HomeMy WebLinkAboutBuilding Permit ApplicationALL ;APPLICABLE INFO MUST BE CO IVWP FOR APPLICATION TO BE ACCEPTED VWW
Date: _ Permit'IVumber:
RECLI'V7D JAN 12 707
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
23W Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential. X
PERMIT APPLICATION FOR: Pool inground
.a,-+�y `,rurlr"Y qry s?sK ':nvFR '�`.7. r"-`s:,s%' `T'�`;''' 'fie aY y�^a'i�n_. t u yr• kf_�t3 in.�;,y,.4,t ,� `^*Xs�y+ ¢"y� aT 'ice ^;�"_'��t-!
i _ sr z i i ,� `t� �, �: �-a'i ,'ly'.4,''" �?xX+`" �2�,y`?,✓ 'F �t?.� sy k` }5 pjF`'}i1. t; .r 'kf eriid
Address: /lo? _ ii/ (,C/ gAd Ui Pre- �k),Aq
Legal Description: dC- l U ef Ac--rd l 08 6 %-3/) J-O
PropertyTax ID #: V c;_ S_— -)0 3 - GG a7- 6op-6 Lot No. ate'
Site Plan Name: S'Cv1 Yhl fi Block No.
Project Name: 56x vk I ' 1+t
Setbacks FrontBack: 3 ` Right Side: � Left Side:
I a r , C71 l3 tt S• 4 z � 1
Installation of Gunite Pool, Deck and Equipment
11HVAC ] Gas Tank ❑Gas Piping
Electric WJ Plumbing OSprinkiers
rq:.) 1 1/6yy
Total Sq. Ft of Construction: /Ud k` _Paver?,
Cost of Construction: $ YS) IOD ---
an appiy:
_ Shutters
F]Generator
SQ. Ft. of First Floor: _
Utilities: D Sewer ElSeptic
❑. Windows/Doors
11 Roof
Building Height:
WGI s 'f : x NW( F§i-R C 4 ',;14a y'7yf �[ �N- :. . `a joP
' a4 + E 'f" S fQ# 71 ..'s, 'Sx;
„'zs• .�w4s'rr�ih��?� k� MU f >+a =a€ v
( "t�t!r�
Name I� Ic. K e hh1'� Sc h rn I
Name: Terry Wa
Address: 3 f 1 Q A e d o,l i rl�-v 04 t/
Company: Pools by Greg, Inc.
City: - � yn C., 1f 4 State: IGL
Pe
Address: 8886 S Federal Hwy
City: Port St Lucie State: FL
Zip Code: 3 qqq O Fax:
Phone No. Sao / — �6a = ff9 )
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
State or County License: CPC1458338
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
� v N,�a �- E�iy}`�7 �r t'� k-.s%!:P �'"iY' .. .t,'. L+t7 �•.q. 'R ..�, "?`'J>''^ x%.rt`�'"':'.�2
�,C4.. e.„„r,u�' \h
'
'p�,,.+ji �C;iSt y"�',S'-ar�i�y�+a *'r� ''"'") 'iLR.-
tGu�
y�� ���y�
f1�6iF 5 5
:ta, s=.".'-.".�L9... 4ar„#:..`: ...#':,�
4 �."fi.�„ : �`..� F ar'�y Cy4 I n+.
,e° ,.-Y?'ittt.. :. y,.bx.
.'t11p:. P• c.�... 5..Y>• ; "k'4.
DESIGNER/ENGINEER: =
Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: Harvey E Koehnan
Name:
Address: 7205 Elyse Cir
Address:
City: PortstLuale
State: FL
City:
State:
Zip: 34952 Phone: n2466-5509
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.
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 vour Notice of Commencement.
_ Signature of
s
Signature of actor/License Holder
STATE OF FLORIDA ] � � STATE OF FLORIDA c'
COUNTY OF S+1 l�f G C. COUNTY OF tt,(G e
The foyfoing instrum ng t was acknowledged before me
this day ofCi . 20 abp
—,I .P,Vy-L4- /A /1 X
(Name of person ackbbwledgiing )
) —a4o't'
(S nature 61
Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
JAYME CHAVEZ
Revised 07/15/2014 °? EXPIRES May 12, 2020
The forggjng instrum t was acknowledged before me
this 9 `di ay of , 20 /t, by
(Name of person acknowledging)
(Sig6 iturqqNotary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
JAYME CHAVEZ
MY COMMISSION # FF991
EXPIRES May 12, 2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE n
INITIALS
O�)w(