HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE IN O MUtr BE MPLETED FOR APPLICATION TO BE ACCEPTED
Date: I 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: To Select from dropbox, click arrow at the end of line
Address: s'811 Palm p2.
Legal Description: ''�17/A� eL ve2 �sT% jes _ GP,v�T off' , /3l,/(� / Lc2
Property Tax ID #: 9m;
Site Plan Name: 2 eV
02 2�,6 9 .- a 811
- 609 - (�:) - Goo S
Project Name: 2 V eIs
Setbacks Front vr7 Back: o1a Right Side: r Left Side: vlX
Installation of gunite swimming pool and patio
Lot No. ¢
Block No. I —
3aitionai worK to pe errormea unaer tnis permit— cnecK an apply:
0HVAC Gas Tank E]Gas Piping _ Shutters F]Windows/Doors
aElectric 0 Plumbing Sprinklers E Generator a Roof
Total Sq. Ft of Construction:
Cost of Construction: $
S . Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
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Name C 12ede./,2,
Name: Tent' Wix
Address: 2 rn P2-
Company: Pools by Greg, Inc.
City: rho r P1 pae C -e— State: FL
Address: 8886 S Federal Hwy
Zip Code: l ea- Fax:
City: Port St Lucie State: FL
5_
Phone No. 7 70? -- 7 9 -- 2% O
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: CPG1458338
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:_ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: HarveyEKoahnen
Name:
Address: 7205 Elyse Cirde
Address:
City: Pod St Lucie State: FL
City: State:
Zip: 34952 Phone: 772-466-5509
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. 1)
Signature
STATE OF FLORIDA
COUNTY OF J7- tiGt?/G
The forgoing instrument was acknowledged before me
this Me day of J04)c: , 20 by
Tau loix,
(Name of person acknowledging)
(Signature of Notary ublje=State of Florida )
Personally Known �� OR Produced Identification
Type of ed — — -- —
MARIE E. KNOW 4 al�
Notary Patin - State D Flor da
My Comm. Expires Dec 16, 2016
Signature
Holder
STATE OF FLORIDA
COUNTY OF Ji 4,L0 '
The forgoing instrument was acknowledged before me
this Ile day of 20-±r by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known -- OR Produced Identification
Type of Identifio!!��
Commission N(J ram• « MARIE E. (DIES
• « = ary Public - State of Florida
"9,`_ `_o:= My Comm. Fun'�o�
Ion # FF 125001
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