HomeMy WebLinkAboutHOYT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE:
PROPOSED INPROVEMENT LOCATION:
Address: 3426 SOUTHERN PINES DR
PropertyTax ID #: 2428-702-0068-000-9 Lot No. 27
Site Plan Name: SUNRISE HOMESITES S/D Block No. 3
Project Name: HOYT
DETAILED DESCRIPTION OF WORK:
INSTALLING GUNITE SWIMMING POOL WITH CONCRETE DECK
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
X Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4-1, OOX-)
Sq. Ft. of First Floor:
Utilities: X Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JONATHAN HOYT
Name: JAMES T. LFONARD
Address: 3426 SOUTHERN PINES DR
Company: A&G CONCRETE POOLS INC
Address: 8880 GLADES CUTOFF RD
City: _FORT PTF.RC'F. State: FL
Zip Code: 34982 Fax:
Phone No.
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No 772.-g78-7752
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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State or County License CPC1457902
If vdwe or construction is;oziuu or more, a KtcuKutu Notice or 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: AAunN AT T FN
_
Name:
Address: 26377 7TH STREET
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 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
befor e first inspection. If you intend to obtain financing, consult with lender or an attorney before
coryiffie4king work or recording our Notice of Commencement.
ignature of Owner/ Lessee/Contractor as Agent for Owner
Sign a nt or License Holder
11
STATE OF FLORIDA �`'
COUNTY OF ST LUCIE
S TE OF FLORIDA
COUNTY OF ST LUCIE
The feo�r oing instrument was acknowledged before me
this la day of 20AW by
The forgoing instrument was acknowledged before me
this.Zbdayof McxNj 20g2 by
JAMES T LEONARD
ame of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced DRIVER LICENSE ;;•... LUCYBaitOCio
Notary Public - State of Florida
y 41 Commission 1 GG 9372Ta
M Comm. Expires Dec 4, 2023
or ram, % Y
.......
Bonded through National Notary Assn
Produced
r�J�" ''-.. LUCY BAROCIO
Notary Public - State of Florid
Commission A GG 937274
�un:.�' MY Comm. Expires Dec a, 202
ANotary_'PP'uN_ic-
ublic- State of Florida)
(Signature of Nor/a"_
5
(Signature
/�_
Commission No. GIN 43'12Ty (Seal)
k-
Commission No. C� `lI !s-34 (Seal)
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DATE
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Rev.9/26/18