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HomeMy WebLinkAboutFlack Building Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: S i u 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 PERMIT APPLICATION FOR: Pool inground PROPOSED IMPROVEMENT LOCATION: Address: 10 l(,il, H INILt0 Yl V Ae- Legal Description: AC FL 309- 3 in -2-1i a —rn-2 Property Tax ID #:i — 0 — 0© — 000—,5 Lot No. Site Plan Name: FLACK Block No. Project Name: IF L AC City: [)Ort St Lor -i e State:.I.� Zip zc e: o Fax: Phohhl. )931— 03aq E -Mail: 1XL.ACK 121 2 a 0 rYLAi OM Setbacks Front Back: Right Side: Left Side: City: Stuart State: Fi- Zip Code: 34994 Fax: 772-419-5101 Phone No. 772-419-5151 DETAILED DESCRIPTION OF WORK: E -Mail: fiscalise@apexpavers.com X b 5- Pa AA16cI g" w/ (a hydro +hen.,.py J efS IE-Osboj Screen Encfosvre C -7X I s -h oo H e a e R CONSTRUCTION INFORMATION: Additional work to be nerformed under t ispermit — check a HVAC Gas Tank Gas Piping_ app y: Shutters l� Windows/Doors © Electric Plumbing U Sprinklers 1i Generator E]Roof Roof pitch Total Sq. Ft of Construction: A 8. 09 S. Ft. of First Floor: Cost of Construction: $35,0007 Utilities:'n Sewer E Septic Building Height: OWNERAESSEE: CONTRACTOR: Nam Address: MCH Ule DP, Name: Ryan Figman Company: Apex Pavers & Pools City: [)Ort St Lor -i e State:.I.� Zip zc e: o Fax: Phohhl. )931— 03aq E -Mail: 1XL.ACK 121 2 a 0 rYLAi OM Address: 725 SE Monterey Road City: Stuart State: Fi- Zip Code: 34994 Fax: 772-419-5101 Phone No. 772-419-5151 Fill in fee simple Title Holder on next page [ if different from the Owner listed above) E -Mail: fiscalise@apexpavers.com State or County License: CPC1458696 IT value or construction is :�t5uu or more, a KEcoaDED Notice of commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone:. FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable 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 commencing work or recording your Notice of Commencement. ign ture of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF_ M AWT ( h Signati.Yre Contr to /License Holder STATE OF FLORIDA COUNTY OF /2I,1/F7•//2 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this -,?Z day of 20 e?ay this day of 20 y W5A FLAC-K (Name of person acknowledging) (Signat a of Notary Public- State of FI rida } Personally Known OR Prodced Identification V Type of identification Produced F V 20_5,AA, 'fa -© F L. Commission No.7NgtWary Punic $ Floria A Moxley T4 - 'g My Commission GG 290148 Revised 07/ Ryan Figman (Name of person acknowledging ) (Signature/f Notary Public- State of Florida Personally Known �OR Produced Identification Type of Identification Produced Commission No. Public Slai `�TiiF" Lori A Moxley Ws g My Commission GG 290148 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS