HomeMy WebLinkAboutAPPALL APPLICABLE IN MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and �evelo meat Services
Building and Code R uladon Division
2300 Virginia Avenu Fort Pierce FL 34982
Phone: (77z) 462- 53 Fax: (772) 462-1578 Commercial Residential X
I PERMIT APPLIC, TION FOR: Pool inground _ J
Address: Z) J�
Legal Description:
Property Tax ID #:
Site Phan Name: _
Project Name: `
Setbacks Front
Installation of
W11111111111sAMIN
Back: -A-M — Right Side: Left Side:
Pool, Deck and Equipment
Adl iVAC orK to e e Gas Tank unaer t'GasCI ,Piping,C�h a„ FFIY-
O
M"Shutters
[4JElectric Plumbing OSprinklers Generator
Total Sq. Ft of Consti uction:T V-6- -"`Sa f First Floor: _
Cost of Construction $ 6 "t Utilities: _ Sewer El Septic
Name. Y �1
Address:
56M-
city: t
Zip Code: "bLAQ
Phone No. -1 7 9�
Fill in fee simple
from the Owner
Lot No.
Block No.
( �] Windows/Doors
L�l Roof
Building Height:
Name: Terry woc
i((�1 Company: Pools by Greg, Inc.
State: Address: 8886 S Federal Hwy
Fax: City: Port St Lucie State: FL
1 b • b 01A Zip Code: 34952 Fax: 772-337-9287
Phone No. 772-337-9713 -
Holder on next page ( if different E-Mail: office c_poolsbygreginc.com
I above) State or County License: CPC1458338
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain 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.
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 ana covenants that may restrict }orpprohibit such
structure. Please consult with your dome 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 Notice of Commencement.
Signature of �r/ Lessee Contractor as Agent for Owner Signature of Co ctor/Lic se Holder
STATE OF FLORI A /� STATE OF FLORID/
COUNTY OF J C I CAC' COUNTY OF
The f rgoing instr e t was acknowledged before me
day of �BSL Eby
y
TERRY WIX
Name of person making statement.
Personally Known �_ OR Produced identification
Type of identification
Produced
ems
(Signature of Notary Public- State of Florida )
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
The foing instrument was acknowledged before me
rgo
this day of 20. _OUby
TERRY WIX
Name of person making statement.
Personally Known_ OR Produced identification
Type of identification
Produced
(Signature of Notary Public- State of Florida)
(Seal) I Commission No.
FRONT ZONING COUNTER I REVIEW I SUPERVISOR EVIEWREVIEW V EVIEWON
Public State 4f Florid.
a my Commission GG 209733
Expires 0312912022
(Seal)
SEA TURTLE MANGROVE
REVIEW REVIEW
A Thomasina Bowins
g My Commission GG 201733
Expires 03/29/2022