HomeMy WebLinkAboutAPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNT Y
f l U K 1 L' h
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: IN GROUND POOL
PROPOSED INPROVEMENT LOCATION:
Permit Number:
Do uilding Perrin Application
Commercial Residential x
Address: 7683 PELICAN POINTE DRIVE, TENSEN BEACH
Property Tax ID #: 3522-700-0013-000-5 Lot No. 9
Site Plan Name: WILLIAM ROAF Block No. N/A
Project Name: ROAF
DETAILED DESCRIPTION OF WORK:
INSTALL GUNITE SWIMMING POOL AND SPA
CONSTRUCTION INFORMATION:
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:
Cost of Construction: $ 58,325.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WILLIAM ROAF
Name: JAMES T. LEONARD
Address: 19008 SE LOXAHATCHEE RIVER DRIVE
Company:A&G CONCRETE POOLS INC
City: JUPITER State: FL
Address: 8880 GLADES CUTOFF RD
Zip Code: 33458 Fax:
City: PORT ST LUCIE State: FL
Phone No.
Zip Code: 3498E Fax:
E -Mail:
Phone No 772-878-7752
Fill in fee simple Title Holder on next page ( if different
E -Mail_ HVI7.zopANGPoo1.S.coIvl
from the Owner listed above)
State or County License CPC1457902
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
MORTGAGE COMPANY: Not Applicable
Name: AARON ALLEN
_
Name:
Address: 2637 7TH STREET
Address:
City: _LA VERNE State: CA
City: State:
Zip: 91750 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 N tice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you in nd to obtain financing, consult with lender or an attorney before
commencing work or recording yo Notice of Commencement_
Signature of Owner/ Lessee/Contract as Agent for Owner
STATE OF FLORIDA
COUNTY OF bk kc
ThefoToing instru ent was acknowledged before me
this = day of (- f 20 aaby
f�� 1 I'_a "n) � 0 a -c
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced c�C \J9(5 I i 0 n_�t
(Signature of Notary Public- State of U68a }
Commission No.GG �, Ay P,4(SeB4tary Public State of FI
Heather Vizzo
My Commission GG 262
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COUNTER REVIEW REVIEW
DATE
STATE OF FLORIDA
COUNTY OF _ r .
The orgoing instrument was acknowledged before me
thi *1`�lay of (�(1 � l l 20aO by
01meS ). ooar.)
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
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(Signature of Notary Public- State
N
�m ssion No �'� ��afD� P4' otary Public State
: (ayeather Vizzo
53
My Commission GG
orn� Expires 11/13/2022
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