HomeMy WebLinkAboutBuilding Permit Application — r
ALL APPLICABLE INI OMUST BE COMPLETED FOR APPLICATION_TO BE ACCEPTED
Date: 1 Permit Number: 2 10 2' 0)C/ �.
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Building Permit Application
Planning and Oeyelo merit Services
Building and Code R ulation Division
'2300 Virginia Avenue,Fort Pierce FL 34982
Phone;(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPUI TION FOR: Pool.inground
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Address
Legal Description: 1
Property Tax ID M. C'm Lot No
SitePt an Name: Bock No.
Project Name:
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Setbacks Front Back Right Side:. Left Side:_
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IN141
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- �Installation of G ite Pool, Deck and Equipment
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Iona wor o e orme un er is perm —check,511 inu3 apply:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
OElectric R1 Plumbing OSprinklers Generator Roof
Total Sq.Ft of Const action: ` . U Y- 5 .Ft,of First Floor;
Cost of Construction $ Utilities: Sewer Septic Building Height:
.y
Name. iName: terry woc
Addr . s:-7u� Company: Pools by Greg, Inc.
City: Sta : L Address: 8$66 S Federal Hwy
Zip Code: Fax: City: Port St Lucile State:FL'
. 34952 772-337-9287
Phone No: ��.'9 �'3 Zip Code. Fax: ,
E-NiaiL Phone No. 772_3337-9713-
Fill In tee simple Title Holder on next page(if different E-Mail• oMce@poolsbygreginc_com
from the owner list d above) State or County License: CPCI458338
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If value of constructio `is$25DO or more,a RECORDED Notice of Commencement is required.
N.F"BOt N"AT1�:RfiYs
.(.'s� d`�,�'.'`a�is}*Y's v`."."`�y=�.`',�_a.�r.� "f":�,'�3,'."? s•....k'1'`'ts.5 '2`
DESIGNER/ENGINEER Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:MRMGi Lt_ROGERs Name:'
Ad dress_isoi HNZmWoob myt Address: . .
City: FORT PIERCE 'State: K. City State
Zip- 34992 Phone772-zoi-1634 Zip: Phone:'
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING'COMPANY: Not Applicable
Name: Name:
Address:
:Address:
City: Cif
Zip: Phone:. 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:installaton has commenced prior to the issuance of a permit:
St.Lucie County makes no representation that its granting.a permit will authorize the ermiiit 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,Honie 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 l 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,
accessorystructures,.
g pools,-fences,walls;signs;screen:rooms and accessory uses to another non-residential use
WARNING TO,OWNER:Your failure to Record a.Notice of Cornmencernent may result in your paying twice for,
improvementsto your property.A Notice of Commencement must be recorded and posted onthe 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 Conf4ctor/Lic `se Holder
STATE OFFLORIDA, STATE OF FLORIDA
COUNTY.OF =.3� �1� �`l� COUNTY of `f-
The f going instrument was"acknowledged before.me The f oing instr.0 t was acknowledged before me
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this day of !�eh _20gA`by this `'1 day of t 20 ,;by
TERRY:WIX - TERRYWIX
Name of person making statement. Name of person making state ment.
Personally Known *>Z OR Produced Identification Personally Known OR Produced Identification_
Type.of Identification Type of Identification
Produced Produced
F
F
(Signature of Notary Public-State of Florida) /
l .(Signature of Notary Public=-state of Florida,). €
Commission No. (Seal) Commission No. (Seal);
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE • MANGROVE
COUNTER REVIEW REVIEW" REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED "aa*Pw, otary PublicSsate f Florida
ev.
_ a My Gommissron GG 201733 e o onda
�? Ores 03/29/2022 A Thomaslna BoWins
a f or A E piles 03/2912 22 201733