HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 3 permit Number: 1 \Q)3-GO'3%3
__-- SCANNED
St.LuCef;OIIFiYV LRECEIVEDBuilding Permit Applica ion 0 99Planning and Development Services ST. LUermitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: POOI
PROPOSED IMPROVEMENT LOCATION:
Address: 220 Ramie Lane Port St Lucie FL 34952
Property Tax ID 6: 3419-510-0326-000-2
Site Plan Name:
Project Name: Breau Pool
DETAILED DESCRIPTION OF WORK:
Inqround Pool w/Screen Enclosure and child barrier fence
CONSTRUCTION INFORMATION:.
Additional work to be performed under this permit— check all that apply:
Mechanical Tank Tank _ Gas Piping _ Shutters
✓_ Electric _ /Plumbing Sprinklers /G ��nGeennerator
Total Sq. Ft of Construction: /�' 6 b Sq. Ft. of Fir#JFloor: _
Cost of Construction: $ 25,000.00 Utilities: _Sewer _Septic
Lot No. 9
Block No. 22
-Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paul and or Jo -Ann Breau
Name: Owner
Address:220 Ramie Lane
Company:
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No.772-333-7323 or 772-877-9033
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail: pjbreau@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
-
E-Mail
State or County License
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: i G
Not Applicable
S7�
MORTGAGE COMPANY:
Name:
Not Applicable
Address: /.�
b �U7
�
Address:
City: .G
Zip: A Phone
State•
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
Address:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
i�iZ /•c�rl-xr�(�tit/
Signa re of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stwda COUNTY OF X1
The for oing instr was a knowledged before me The fo ing instr a as acknowle ed before me
this day of 20�by this day of 0� by
�-etir� IV n
me of person making statement. a of person making sta ment.
Personally Know OR Produced Identification Personally Kno OR Produced Identification
Type of Identi icatio ] Type of Ide ficat /J C
Produced 7 • j) C' Produced yr l
(Signature of - /ISgnai,,re of Notary Public- State of FloridaAUDREYB.HUMPHCommission N MMISSION&RI W617 on No.
(Sealy
e3 EXP]RES:Mardi 6,2023
ry�
REVIEWS FRONT ZONING SUPERVISORPLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.