HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
MENEM
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground
Address:
Legal Description: � ��� ��-��
PropertyTax ID #: Jv` — L(l - L
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ot No. t
Site Plan Name: w \/ Block No. _ j___
Project Name:
Setbacks Front Back: ]'Wo.-1 Right Sider Left Side:pT
_
Installation of Gunite Pool, Deck and Equipment
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itiona wor o e e orme un ert �spermi -c ec a appy:
QHVAC � Gas Tank ❑Gas Piping _Shutters [� Windows Doors
Electric Piy�nbing Sprinklers F� Generator O Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor.
Cost of Construction: Utilities: Sewer Septic Building Height:
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Name Name: 'terry Wix
Address: Company: Pools by Greg, Inc.
City: V-+' V1 LrLL State: EL Address: 8886 S Federal Hwy
Zip Code: "Ag82 - Fax: City: Port St Lucie State: FL
Phone No. Zip Code: 34952 Fax: 772-337-9287
E-Mail: Phone No. 772-337-9713 -
Fill in fee simple Title Holder on next page { if different E-Mail: office@poolsbygreginc.com
from the Owner listed above) State or County License: CPC1458338
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
s
DESIGNER/ENGINEER: Applicable
_Not
MORTGAGE COMPANY: Not Applicable
Name ; M. RANDALL ROGERS
Name:
Address; 1801 HAZELWOOD DRIVE
Address:
City: FORTPIERCE State: EL
City: State:
Zip: 34982 Phone772-201-1634
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
n%A/NFR/ rnft1TDAr-rn0 ArrIM11r. .
_ _ _ . _.,, % 1 11, V I I . /AppIlcaUon 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 your Notice of Commencement.
Signature of O r/ Lessee/Contractor as Agent for Owner
STATE OF FLO T
COUNTY OF wbj
The for oing instrument was acknowledged before me
this day of `D��D�. 26a by
TERRY WIX
Name of person making statement.
Personally Known�� OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida)
Commission No.
(Seal)
Signature o
ctor/Lic16nse Holder
STATE OF FLORIDA
COUNTY OF )+ J_K b _
The fooing instrument was acknowledged before me
this � 1 day of 20_3CJby
TERRY WIX
Name of person making statement.
Personally Known _ OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No.
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Rev.
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Not3ly PWIJIId Stste of Florida
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