HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt p
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: � Permit Number: ��da' CSSa b
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Pool li'IC ound
RECEIVED
Building Permit Application FEB 6.. fs
. ST. Lucie County, Permitting
Commercial Residential X
Address: 3022 NW Radcliffe WAY Palm City, FL 34990
Property Tax ID #: 4425-703-0012-000-2
Project Name: OZER
DETAILED DESCRIPTION OF WORK:'.,• ,y. " � ..
IN -GROUND CONCRETE SWIMMING POOL & PATIO
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ Oev Total Sq. Ft of Construction: 1325
Lot No. 7
m
FLOODPLAIN DEVELOPMENT PERMIT for structures exemptfrom Building Code that are in the
floodplain:
Nonresidential Farm Building:_ Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity:._
Other: Flood Zone:_ BFE:_ Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All otherapplicable state and federal permits shall be obtained prior to commencement of`
construction:
OWNER/LESSEE:
CONTRACTOR:
Name Serkan & Amanda Ozer
Name: MIKE ALEXANDER
Address: 3022 NW Radcliffe WAY
Company- ALEXANDER CUSTOM POOLS
City: PALM CITY State:'],
Address:50 NE. DIXIE HWY (1-1)
City: STUART State:FL
Zip Code:34990 Fax:
Phone No.51ST-306492
Zip Code: 34994 Fax:
Phone N0772-444-3158
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail ALEXANDERCUSTOMPOOLS@HOTMAIL.COM
State or County License CPC1457939
from the Owner listed above)
it value or construction is yZWU or more, a RECORDED Notice of Commencement is required.
i
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION. LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
Na m e: GREGORY AwAS
MORTGAGE COMPANY: __Not Applicable
Name:
Add ress: 72115 5M PLACER
_Address:
City: WEST PALM BEACH State: FL
Zip: 31'111 Phone aoser9-o5<1
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature'o : caner a see/Contractor as Agent for Owner
Signature of Contracto is nse older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF S, LuCto,
COUNTY OFs-T�ucrr=
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this_.(p day of F-bnACNIQ 20JGJ by
statement..
this (.'*day of Fb'6(Z UA10J 20a- by
Name of person making
Name of person making statement.
Personally Known _)_4 OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
•"p; , ' ALIENE S. DONOVAN
my rnMMISSION # GO 01637
(Agn toe of Notary Public- Stat t• �a SARA DONOVAN ALEXAOftnature
of Notary Public-S •� ", da ):xPIRES:October 1.2020
MY COMMISSION IFGG
13050 'v,•dt ser"TMUNotxyPtM Underwrite
�,. tS
Commission No. =' 11,2
t^; al) EXPIRES:
2t m ssion No.
Not:June
'�;€ oe $C BondeE Thm Notary PuWk U
ers
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