HomeMy WebLinkAboutDechiaro Building Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S
• 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) 462-1578 Commercial Residential )�
Address:
C (
Legal Description: R! d I? r`CAT `b GA51 YAMMOcKU h! t
Property Tax ID #: "1 UJ ' 11�3' Q�l4' ,�OQ .7 Lot No.
Site Plan Name: :n 0l"AS D f_ 0. I A 90 Block No.
Project Name: _a ` N
Setbacks Front =.11J Back: Right Side: 2.0 Left Side: 20
I DETAILED DESCRIPTION OF WORK:
Adding Spa -b
existing
POOL
6' X 01
deP�
3'
i!�ALL0175
CONSTRUCTION INFORMATION:
Additional work to er orme un er t is permit —check a
11HVAC - Gas Tank ❑Gas Piping
apply:
In
ZElectric
®
�
_Shutters
I
1:1
Windows/Doors
Plumbing
Sprinklers
Generator
hoof
Roof pitch
Total Sq. Ft of Construction: 46
Cost of Construction: $ W. QQ.
S Ft. of First Floor:
Utilities:InSewer ESeptic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name 1140MAS DECHIARD
Name: Ryan Figman
Address,:: 1515 LAnWOOD TER��
Company: Apex Pavers & Pools
NCE
CA City: LM C [ _ State: f [r
Zip Code: „ y910 Fax:
Phone No._1231 — 3 7 q — So8 3
Address: 725 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-419-5101
phone No. 772-419-5151
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E-Mail: jscalise@apexpavers.com
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/ENGINE R: Not Applicable
R& 115 4A
MORTGAGE COMPANY: _ Not Applicable
Name: f1da// _i'S L;C-&A
Name:
Address: 001 Ha2)e_1k)-6e7e1AR
Address:
City: E26F State: L
City: State:�T
Zip::;gggp., Phone: I. 10
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _ of Applicable
Name:
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 the permit holder to build the subject structures
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
coDmencjn& work or recording our Notice of Commencement.
'5ignature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA ,
COUNTY OF .
The forgoing instru ent was acknowledged before me
this �ay of 20 Qaby
(Name of person acknowAedging ) n
'�� - 77 - M'
s
Signature o ontrac r/ tense Holder
STATE OF FLORIDA
COUNTY OF /771�/?7
The forgoing instrument was acknowledged before me
this a day of e , 20 �& by
Ryan Figman
(Name of person acknowledging )
Vof.wtSz0Cb'ic- / St of Florida j (Sig ature of Notary Publ'c- State offloridany OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ::<*R' feral) SHIRLEY LrrTLEFI t@omm sion No. Notary Pu �d of Fkxido
:'i „r Notary Public State o Florida Lori A MOxley
1 ypC s commission a GG 3 525 t My ,ion C++3 280148
.�nionC-
-. my comm. upirL,TJU❑ rr. zvr3- - •Cr w" -. -- ...------
Revised 07/15/2014 Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS