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HomeMy WebLinkAboutBuilding Permit Applicationr ALL APPLICABLE Ml o MUST K coMPtETED FOR APPumnoN -ro BE AomPTED Date. Permit Nu ado uvz u Building Permit Application Manning and Develo merit Services Bat7ding and Lode R ulaffon Oivf M zM Yrrginto Avenu Fort Pierce R 34982 Phone: (772) 462- 53 .A= (772) 4621578 Corrimetcial R identiai X PERMITAPPU TION FOR: Pool inground Address: Legal Description: Prgperty Tax ID #: Site Ptah dame: _ Project Name: Setbacks Front Installation of Total Sq. Ft of Cost a',f Constr IMIMMU f� Bade 5L= E._ Right Side: _ Left Pool, Deck and Equipment Lot No, Block No. rrormea unaer UJJ5 permu--cried an apply: Gas Tank DGas Piping OShutters Windows/Doors P bin $ Sprinklers Generator Roof b rction: S . Ft- of First Floor. $ C� © Utilities: Sewer L=1Septic 8uiiding Height: '� 1 Name Y lN' Address:' City: Zip Code: 3�� . Phone No. E-Mail: Fill in fee simple TM from the owner fist name: Tam v j Company: Pools by G Address: 88W S Federa wy may_ Part St Lucie Slate: FL Zip Code: 34952 F. 772-337 M7 Phone No.. 772-337-971 E-mail, ofBceOpools inacom State or County License: PC14M38 ► State-� Fax Holder on neat page ( if different . above) if value of constructia ' is $nM or tnone, a MDO.RVM Notice of Commencement is required. i _ DESIGNER/ENGINEER: � Not A licable pP MORTGAGE COMP Y: Not Applicable Address; ��� ��o DRY Address: City: FORT PIERCE State: FL City: State: Zip:34"2 Phonem-2D1-1w4 Zip: Ph e: FEE. SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPAN Name: .� Not Applicable Address: Address: City: City: Zip: Phone: Zip: Pho OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ctolthe work and installation as indicated. 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 which is in conflict with any applicable Home Owners Association rules, bylaws or and coven structure. Please consult with your Home Owners Association and review your deed for any In consideration. of the granting of this requested permit, I do hereby agree that I will, in all'r in accordance with the approved plans, the Florida Building Codes and St. Lucie County Ame The following building permit applications are exempt from undergoing a full concurrency re accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses WARNING TO OWNER: Your failure to Record a Notice of Commencement may I improvements to your property. A Notice of Commencement must be record before the first inspection. If you intend to obtain financing, consult with lens commencing work or recordine vour Notice of Conimericement. Signature of r/ Lessee/Contractor as Agent for Owner STATE OF FLORID COUNTY OF i The forgoing instrurpent was acknowledged before me this _ P day of AD fJ 20_ r� by TERRYM Name of person making statement. Personally Known )�_— OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) Commission No- (Seal). Signature of STATE OF FL COUNTY OF to build the subject structure at may restrict or prohibit such ions which may apply. perform the work . w: room additions, another non-residential use * in your paying twice for and posted on the jobsite or attorney before Holder The1orgoing instr nt w acknowledged before me this day of 20! by Name of person making sta Personally Known Type of Identification (Signature of Commission No. IMX Produced' Identification of Florida) . (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED' DATE COMPLETED ,s+n�w, otary Public State Florida a nny Commission lili Lint ra a A Thomas _ •• � yr rranQB eyf. ' EKptres 03rss1a022 asina Bowlns My CommiSsion.GG 201733 wa Expires 03/29/2022