HomeMy WebLinkAboutAPPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
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
Address: J4DQ
LrwehNnxpp
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Legal Description: v i r
Property Tax ID #: `t — — —
Lot No.
tp/p`i
Site Plan Name:
Block No.
_J"� L
Project Name:
Setbacks Front Back: kg' Right Side: 1 Left Side: qsw
Installation of Gunite Pool, Deck and Equipment
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Additional work o orme under this perm — check a apply:
OHVAC []Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric V1 P umbin Sprinklers 0 Generator F]Roof
'
Total Sq. Ft of Construction: y� e L' Ft. of First Floor:
F—I
Cost of Construction: $ U V� Utilities Sewer Septic Building Height:
5 LY
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Name i 51 Name: Terry Wix
Address: Company: Pools by Greg, Inc.
City: C.Q. � State: f C_ Address: 8886 S Federal Hwy
Zip Code: qa '�` Fax: City: Port St Lucie
State: FL
Phone No.1-12,' bcA ' 1161 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
from the Owner listed above) State or County License: CPC1458338
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
—Y 111OUC w uuiam a permit to do the work and installation as indicated.
I certify that no
work or installation has commenced prior to the issuance of a permit.
which Lucie InGConflict with any applicablelHomeaOwners Association ting a permit ules,ill abylaws or and co elnants that may restrict orprohibits ch
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 your Notice of Commencement.
Signature of O / Lessee/Contractor as Agent for Owner
STATE OF FLORID
COUNTY OF } 11 C,1P
The forgoing ins tr en was acknowledged before me
this � day of ! 2026 by
TERRY WIX
Name of person making statement.
Personally Known _� OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No.
(Seal)
Signature of Co or/License Holder
STATE OF FLORq
COUNTY OF.
The for ing instru nt was acknowledged before me
thisday of 20-%by
TERRY WIX
niame or person making statement.
Personally Known _-\,,C OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLE D
°4r Notary Publ
State of Florida
P\r CIA
UExpiMy Commission GG 201733
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res 03129l2022
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A Thomasina Bowins
� c • My Commission GG 201733
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