HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-157$ Commercial Residential XX
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 123,91 S imD(.4o oewu Dog dSEtd 66_451! FL 3 qq S
Legal Description: MILLED 516 4L.LTHAI PUT OF N' Ig5,78 Flor- 5 1V-18 FT a
LOT L I & 0 F -1 410 FI Id 0b&0/1 Ta W A'LW me S NPRIV Ae LESS RUM 60A 37.1 -JR)
Property Tax [D #: y5oq -to 03 - 061q -()ted -1 Lot No.
Site Plan Name: _8fZQLAW RZE5I,8ENCE Block No.
Project Name: &,0 JA1 RE-SbOE ICE
Setbacks Front _Z6 Back: 15 f flight Side: Z( Left Side:1
} DETAILED DESCRIPTION OF WORK: 1
I ,J N6 v,16 SW I AMI NJ6 7(36L
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name SO4 1�DLJIJ
Name: Ryan Figman
nnAdditional work oepej r orme un er
11HVAC lel Gas Tank
is permit - check
F]Gas Piping
a app y:
Shutters
�`�
E -Mail: JSC'AL1S 1}�>l P�Ji.S ,('(jr`'j
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: jscalise@apexpayers.eom
Windows/Doors
10 Electric ® Plumbing
O Sprinklers
Generator
I=1 Roof Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 5A 6m, O6 Utilities:cn Sewer l _J Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SO4 1�DLJIJ
Name: Ryan Figman
Address: 12 3V -7 S zND 9 9 I VE4 CK 1 Vil
Company: Apex Pavers & Pools
Address: 725 SF Monterey Road
City: JE11451FLI 8EA C-64 State:
Zip Code: 39q5_7 Fax:
Phone No. '7 2- Y19- 55151
City: Stuart State: FL
Zip Code: 34994 Fax: 772-419-5101
Phone No. 772-419-5151
E -Mail: JSC'AL1S 1}�>l P�Ji.S ,('(jr`'j
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: jscalise@apexpayers.eom
State or County License: CPC1458696
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: 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:
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 thepermit 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
commencirw work or recordine your Notice of Commencement.
er
as Agent for Owner
cense
STATE OF FLORIDA�nj STATE OF FLORID
COUNTY OF k I l4 COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ,30 day of JA',) 202O by this30 day of JA O 20 2.6 by
aNJA ?&w� Ryan Figman
(Name of person acknowledging } (Name of person acknowledging }
(Sin ure of Abtgfry Public- State of Florida }
Personally Known OR Prodliced Identification
Type of I d e r ti iclan r
C. _ -.-•� ••. vwHL.l 7�
Commissio [ r r'y COMN4'SSfON 0P@W1020
EXPIRES ADr1i o5 pn.>t
Revised 07/15/2014
(Sign t e of Notary Public- State of Florida }
Personally Known OR Produced Identification
Type of Identification Produced
Commission No JIjLIE M J eALYI e
` MY COMMSSION # GG09 i
grid 05, 2024
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