HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: Permit Number: ��LA)
oar
Building Permit Application MAY 0: i Z-017
Planning and Development Services
Building and Code Regulation Division PERMIT-;;G
2360 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Pool inground
PROPOSED IIVIPROVEIVIENT,LOCATIOU.
Address: 530� BA P e_gPRE5S T2 FO&F PIERcE ,FL 3qg51
Legal Description: 13q N0 5%t 6F 5E%4 of NW %y OF 50 % OF SE % JE65 E 30fKr7
0./S,I c) (02 3923-7G7)
Property Tax ID#: I yo7—1132 - 00 t{0—UDD-1 Lot No.
Site Plan Name: Block No.
Project Name: 06AM" eE; 1,QE,AX6
Setbacks Front Back: Right Side: Left Side:
7V6,0OLW6 5W114MIA)G Pad L
CO_ NSTRUCTION lN'FORMA_TI'ON.: .
Addffionalwork"to be erformed under this perms -c ec•a app y:
13HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
R1Electric 0 Plumbing Sprinklers ❑Generator ❑Roof Roof pitch
Total.Sq.Ft of Construction: S Ft. ❑
of First Floor:
Cost of Construction:$ y0,D00,0° Utilities. Septic Building Height:
OWNER,/LESSEE,." CONTRA
-Name PU7/VAM MOAEMA&I Name: Ryan Figman
Address: 573o/ 64L-D CYPREs5 -rXL Company: Apex Pavers&Pools
City: w27 PIUCE State: FL Address: 725 SE Monterey Road
Zip Code: 3gTS l Fax: City: Stuart State:FL
Phone No. 7-72- Z 3 3-`l 383 Zip Code: 34994 Fax: 772-419-5101
E-Mail: Phone No. 772-419-5151
Fill in fee simple Title Holder on next page(if different E-Mail: jscalise@apexpavers.com
from the Owner listed above) State or County License: CPC1458696
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
T I
SUPPLEMENTAL CONSTRUCTION LIEN'LAW.INFORMATIONI:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an9covenants 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 r ,Lording our Notice of Commenceme
s
Signatur Owner/Lessee Contractor as Agent for Owner Signature f Contractor/ ' ense Holder
STATE OF FIR
I Q►,, STATE OF FLORIDA
COUNTY OF _I�1 7JnJ COUNTY OF tJA41W
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this3 g day of NIk2C14 20 Zby this 30 day of M"ci-I 20 17 by
PU Tn/!}M MORE) I Afw Ryan Fgman
(Name of person acknowledging) (Name of person acknowledging)
( ignature of Notary Public-S(ate of Flor Signature of Notary P lic-State(dtRWida)
Personally Known OR Produced Identification Personally Known / OR Produced Identification
Type o - 367—7 Type o
DOREEN J.BUFFA DOREEN J.BUFFA
,•t 'vat•, �#
Comm n MY COMMISSION#FF928J�a1) Comm' n r MYCOi ISSION;lFF e
=m' EXPIR : anuary 3,20 a: ary 3,
•%'k„od��P.. Bonded Thru Notary Pubiic underwriters yt p�hl�'� Boomed Thor ld"Pubic Iku ors
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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