo
Commission No. ommission ; GG 25526.
.`{$�{��omm. Expires Sep 24,
ida
0% mission N1)�2�Bga (?:
Bonded through National Notary
Assn.
REVIEWS
FRONT
ZONING'
SUPERVISOR
PLANS
VEGETATION
SEA TURTL�.,�
10.1
+RRt111�3:[
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
rrrniir�>>
RECEIVED.
DATE
COMPLETED
nev. ?I of cu
r