HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE C° 71LETED FOR APPLICATION TO BE ACCEPTI
Date: Permit Number:
r� RECEIVE®
Building Permit Application APR�0�,j) 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772),462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground
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Address: a 0 oG $'' 90 ct e r,. 1-a 1- S3
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Legal Description: �oc�f 4ev n STrer Sra bleS �S%/,� CP(j yl� -Cp �3
Clo, II 4C Cop— 36 3,"-/56
P_r:)perty Tax ID#: 700 —606 S— 6CO - O / Lot No.
_ Site Plan Name: Ili te-o J1 ' // Block No.
Project Name:
Setbacks Front Back:,929/, SQ Right Side:, 7 Left Side:
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Installation of Gunite Pool; Deck and Equipment
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AClaitional work o nGasTank
forme un ert is perm —c ec a a appy:
11HVAC ❑Gas Piping _Shutters Windows/Doors
❑✓ Electric lr 11 Plumbin oSprinkters Generator E_Roof
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Total Sq. Ft of Construction:/SGa Pa (16 S . Ft.of First Floor:
Cost of Construction:$ $ �OQ d�0l Utilities: Sewer Septic Building Height:
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Name h O IC 0 9— L-9 f Qy Name: Terry Woc
Address: s$V6 li90 23a 7`e5' ye- Company: Pools by Greg, Inc.
City: P S6, State:4"L Address: 8886,S Federal Hwy
Zip Code: 3 V q L?,/ Fax: City: Port St Lucie State:FL
Phone No. o260y,.3 9.3 Z 3S�'- c51 �/7 D-- 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: CPC1458338
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _1 Not Applicable MORTGAGE COMPANY:. X Not Applicable
Name: HarveyEKoehnan Name:
Address:7205 Elyse clr Address:
City: Port Sr LUC1e 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 thefirst inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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_Signature of r/Lessee Agent Signature of C,6rctor/LicerKe Holder
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY OF • (,tea-eJ COUNTY OF li
The fQr oin instrume t s acknowled ed b ore me The for Ding instru t was cknowledge before me
this 1� day of 20 -y this f day of � 20 11 by
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(Name of pers acknowledging) (Na of perso cknowledg'ng)
(Si a ure 0
Notary Public-State of Flo da) (S gn ture epotary Public-State of Florida
Personally Known `OR Produced Identification Personally Known (--�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. (Seal)
JAYME CHAVEZ
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EXPIRES ?r
Y 12,2020 ='• •e MY COMMISSION#f=F991925
Revised 07/15/20 yy, �,,3��
7)398.0'153 FloridallolaryService.com `•7,�¢' ,d$�, EXPIRES May 12,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE /
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INITIALS
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