HomeMy WebLinkAboutBuilding permit application I�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / ' Permit Number: ��' U `�
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Building Permit Application q
Planning and Development Services
JAIL 3 2011 ;
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Pool inground
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PROPOSED IMPROVEMENT LOCATCON`: .°
Address: 3116 NW RADCLIFFE WAY PORT ST LUCIE FL
Legal Description:
Property Tax ID#: M_Iy5 ' 1 V 3 O 00- Lot No.23
Site Plan Name: Block No.
Project Name: LOT 23 RIVERBEND
Setbacks Front Back: Right Side: Left Side:
DTAILED DE5CRIPTION,OF WORK .�'
INSTALL NEW INGROUND POOL/SPA WITH PAVER DECK.
CONSTRUCTION IIVFORII%IATIGN
HVAC _Gas Tank Gas Piping _ Shutters,
ma work to a ne orme under this permit—c ec a apply:
II—II ❑ p g lul ers ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ L-(� Utilities.
�Sewer Septic Building Height:
UtIVNERjLESS; �
CONTRACTOR
Name Standard Pacific of Florida Name: Joseph B Holston
Address:825 Coral Ridge Drive Company: Fountain Blue Pools j
City: Coral Springs State:FL Address: 2731 Vista Pkwy D1
Zip Code: 33071 Fax: City: West Palm Beach State:FL
Phone No.954-575-7500 Zip Code: 33411 Fax: 561-969-06674
E-Mail:construction@fountainbluepools.com Phone No. 561-969-2299
Fill in fee simple Title Holder on next page(if different E-Mail: CONSTRUCTION2@FOUNTAINBLUEPOOLS.COM
from the Owner listed above) State or County License: CPC1458019
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLE(VlENTAL CONSTRUCTION,LIEN LAiIV INFORMATION =
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: MW Engineering/MARK WEBER Name:
Address:6810 North state Rd 7 Address:
City: Coconut Creek State: FL City: State:
Zip: 33073 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 n your paying twice for
improvements to your property.A Notice of Commencement must be recorded qhd posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender r an attorney before
commencing work or record' ur Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contract ice Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFLf✓IdTic COUNTY OF
The fofqoing instrumen wa acknowledged before me The forgoing instrument wa acknowledged before me
this day of J)t� 20 7by this /P day of 20 l 7 by
(Name of rson ackno edgi (Name of pe on acknowl d ng/1A
(Signatur St a Florida+);,, . (Signature of Nota P pli S t f Florida)
V. lr/ rat• Eg�„� �"
Personally Known OR re ce;b+tjlge '�— Personally Known 0 P oducde_ �afapr�v `
Type of Identificat' oduce d o'_J�'O�nber�yR°� Type of Identifica n Produced e�� �04tiMlsSj
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Commission No. Z'Cn: d Commission No. =z: (Se02 al o °
d99 e� e0 4
Revised 07/15/2014 ''>>.C.STATEOFF
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ff
COMPLETE I4��
INITIALS
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