HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
c c o R I c
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED INPROVEMENT LOCATION:
Permit Number:
Building Permit Appkation
Commercial Residential x
Address: 2680 CONIFER DR FORT PIERCE FL 34951
PropertyTax ID #: 1334-506-0007-000-1 Lot No. 50
Site Plan Name: FIRST REPLAT IN MEADOWOOD UNIT THREE Block No.
Project Name: HUSTON
I DETAILED DESCRIPTION OF WORK: I
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: $ 45.4,V«0
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DONALD & DEBORAH HUSTON
Name: LAMES T. LEONARD
Address: 2680 CONIFER DR
Company: A&G CONCRETE POOLS INC
Address: 8880 GLADES CUTOFF RD
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No.
E-Mail:
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No 772.-878-775?.
E-Mail HyTzzopANc;pOOI&C,0M
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CPC1457902
vcu= uuwlol U W.Liull 1: �74LJUU UI MUFUl d mrm ulturu ivotice or o ommencement 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: A AunN AT 3 F,.T
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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement. _
Signature of Owner/ Lessee/Contractor as Agent for Owner
turf Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this ay of 20C)Dby
this j-1>_ day of 20,:�o by
he_)00_m1� \\_� \_�
JAMES T LEONARD
Name 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
Produced
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DATE
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DATE
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lev.9/26/18
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GG 937274
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