HomeMy WebLinkAboutBuilding Permit Application (2) F---
ALL APPLICAB&IN 6' -MUST BE CONS �rED FOR APPLICATION TO BE ACCEPTED
Date: d;^az / Permit Number:
'719
.
8n RECEIVED/q� 1�.) h0
Building Permit Application JAM -12 2017
: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: .D WILES e UU�
Ll gal Description: 44S Toe 761 Q'- s I47- /2/G1 Te{� FV.T() 4.1 _77S)�-,q pJC�
(' 03-YE52 40PS /4J_ Co.&G �a��?Sv sF' (0�36Y6-�s3; 39od,aO5gJ
Iroperty Tax ID#: 3 5 3 y - 603 -- DDOa — p D® Lot No.
Site Plan Name: A'_bU 1 Ce 0 0_ Block No.
Project Name: /e/ A/10-
etbacks Front 0 7 Back: 4/c/ "3•Right Side: /I/ Left Side:
—A't '�,, "
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Installation of Gunite Pool, Deck and Equipment
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i Iona wor o e e orme un ert is perm check all apply:
�HVAC Gas Tank ❑Gas Piping _Shutters 1__.1 Windows/Doors
Electric 0 PlumbingSprinklers Generator F]Roof
- �
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ ���6V Utilities:�Sewer Septic Building Height:
ty - �ryy�r- .-r:'t}r-t.':,*c's' i,i'�" 'z`*;`tt` .:: •'E' "`A?.Y^ R k"3fr'Y�3 �' zx/��{En +tca,w<vre �eq- r i[ ai {7r qs- •`(a'
�1 J.t�lisij��, r!ry �y�,!f��.,",f,�y�.,' -8+.�k
+'1t, ''-.2;'`c °.lv'e3;',r' k.aw• -.s_'.5 `' 4�'`- rKE,__'�sw,,:-caaZ""3, x' 'Lv��# :�": ia"'t:"L7s3£ :_ .:.. �5'c � ni5` ji+i.'?a
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. j � � eI Name: .
Nae Te wnc
Address: f0 -7-7SZ ND ( rAWO-s COU(2- Company: Pools by Greg, Inc.
City: 3eh Seh ae-GL,Ch State:FL Address: 8886 S Federal Hwy
Zip Code: Fax: City: Port St Lucie State:FL
Phone No. '7' —�F 025 3 Zip Code: 34952 Fax: 772-337-9287
E-Mail: rrc N1,2_e1 tGifcp—t-», ! Ce, e0/V Phone No. 772-337-9713-
Fill in fee simple Title Holder-on next page(if different E-Mail: office@poolsbygreginc.com
I the Owner listed above) State or County License: CPC1458338
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ K 'aEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Harvey E oehoehnan Name:
Address:7205 Elyse Cir Address:
City: Port St Lucie State: FL City: State:
Zip: 34952 Phone: 772-46&5509 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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.
Stl 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,
acccessory 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.
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—:Signature o Ow e/Lessee Agent Signature of Co r r/License Holder
STATE OF FLORID STATE OF FLORIDA II
COUNTY OF �T . Luez, COUNTY OF . l A CA P�
The fo oing instrum t as acknowledge before me The forgoing instrumei} as acknowledged before me
this day of 20 gaby this , of 20 by
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(N Ime of person a owledging) (N me of person knowledging)
, &"/— -/,I I"AV, 0 �w )..
CisOnally
atu of Notary Publio-State of Florida) ( atur of Notary Public-Statof Florida Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identifica ion Produced
Coi mission No. (Seal) Commission No. (Seal)
JAYME CHAVEZ
MY COM
Revised 07/15/2014 " EXPIRES May 12,2020 `- MY COMMISSION#FF991925
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(407)398.0153 FlorideNotaryService.com A' dF EXPIRES May 12,2020
(a07)398-0153 FloridafttaryService.co
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