HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE IINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L I"/1- SCANNED
Permit Number: O 1
'g. = BY
COUNTY$f. Lucie County RECEIVED
Building Permit Applicatic n JUL 0 2 2019
Planning and Development Services
Building and Code Regulation Division
2300VirginlaAvenue, FortPierce FL34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMITTYPE: /
PROPOSED INPROVEMENTLL-OJCATION:
Address: 5260 Dunn RI)
Property Tax ID #: 3403-702-0007-000-0 Lot No. 6
Site Plan Name: TESTA Block No.
Project Name: TESTA
DETAILED DESCRIPTION OF WORK:
INSTALLING GUNITE SWIMMING POOL WITH PAVER DECK AND IN POOL ALARM
CONSTRUCTION INFORMATION:
Additional work to be performed under this. permit —check all that apply:
_Mechanical. _Gas Tank _Gas Piping .Shutters
_ Electric _ Plumbing. _ Sprinklers _ Generator
Total Sq. Ft of Constructi/oI'n'n: Sq. Ft. of First Floor:_
Cost of Construction: $ - T1r 0W Utilities: -Sewer —Septic
—Windows/Doors
Roof. Pitch
Building Height:
OWNER/LESSEE •; _ _:.._ - �
CONTRACTOR,
Name Nicholas L Testa and Sarah Testa
Name: IAMES'T LEONARD
Address:_5411 NW Milner Dr
Company: ALkG CONCRETE POOLS,INC
city: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No.
.Address: SR80 GLADRS 07TOFF RD
City: PORT ST LUCIE State: FL .
Zip Code:- 34986.. Fax:
Phone No 772-878-7752
E-Mail:
Fill In fee simple Title Holder on next page( If different
from the Owner listed above)
E-Mail
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State or County Licen a CPC1457902 '
a vame-or construction is g[nuu or more, a xccunueo Notice of commencement is required.
If value of HVAC is $7,500 or more, 6 RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE ENGINEER: _Not Applicable
Name: r FNI
MORTGAGE.COMPANY: Not Applicable
Name:
Address: i
Address:
City: Y State:
Zip: I'i56 Phone
City: State:_
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNEH/ 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. Lucle 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
commertcine work or rE[nrdinR vnrlr Notira. of Cnmmonramant I
I ture o ne essee/Ca ac or as Agent for Owner
a of contractor/License Hollister
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forg iin nstr ment was acknowledge before me
'this da of 20 b
The fQsgpin Y nstr ment was acknowledged before me
this da of 20 b
MChOINs TeAStQ
Name of person making statement.
_IAMFCTTF()MART)
Name of person making statement.
Personally Known OR Produced Identification _
Personally Known �_ OR Produced Identification
Type of Identification
Type of Identification
Produced DRTVFR T.TC:FNSF
Produced
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( ignat r of Notary Publicti +y Public.- State of Ron,a
(ignat r of Notary Pub ¢-State.o
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.. Yi('iv x GG 249625
_ Notary Public- State
�Commission
Commission NO. 249625 ;os. m. Expires Aug 76, 20
Bonded t_tir6ugh National Notary A
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r,C mmission No. 249625
Commission: GG
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Bonded through National
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Assn.