HomeMy WebLinkAboutBuilding permit application '1
ALL APPLICABL INFO'O`i UIS BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' ZS /I Permit Number:
_ RECEOVED
Building Permit Application JAN 18 2016
Planning and Development Services
Pubiic Works
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 lax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Pool inground
PRO'POSED`IM4PR01/EMENT LOCATION
Address: 206 A/W AY-41- FERMI CT P.4u"1 et!'/ Fc- 3y9lo
Legal Description: 1119/1B 04 / 1&6-A1A &-RG Af_-FEXAI V/UAAGE UAW- 9 N4P q/ffZ&a/)
(oA 3Y(.3-;Q
Property Tax ID#: Ligi5-605-00a3-C ou Lot No.
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Site Plan Name: 14UAh4A1DEZ RESIDEIX6 Block o.
Project Name: 9C,V-4 /,DEZ- &l SIQ'NCC
Setbacks Front a 5 I ack:_26 Right Side:_1'5 Left Side: fJ (
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�ETAILE�DESCRIPTION OF�IUORIC � � � TOk
'J9k0U10 5LJl Ig6 poOL W11114 BA(Cr- PAVCL VeL k-
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Additional work ktoe pertormedd under this permit-c ec all appy:
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11HVAC L_I Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric ✓0(Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ Oi�J �� d� Utilities:nSewer Septic Building Height:
Ol11lNER/LESSEE P CC�NTRACTQR_ ON f
Name MI G� I Name: Ryan Figman
Address: C2_O 4 -t I .&J Company: Apex Pavers&Pools
City: State: !�� Address: 834 SE Lincoln Ave
Zip Code: Fax: City: Stuart State:FL
Phone No. Zip Code: 34994 Fax: 772-5101
E-Mail:r/e�`���' @ /¢/°�'�� Phone No. 772-419-5151
Fill in fee simple Title Holder on next page(if different E-Mail: jscalise@apexpavers.com
from the Owner listedabove) State or County License: CPC1458696
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not 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
commencing work or recording our tice of Commencement.
s
_Signature wner/Lessee/Agent Sig ature Contract /License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MAP-71AJ COUNTY OF t1difT/40
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of NOV 20lk by this Z day of NOV 20 Al by
M iek - u&2 U�t�JDCZ RV�� 616MA�
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary P lic-S to of W0da) ignature of Notary P ic-St a of Flori )
Personally Known ORE OREM N tion ✓ Personally Known ✓ OR Produced Identification
Type of Id6 d Gy7/O Type of Identificati
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76yrucOMMMISS!ON 8 FF 9203 .i yB`�- bl{ �F
Commissi 'No '`_ S:January3,?§ I) Commission No. . . YCOMMIS FF928213
BandedThNNat�ryPublicU e e y EXPIRES:January 3,2020
`%?q.� � Bonded Thru Notary Public Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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