HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -
Date: Permit Number:
Building Permit.Application MAR 2 8 2017
Planning and Development Services
Building and Code Regulation Division PERFiIITTiNGSt. Lucie Count FL
2300 Virginia Avenue,Fort Pierce FL 34982 y,
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 3
?? ?C
Legal Description: t - a� a �fJ Ma J L N J7` .-�Lu
Property Tax ID#: 3Yd��{ ,J (�,��j )��- Lot No. I
Site Plan Name: Block No.
Project Name:
Setbacks Front / Back f • I Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
INSTALL GUNITE SWIMMING POOL WITH CONCRETE DECK
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a apply:
❑HVAC Ei Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ �2 Utilities.-Sewer 1:1Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name V Ot-1 A r, Name: James T.Leonard
Address: -7 S q Miw.. <4 Company: A&G Concrete Pools, Inc.
City: _'A C .( L_u,�(o State: Address: 410 Saeger Avenue
Zip Code: `%Li CI Q Fax: City: Fort Pierce State:FL
Phone No. C I ( 3 09 0 1U4 Zip Code: 34982 Fax: 772-467-1624
E-Mail: A CA Phone No. 772-878-7752
Fill in fee simple Title Holder on next page(if different E-Mail: FHERNANDEZ ,ANGPOOLS.COM
from the Owner listed above) State or County License: CPC1457902
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:,,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Ray Reinhard Name:
Address:1010 Easter Lilly Lane Address:
City: Vero Beach State: FL City: State:
Zip: 32963 Phone: (772)473-6303 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _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 our Notice of Commencement.
4"�'40&7
S' ature of Owner/Lessee/Contractor as Agent for Owner Sig r o c icense Ho er
STATE OF FLORIDA L STATE OF FLORIDA
COUNTY OF COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I day of�0�J2,.C�(^ 201' by this ICJ day of�GQTL( 20 j?by
• Ja T.Leonard
Na of person ack owledgin ) (Na e o perso c no le gi g)
ignature of Notary Public-State of Florida) Signature of Notary Public-State of Florida)
Personally Known OR P od entificatNon Personally Known / OR Produced Id tificat n
Type of Identification Produced Type of Identification Produced
Commission No. FARA�' IERNANDEZ Commis ""�"�
='o:►�.,. °. FARA D HERNANDE
•:. �j MY COMMISSION#FF172419 'r `C.
MY COMMISSION#FF172419
C O es s o,'
Revised 07/15/20 *07i 398-o153 FloridallotaryService.com ``•'For;n EXPIRES October 28,2018
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DATE
COMPLETE I I l
INITIALS b6'