HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE II,N,-F�O MUST BE CC,, LETED FOR APPLICATION TO BE ACCEPT
Date: O G_c2a 1 Permit Number: Jqc
Building Permit Application eo '0a ape
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
�, �b
Reside%tial
PERMIT APPLICATION FOR: /
Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: .3 %�-9 / /V_� /
Legal Description: L,D>c 2MPD;N �%rg 5e13 DIU/s/ti/�/
Property Tax ID#:_IY -3- 5-61- - 006)�-9,9D— 3
Site Plan Nam(
Project Name:
Setbacks Fn
Lot No. 3
DETAILED DESCRIPTION OF WORK: —Ill
INSTALL GUNITE SWIMMING POOL WITH PAVER DECK
Perm'it-Pbr Penee -t-hrough phoenix homes 19108-0313
CONSTRUCTION INFORMATION:
itiona workto e orme under this permit — check a apply:
EjHVAC ff Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
ICJ Electric [;]-Plumbing Sprinklers In Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ ��lI ,00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE`.
CONTRACTOR:
Name_ 6/ 1092d)z"q-
Name: JamesT. Leonard
Address: V3,5� M4;/ rD2CA AQ6-
Company: A & G Concrete Pools, Inc.
City: eo/2.,OL 646e_gS _State: )q.
Zip Code: 33) 3 Fax: 41 A'
Phone No. N *_
Address: M0 CrlQc+eS OlAtO.
-P 121)
City: L].IC(P. State: FL
Zip Code:'314crab Fax:
Phone No. 772-878-7752
E-Mail:_ 16-7^ri/S rq&&W,p9in_1/6.Com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: abirmingham@angpools.com
State or County License: CPC1457902
yvu. I., W1A li qLJV V VI II IVI C, C nc{ unucu Notice or (Ammencement is requlrea.
SUPPLEMENTAL CONSTRU )N LIEN LAW INFORMATION:
Name: 4.4 N f�• ALGG'%V „
Address:2 7 7-1-4 S'
City: /�4 t/G` /Vd_ State:0
Zip: 9/ •7Sa Phone: iC62_0
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
ne:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 vour Notice of Coauwenremerra
as Agent for Owner
STATE OrFL
COUNTY OF
STATE OF FLORIDA
COUNTY OF stLude
The orgoing instrument was acknowledged before me
The forgoing instrument was acknowledged efore me
this UQ day of
20 �by
this 1day ofQLA[,
—
(J
20 by
Jam&s TLeonord
_
James T. Leonard
(Name of person acknowledging)
(Name of person acknowledging)
1
l�
(Signature Notary Public -State o F
rida)
(Signat r of Notary Public-Stateo
FI da )
Personally Known A, -."OR Prodce ! -ue it
Known V OR Produced
Identification
Type of Identification Produced
'ODI-
r, °`�� ` • ,"_",°
I
"WO I entification Produced
Commission No.
st
'P Commission q G
My Comm.
�
ida
5 249625
714GELa
(Sell) -` Expires
Sanded
a g3it1P1s n No.9�
;=°. c & eouool-elwu
through Na[iona
Notary Assn.
" �` NOtarypublic-
7R�'•: 9[ateor
Commission Mr r., i,,
=onced through National Notary qs Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
NS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS