HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO�MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:T' j " 1 Permit Number: I 4^ �1
Building Permit Application APR 16 2017
Planning and Development Services PERMITTING I
Building and Code Regulation Division St. Lucie County, FL 1
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
PROPOSED IMPROVEMENT LOCATION:
Address: 3100 NW RADCLIFFE WAY PALM CITY FL 34990
Legal Description: RIVERBEND (PB 67-36)-LOT 19 (OR 3876-151)
Property Tax ID#: 4425-703-0024-000-9 % Lot No. Q 1
Site Plan Name: RIVERBEND l Block No.
Project Name:
Setbacks Front Back: 14(o-'I Right Side: 30-V Left Side: Q 5-5
FDETAILED DESCRIPTION OF WORK:
GfUNITE SWIMMING POOL WITH BRICK PAVER
1,DECK
K.AND ALUMINUM RAIL FENCE
Y e Uti G 'C, r� Y C c��=w.lI, C—,*n&e Tk,�1/
CONSTRUCTION INFORMATION:
Additional work to e nertormed under this permit—check a apply:
11HVAC Gas Tank ❑Gas Piping _Shutters - Q Windows/Doors
Electric F] Plumbing Sprinklers E Generator D Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 70000 Utilities:Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JOHN AND CAROL JAMES Name: JarriQ.S T.
Address:3100 NW RADCLIFFE WAY Company: A&G CONCRETE POOLS
City: PALM CITY State:FL Address: 410 SAEGER AVE
Zip Code: 34990 Fax: City: FT. PIERCE State:FL
Phone No. Zip Code: 34982 Fax:
E-Mail: Phone No. 772 878 7752
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County Licenser 9��g
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: 6'"CL Name:
Address: Address:
City:Vero State: f'j— City: State:
Zip:&Rq L? Phone: 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. i
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.
00
Signatu a of Owner/Lessee/Contractor as Agent for Owner Sig ntractor/License H leer
STATE OF �fATE OF
COUNTYOFORIDA (S�T. COUNTY OFORIDA D+
The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this�day of 20 13by this�day of LM(-t c, 20 1`7 by
&V01 Va-�Y _C�� I. L®n card
INariplof person acknowledging) rson acknowl ging)
wa:lc.
( ignature of Notary Public-State of Flor' ) ( ignature of Notary Public-State of Florid
Personally Known OR Pro u ntification Y Personally Known ✓ OR Produced I fication
Type of Identification Produced Type of Identification Produced
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Commission No. Commission No. a
NDEZ FARA D HERNA :' ► ^�`
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Revised 07/15/201 ''�6F EXPIRES October 28,2018 =�,�` a; ,2018
:'Fore`` EXPIRES October 28,2018( , ry
(407)398-0t53 FloridzNotaryService.com 407 398-0153 Floridallota Service.com!
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE � �^
COMPLETE ( T
INITIALS
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