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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 8� l ' �2XD RECEIVED Building Permit Application Nov 5; 1018 Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxx PERMIT APPLICATION FOR: Pool inground SCANNED PROPOSED IMPROVEMENtL-OCATION ; ; BY Address: 8036 SIOCEAN DRIVE St ucleyun fy- Legal Description,: DIAMOND SANDS LOT 20 Property Tax ID #,: C6 J�l " 1 ` CO© Lot No Site Plan Name: Block No. - Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DES CRIPTION OF -WORK:,"'- I INSTALLING A SWIMMING POOL AND HOT TUB PER PLAN CONSTRUCTION INFORMATION: " itiona wor to e e orme un er t is permit— check all apply: aHVAC L_J Gas Tank ❑Gas Piping In _ Shutters 0 Windows/Doors 11 Electric 0 Plumbing Sprinklers 0 Generator E]Roof Roof pitch Total Sq. Ft of Co 1 struction: Cost of Construction: $ 56,005.00 I S.Ft. of First Floor: _ Utilities) ] Sewer t I Septic Building Height: -OWNER/LESS.EE - :. CONTRACTOR: Name .4 10di, Name: BARRY MILLS Address: GtG�L Company: CRYSTAL POOLS City: f State: Address: 4680 US1 Zip Code: Fax: City: VERO BEACH State: FL Phone No. Zip Code: 32967 Fax: E-Mail: Phone No. 772-567-3067 Fill in fee simple title Holder on next page ( if different E-Mail: State or County License: CPC145120 from the Owner IIisted above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. -SUPPLEMENTAL CONSTRUCTION -LIEN- LAW INFORMATION w DESIGNER/EN' INEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: BARRYMILLS Address: 8036 S City: Zip: OCEAN DRIVE Address: City: VERO BEACH State: Zip: Phone: I State: Phone I FEE SIMPLE TITLE Name: HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: Address: 4660 ust City: I City: Zip: Phone: I Zip: Phone: OWNER/ CONT'"CTOR 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 Counttyy mI kes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflim1with 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 lender or an attorney before commencing; work or recording= vour Notice of Commencement. ature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instru gt was ack owledge before me this � day of 20/1 by Name of p on making statement Personally Know OR Produced Identification Type of Identification Produced `AY n Nota7Public State of Florida Frannza My Commission GG 082440 (Signature of °F i t 3 P A ) Commission No. (Seal) I REVIEWS I COUO TNT ZONING ER I REVIEW { S REVIEWOR DATE RECEIVED DATE COMPLETED Rev. 8/2/17 4�3 el z�k_y Signature of Co tractor/License Holder STATE OF FLORIDA J COUNTYOF�Sr CUt e The forging instrument w s acknowledged before me this ij day of 20/9 by Name of persoakjng statement Personally Known OR Produced Identification Type of Identifyion I JAMES ROUM MY CQMMISSION�}.� QQ8627 —E*IRE& Nov 20 Public U►ndd0envriters Bonded Thru Notary VEGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW