HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1 I
Date: �. SCANNED Permit Number: ✓/7 �/" b
BY
St. Lucie County
RECEIVE
-
—• ---- -- - Building Permit Applic tion JAN 2 8 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce FL34982 St. LulCie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x . L
PERMITTYPE: Swimming Pool Resurface
PROPOSED INPROVEMENT LOCATION:
Address: 9631 Windrift Circle, Ft. Pierce, FL 34945
PropertyTaxlD#: 2310-500-0005-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
)ETAILED DESCRIPTION OF WORK:
Install new 6" x 6" the with new depth markers - Install new white
Plaster with blue quartz 3/8-1/2" thick - Bring main drain covers to
Code
CONSTRUCTION INFORMATION:
Additional work to he performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric —Plumbing
Total Sq. Ft of Construction:
Cost of construction:$ 40,785.00
_ Sprinklers
Generator
Sq. Ft of First Floor: _
_ Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Palm Rree7.ec PnA Inc---
Name: DnY1)7;.4Hardy
Company: Aquatic Surfaces Of TC Inc.
Address: 3900 Woodlake Blvd. Ste. 309
City: Lake Worth- State: FL
Zip Code:- 33463 Fax:
Phone NO. 772-345-2901
Address: 635 NW Buck Hendry Wav
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-7243
Phone No 772-225-4389
E-maii:—dka-rnes@campbellproperty.com
Fill in fee simple Title Holder on next page (if different
.from the Owner listed above) .
E-Mail dh.acruatic@qmail.com
State or County License CPC1 4591 1 0
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.
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DESIGNER/ENGINEER: _Not
Name:
Applicable
MORTGAGE COMPANY
Name:
Address:
Not Applicable
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _
Name:
Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice ncement.
Signat Owner/ Less e/ Qntractora—&j iin-0
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STATE OF FLORIDA
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STATE OF FLORIDA
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COUNTY OF
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The for ing instr t was acknowledged before
thisday of 20 by
The forgoing instr}�trtgnt was acknowledged before
this day of �/ r 20ff by
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Name of person making statemen .
Name of person making statement.
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Personally Known OR Produced Identification
Personally Kno OR Produced Identification
Type of Identif(ca�f
Type of Identific lion
Produced— E . �r ..� r_
Produced t
(Signature of traryPublic State of Florida)
(Signature of No Pu lic-State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ncv. 7/ LO/ 18