HomeMy WebLinkAboutRaffa- applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNT`
F L OR 17
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Commercial Residential x
PERMIT TYPE: IN GROUND GUNITE SWIMMING POOL
PROPOSED INPROVEMENT LOCATION:
Address: 7674 GREENBRIER CIRCLE
Property Tax ID #: 3322-700-0042-000-3
Site Plan Name: RAFFA
Project Name: RAFFA
DETAILED DESCRIPTION OF WORK:
INSTALL GUNITE IN GROUND SWIMMING POOL WITH CONCRETE DECK
CONSTRUCTION INFORMATION:
Lot No. 37
Block No.
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name R JOSEPH RAFFA
Address: 9635 ENCLAVE CIRCLE
Name: JAMES T. LEONARD
Company: A&G CONCRETE POOLS INC
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax:
Phone No.
Address: 8880 GLADES CUTOFF RD
City: PORT ST LUCIE State: FL
Zip Code: 14986 Fax:
Phone No 772-878-7752
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Hv1zzopANcPoo1.s.00M
State or County License CPC1457902
IT value or construction Is $ZSUU or more, a RLCURDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: A ARnm AT r FxT Name:
Address: 26377 7TH STREET Address:
City: LA VERNE State: CA City: State:
Zip: 91750 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
Zip: Phone:
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 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.
�
Sign fure of Own /Vs Contractor as Agent for Owner
S'g Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrum nt was acknowledge before me
at day Qi 0 1eAr
The forgoing instrument was acknowledged before me
this of 20at by
this __ day of�Jr(a () LI CA( Lt 20� 1 by
Ea ��
t
t i'11,
JAMES T LEONARD
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification Vw'
Personally Known _x OR Produced Identification
Type of Identification
Type of Identification
Produced DRIVER LICENSE
Produced
(Signature of Notary Publi
ignature of Notary Pub ' - t
11 Notary Public State of Florida
Commission NG16 ) l� T Hl�r Vizzo
y a Notary Public State of Florida
mmission N a ( "e zo
Heat($
g _ My o m ssion GG 262653
,3� :
My Commission GG 262653
oda�' [xp�res 11/13/2022
o
v�E o4' Expires 11/1312022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED