HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE ( PLETED FOR APPLICATION TO BE ACCEPT_
Date: 2 --SQ_ _y Permit Number: 2 O\!ds b) S
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RECEIVED
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Building Permit Application FEB 06 2020
Planning and Development Services
Buildingand Code Regulation Division Permitting Department
9 St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground III
Address:
Legal Description:
Site Plan Name
Project Name:
Setbacks
Fr(
Installation of Gunite Pool; Deck and Equipment
11HVAC Li Gas Tank ❑Gas Piping UShutters
Electric 0 Plumbing OSprinklers ❑ Generator
Total Sq. Ft of Constructioony:�YOb% Fes. -Ft. of First Floor: _
Cost of Construction: $ f I : �� 5 Utilities: Sewer Septic
QWindows/Doors
0 Roof
Building Height:
.� 4Ls _.x�,wAl� �"- �w :'t r� v 1S'�2� 4'f:^..+ „
- • � '"z. A '% .i.t.. $�r'�u,..:t� �^33
Nam 'NO
Name: Terry Wut
Address: e (
Company: Pools by Greg, Inc.
City: Nip 0 State: hL,
Zip Code: 5LICIL45 Fax: '
Phone No_-JJ9' Q ' 9I9
�N
Address: 8886 S Federal Hwy
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772-337-9287
Phone No. 772-337-9713 ,
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: office@poolsbygreginc.com
State or County License: CPC1458338
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTR
ON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: M. RANDALL ROGERS
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add ress: 1801 HAZELWOOD DRIVE
Address:
City: FORT PIERCE
Zip: 3 982 Phone772-201-1834
State: n-
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
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 our Notice of Commencement.
gna5 ture of 0. / f essee/ ohtractoc asAgentfQT,Owner
Signafur�,e -of+'-._ „actor/,LiLense fio d
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The for oing instru ent was acknowledged before me
ir day IZb 20�3y
The fo ing mstr ent was acknowledged before me
xday H)O 20 OD by
this of
this of
TERRY WIX
TERRY WIX
Name of person making statement.
Name of person making statement.
Personally Known _>4 OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- 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
0'+
Notary Public State
(Florida
eV. '4. C d My Cnmm r_n_
Notary Public tiIace 01 rivi tu.
A Thomasina Bowins
My Commission GG 201733
.Expires 03012022
�lprpd� Expires 03/29/2022 �� ��