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HomeMy WebLinkAboutAPPLICATION PERMIT POOL DEMOAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: §ffo ELOu@HE ``. C13L3 ngDVIiF27±B I. © R I ® a -+=L-i Permit Number: Building Permit Application planning and Development Services Building and code Regulation Division Commerc.lal 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Residential pERMITAPPLICATloN FOR: DEMO THE ENTIRE SWIMMING POOL PROPOSED IMPROVEMENT LOCATION: Address: 12094 HARBOUR F`lDGE BLVD PALM CITY FL 3499o Property Tax lD #: Site Plan Name: Project 4426-804-0032-000-1 HARBOUR RIDGE -PLOT 9 LANCEWOOD VILLAGE UNIT 22 0R 1793-2314 Name: 12094 BRENNAN POOL DEMo Lot No. Block No. DETAILED DESCRIPTION OF WORK: TOTAL REMOVAL OF THE SWIMING POOL, PIPING AND EQUIPMENT. FILL IN WITH DIRT AFTER REMOVAL New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit-check all that apply: Mechanical Gas Tank Gas piping Shutters Windows/Doors Pond Electric Plumbing _ Sprinklers Generator Roof Total Sq. Ft of Construction: Cost of Construction: S 10,000.00 Sc|. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE:CONTRACTOR: NameDICK & LYNN BRENNAN Name:ANDRE E. MICHELE Address: 12094 HARBOUR RIDGE BLVD Company:AEM & ASSOCIATES LLC. city: PALM CITY, FL State:Acldress:3 RIDGEWOOD CIRCLE Zip Code: 34990 Fax:city: JUPITER state:FL Phone No. 617.775.232o zip code: 33469 Fax: E.Mail:MYLYNNBREANNAN@COMCAST,NET Phone No 561.745.9591 Fill in fee simple Title Holder on next page ( if different E_MaiiANDRE@AEMANDASSOCIATES.COM from the Owner listed above)State or County License CGC1525027 lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. );.:-,-,-,`=J;/=/,,I,.`,.'';t?:t(-,2,i--:(,>.,,,i,.,.:.,I,-3!,<,,-,„-.,.-`-,}.,(-(,..:,,,A.:/\,,,,y:,,-,..=J,,,,.:(,\r;,? ',^ifeir:`f;;.%:v_if```L:s!i:::,;r!`:!f,_i-i_ S```'`;``2j.,t,uL/\`,\vJ(^{`;,`':}t,'`=`,}'`;f/:```:'!`.'*+';,'.,),.|`.;%;:.i,;;i,is-`,:±.,.;i.:.67t!`.i?,`,::-',-rl,.:i*:=,:,`j::i.:.Ju.!\'`?,i``+r`\```i;:'\",'ZY.~:;:`'`i`/'a'.``{...'''!-f:?i;.``'`.:```t1\, : 3\ I:_:*t: '' ,I.,.L ,.` -;}1`-.-.< n. i.P ;``.. :.-..if .,( ,A +, ` ` .,..`-i:```t`,}l',`\{`''7,I--.\`'-,,.?,-(}``i,-+-?:-I(Cj;,9-<..,;^,,?-,``,,```:i```¢f`< •=`,¥r{,};,,-,'?,;r,,.,),,i,.(,.,?,,,,l)tit,i,2,;,,i,,,,"\`J,,„:+y,(•,(|j,.|J,,i<L``-.,f,(,,;i`;.r,a.:€`(?,:,i.+I.-`,(.,;,,i,l\,`,,,\.\^•*s,J<,:t!,,i,,rl,,f;::,,,7-I,,*(::`£,I,\.`.'.,,i-,,::,i:a i:'.:;,:,.',-,`,,15,,-,_.,..,,(I,f\,?,,?,:,-?i,,';?.,Lli.,;.I:l',.`'',:.I,`&S`Z.-:.`3,::;:,::#:i:`r,`j;,:,>iT':,:-L*):*i`;, ;fS.:,.C``:,;:,',`s`.':?`.{'tt't}L,';V'r't'/t\;f*'\:'`:I?`'irz'`:`r`'1\\`tz,}i,I i:* DESIGNER/ENGINEER: i Not Applicable MORTGAGE COMPANY: v{ Not •t'+",i - i:`{ `-I-I`.i.`,r,I :,`r/ ``''+I. * ,;-!Applicable Name:Name:Address. Address: C,ty: state:City: state: Zip, Phone Zip: Phone: FEESIMPLETITLE HOLDER: A NotApplicable B0NDING COMPANY: ]iNot Applicable Name:Name. ress:Addr ss. C,ty:City. 'p. P one:Zip: Phone: OWNER/ CONTRACTOR AF FIDVIT: Appli cation is hereby made to obtain a permit to do the work and instal ation as indicated.certify that no work or installation has commenced prior to the issuance of a permit. #HLccutcj::#c|gn:tF:ci:w#,:a%iteipp;i:iu:#F:tLfi:5h##sgiars:tJ:,:o[af;!nEi:o:n:tr#!a!u;yr:o#szigte!d:#a#n:;n;e:s|[gr:tcLt;8nSua#.:##Sc:t;ga:£r,#r,ubi:usruech n consideration of the granting of this requested permit,I do hereby agreE thnaccordancewiththeapprovedplans,theFloridaBuildingCodesandSt.Luciat I will, in all respects, perform the workeCountyAmendments. The foHowing 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 useWA;T¥H¥V;g:::0;o¥#;yti¥:e:a:r;an:!i§yi:A;i,i#ga#:N:r:€tg:tie:#f,:Cs:tci:j§e;n;td:#vt:£e;#r::t§! !;e:3t:na.Ti:e:,:n#f!c#eofComnrfuceeforicrecords of St.ancing,consultment '/E7#2%Z, =2` Slgnature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder 7 STATE 0F FLORIDA =:AUTNE£FOFFLORj&AwhincOuNTyoF e+` \+jcL\c=~ •#Hs::a:y:ff::T:end:)ea:rd=fi:n:;#:br'z:t,:n :¥s::aray,aoFf::T#u=bbn::n::i:::br,z:t::n RroDQ£ € M\CtstG twu f~ mithj¢(a. Name of person making statement.Name of person making statement. Personally Known oR produced Identification I:i Personally Known OR produced Identification `' 5¥::u°cfe'dde#+fi cga\ ten u 5¥::u°cfe'dde#fica&niuftk I A.C4rm 4EL\.{iIA A-&whmfo_ _ _ _ _rL+n£ . ci>C4ha SHIBLEY A. S :#FSonr,adtau OPNotary public-Stata of Florida ):#a##i§nfnNoe©dy?fe(€¥5!Sfaue=ct:tw# REVIEWS FRONT ZONING ----`+ -. ^-,"PLANS VEGETATION SEA TU RTLE `'' ''`-'1.... , `.` .£ ,MANGROVE SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATERECEIVED DATECOMPLETED eN . 516 /2J)