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HomeMy WebLinkAboutDechairo Building Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: =9 ®VOA SETBACK REQ, EFRONT Baafldlr g Permit Applic.aticPlinthPlanngandCg and deRegula i nDices IDE^Building and Code Regulation Division a�,�d--.—�_2300 Virginia Avenue, Fort Pierce Fi. 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Pool inground PROPOSED IMPROVEMENT LOCATION: Address: 1515L oo D TE PALM Q3 1 Legal Description: I'IP1R l p QU�d�e. t9LAT Z/ GA61 NAMMOCrc 011AV ilif Property Tax ID#: q41 b-%Q3-QQ11-,D50-7 Lot No. Site Plan Name: I n OMAS n ECH I A RO Block No. DEC"roject Name: IJI ARD Setbacks Front 30 Back: Right Side: 20 Left Side: 20 DETAILED DESCRIPTION OF WORK: Adding Spa -{o existing pooL Gr x 8' d e pfh 3' CONSTRUCTION INFORMATION: 11ni nona wor o e er orme underpermit— ns checka apply: HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ZElectric 0 Plumbingf Sprinklers 0 Generator � Roof � Roof pitch Total Sq. Ft of Construction: 416 ' S Ft. of First Floor: Cost of Construction: $ (40, 000. Utilities:CnSewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 1140MAS PEC.HIARO Name: Ryan Figman Address: 1515 LAnCE WOOD TER Company: Apex Pavers & Pools City: FALM C I i61 State: FL Address: 725 SE Monterey Road City: Stuart State: FL Zip Code: 34994 Fax: 772-419-5101 Zip Code: 114990 Fax: Phone No. IO3J 1- 3-ICI - 95S 3 E-Mail: Phone No. 772-419-5151 Fill in fee simple Title Holder on next page (if different E-Mail: )scalise@apexpavers.com State or County License: CPC1458696 from the Owner.listed above) if value of construction Is,$2500 or more, a RECORDED Notice of Commencement is required. UM im SUPPLEMENTAL CONST RUCTION LIEN LAW INFORMATION: DESIGNER/ENGINE€€R: _ Not Applicable Name: /loll OG P/S A5 (IC (�80g1 MORTGAGE COMPANY: _ Not Applicable Name: Address: 190 a?Ielkl'bod DR Address: City: ERCE State: L Zip:3tf4$� Phone: 9e. /(aJ City: State: 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 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 commencingwork orr1�trree�/fIccordin our Notice of Commencement. A./ 4 5 -&� Signature of Owner/Lessee/Contractor as Agent for Owner Signature oytontracOrycOnse Holder STATE OF COUNTYOFORIDA&� L )6 OUNTSTATE OF FLIDA YOFOR1)7,6IT/1? The for oing instru ent was acknowledged before me this Z�ay of_ 20-Qby The forgoing instrument was acknowledged before me this,, day of �Uh2 .20�by T6 mon bu a x D Ryan Figman (Name of person acknowledging) (Name of person acknowledging ) e of t � /lic- St of Florida) Personally own ✓ OR Produced Identification _ Type of Identification Produced (Sig atf ture of Notary Publ'c- State o lorida ) Personally Known � OR Produced Identification Type of Identification Produced Commission No.�� 051 ,�is.� i?I) SHIRLEY LtITLEFI , Notary Public • State .n•,'^ Commission eGG7525t lQemm 5(on No. Lolnry Pu��lm al Flodda o Florida Lod A Moxlay My commimion 2801E Revised 07/ t5/2D 14 Bonded through National N' Assr.. REVIEWS FRONT COUNTER ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS