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Home My WebLink AboutBUILDING PERMIT APPLICATIONr'1 DEC 0 4 2018 Building Permit Applicati n Planning !and Development Services ST. Lucie County, Permittln9 Building nd Code Regulation Division 2300 Vir inia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Numt vk SCANNED BY Commercial Residential xx St. Lucie Coul PERMIT APPLICATION FOR: Pool inground IF-71 Li PROPOSED IMPROUEMENT.LC!CATIO.N:. ` " ' " Address: 15370 Skyking Drive Port St. Lucie Florida 34987 Legal Description: Lot 67 Treasure Coast Airpark Plat Book26 Page 18 St. Lucie County Property Tax ID #: 4224-501-0067-000/5 Site Plan Name: 15370 Skyking Drive Port St Lucie Florida 34987 Project Name: Ciuperger Pool Setbacks Front Back: Right Side: _ Left Side: DETAILED DE 1. ..TION'OF WORK Inground 15' x 30' pool with screen enclosure and concrete decking. Generator Lot No.67 Block No. ❑ Windows/Doors DRoof = Roof pitch Total Sq. Ft of Construction: 00 5 Ft. of First Floor: Cost of Construction: $ J�7, L) utilities: Sewer R1Septic Building Height: 01IUN ;f2/LESSEE Name�asile and Kristina Ciuperger x 'CONTRACTOR..: Name: a -e— a FvC-e� Address:. 15370 Skyking Drive Company: B tiJ City: Port St Lucie State: FL Zip Code: 34987, Fax: Phone ;No. 561-319-8603 Address: g Z3 oZf% (i/ 8 1 IA e City: It AA .Ql— PO I wki A Zip Code: 33 i 1 Phone No.� �@� P 6U iL State: l%L� Fax: � If _% —7Ci Rl) E-Mail:kvckvc@yahoo.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: J oa State or Coun License: (NZQ_ 1 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAWrINFORMATION .a hw.. R,B.d P.. .. .. me ..• em_� .•. •, K n n .e. t DESIGNER/ENGINEER: Name: _Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: I 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 lender or an attorney before cQwxfW5cing work or recording your Notice of Commencement. A11W- All� re of Own Les ee/C ttrac or as Agent for Owner Signature of Contra for/License Holder STATE OF FLORID STATE OF FLORIDAp COUNTY OF . 4. WcA-e- COUNTY OF ac,� The far ping instrument was acknowledged before me The forgoing instrumeq was acknowledgedbefore me this day ofD�fnnCMhG� 20� by this day of NN y LAuV?",a-1V%91�E CcdQf! IL .�r7rv1 � y1S21� Name of person maki g sib tam Name of person rr]a tg statement Personally Known � OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced s Produced (Signa Lre of Notarylic- State of Florida ) ( gut, , f Notary P�A1�8TW ida ) `�_ Notary Public-stateolFlorida Commission No. �1`t .••�:�0�" •.. (Seal) KIMBERLY KOCH aNjo Commissi�087945 (Seal) ••.•.,- •� ` Commissicr a GG 177493 PIENotary Public— Stale of Flodca pies u 22, 20I1 80MIMd lhraugh N"--al NDlorypsm, �?:' My Comm. Expires Jar. 22. 202 •.:. omm , rz�g aaoru Dory s . / Z I 0 REVIEWS FRONT LA VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW R REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED 12 Rev.8/2/7