HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED jj(�
Date: SCANNED Permit Number. l t O • ®'s-s—I 1
BY
St. Lucie County
eCEIVE�rtQ
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
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Building Permit Application a��c, As.; 10�0
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Commercial Residential X
'PERMIT TYPE: Concrete and pool enclosure
PROPOSED IMPROVEMENT LOCATION:
Address: 2401 Tilton Rd Port St Lucie, FL 34952
Property Tax ID #: 3414-501-1107-050-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Form and pour a 39.5' X 56' pool
Build a 39.5 X 56' pool enclosure
extension with 8" x 8" footers
Lot No.
Block No. 3
I CONSTRUCTION INFORMATION: I
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 Construction: _
Cost of Construction: $ 34,890.00
Sq. Ft. of First Floor:
-Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jason and Casey Hampson
Name: David Miller
Address: 2401 Tilton rd
Company: A Quality Construction
City: Port St. Lucie Stater
Zip Code: 34952 Fax:
Phone No. 305-481-8571
Address: 3531 S 25th St
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-461-3038
Phone No 772-343-0805
E-Mail:
Fill in fee simple Title Holder on next page (If different
from the Owner listed above)
E-Mail Aquality0l@bellsouth.net
State or County License CBC1267739
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: _ Not Applicable
Name: Thomasnmett
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 5440 Mariner St
Address:
City: Tampa State: FL
Zip: 33609 Phone 913-374-2403
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENO OBTAIN FINANCING, CONSULT
WITH YOUR LEIQDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign 76re of Owner essee/Contractor as Agent for Owner
Signatuc of Cdntractor ' ense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instr ent was acknowledged before me
this V day of `` 20]� by
ti�tY �0VIJO JL�
The forgoing instrument was acknowledged before me
this (daffy of l \ \.� 201G by
t�t_t l"i(�a�iQs�,
Name of person making statement.
Name of person making statement.
Personally Known`d OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced,,
Produced
(Signature Notary Publi State Florida
(Si atur of Nota Public- Stat f Florida)
of of
.`•., LASHAII, V,-RAHMING
Commission No. :�q� `?c.:
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COMM ION#GG 275060
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