HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: f JLi/% i2li Permit Number: p_no--C),')b5
•
Planning and Development Services
Building and Code. Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
10
P 9y FCol,
4r" (CQ
Building Permit Applicaa° ��ro
0
�r
Commercial Residential xx
PERMIT TYPE: IN GROUND SWIMMING POOL WITH CONCRETE DECK
'PROPOSED INPROVEMENT LOCATION:,
muuress: 0310 Arapahoe ST Fort Pierce, FL 34982
Property Tax ID #: 3409-703-0081-000-3 Lot No.I1.12. and 13
Site Plan Name: MERRITT Block No.'8
Project Name; MERRITT
DETAILED DESCRIPTION 'OF WORK:
INSTALLING GUNITE SWIMMING POOL WITH CONCRETE DECK
Additional work to be performed under this permit —check all that apply:
_Mechanical
_ Gas Tank
—Gas Piping
_ Shutters
_ Windows/Doors
_Electric
_Plumbing
_Sprinklers
_Generator
_Roof Pitch
Total Sq. Ft of Construction: L
Cost of Construction: $ 1 1 0p
30. —
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:.- _.;.CONTRACTOR:
-
Name_ Talon Merritt
Name:_ rn mT;gT,Fnn*aun
Address: 6429 Riverland DR Fort Pierce, FL 34982
Company` A&G CONCRETE POOLS INC
City: PT Pierce State: FL
Zip Code: 34982 Fax:
Phone No.
Address: 8880 GLADES CUTOFF RD
City: PORT ST LUCIE State; FL
Zip Code: 34986 Fax:
Phone No 772-878-7752
E-Mall ABIRMINGHAM@ANGPOOLS.COM
E-Mail:
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
If value ofconstructinnIc4xnn.....n. oernnnen.._..___f
State or County License CPC1457902
_
If value of HYAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: AAgOvArrcnr
_
Name:
Address: 26377 7TH STRRRT
Address:
City: LA VERNE State: CA
City: State:
Zip:91750 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
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 l 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
commencinwivork or recording our Notice of Commencement.
Slgnatu Ow Le r ssee/Contractor as Agent for Owner
a f ntractor/Lic se Holder
OF FLORIDA
STATE OF FLORIDA
,„ rC UNTY OF ST LUCIE
COUNTY OF sTmicm
F e forgoing instr ment was acknowledged before me
fh day i�� {QF
; 's
The forgoing instrument was acknowledged before me
..
:.. of c U� 24�0 by
this a l day of , IL1 r1UQh2 a 0,E by
D
2
ASON MERRITT
0.
$�
5 z
S
o e of person making statement.
Name of person making statement. a =
ovally Known OR Produced Identification _x
a 3 3
Personally Known x OR Produced Identification u
of identification
Type of Identification
P oduced DRIVER LICENSE
Produced
� o
Am o N
2
(Slgnatu o Notary Public -State of Flo id))
(Signature of tary Public -State of Florida)
Commission No. da249625 (Seal)
Commission No. GG249625 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNT ER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPILE ED
ev. 9/26/18