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HomeMy WebLinkAboutBuilding Permit Application i A11 APPLICABLE INFO MUST BE,COMPLETED'FOR APPLICATION TO BE ACCEPTED: G Date: Permit Number: Z� �-..a31...5 BLUE13EAIVI Building' Perrtnit Ap'Plication Planning and=Development:Services Building and We Regulation Division COrr117tErdaI R@SldeilClal;x,. 2300 Virginia Avenue,.E`Ort P/erCe.FL 34982 Phone:'{772)462,1553 Fax:(772)462-1578 PERMIT PPt_CCATlON FOR: IN GROUND SWIMMING POOL WITH DECK PRC}POSE© MPR011EM'ENT L(7CATlON a, k ' Address: 7803 PENSAC'OLA.ROAD, FORT PIERCE,FL 34951 Property Tax IDk. 130.1-.608=0126-000=6 Lot No. 18. Site Plan Name:. PINER` ! Block No:. 63 . Project Name:. PINER I�ETAfLED QESGRIPTIf)N OF WQRK g - INSTALL GUNITE SWIMMING POOL WITH CONCRETE--DECK New Electrical Meter' ..... ..... Second Electrical.Meter CNSTRUCTlON INFQRNIATlQN h f P i Additional work to be performed under this permit—check all that apply.. I _Mechanical ^Gas Tank _Gas Piping Shutte is _Windows/Doors _Pond Electric _Plumbing: _Sprinklers —Generator _:Roof :Pitch Total Sq.Ft of Construction 84.Ft:of First Floor:. Cost of Construction:$ 49,.747.00 Utilities _.Sewer _,Septic Building Height: 'OWNER/LESSEE � z Name. DANIEL L. PINER- Name:JAMgST.LEONARD Address: 7803 PENSACOLA_ROAD :company':A&GCONCRETE POOLS,_INC. _ _. . . City: FORT PIERCE State:.F_L Address 8880 GLADES CUT OFF ROAD Zip Dade: 34961 Fax:. City PORT SAINT LUCIE State:FL Phone No. An Code: P4966 Fax_ E.Mail: . Phone No 772-8787-7752 Fill ire,fee simple Title Holder on next page'(if different E-Mail HWI W@ANGPOOLS.COM from the Owner listed above) State or County License CPC1457902 if value of construction is 2500.or more,a RECORDED Notice of Comrriencement.is required. If value of.HAVC is$7,,500.or more,a RECORDED!Notice of Commencement is required. i SUPPLEMENTAL CONSTRUCTION fCIEN CA1N INF(}RMA► DESIGNER/ENGINEER, Not Applicable MORTGAGE COMPANY: _Not Applicable: Name;,.aaunla ATj,Fm' Name: Address:..2637rTrx TREET Address: City: LA VERNE State CA "." City: . State:` Zip: 9175o. . Phone Zip: Phone: FEE SIMPLE TITLE;HOLDER: _Not Applicable BONDING COMPANY: _Not;Appl cable Name: Name:- Address: " Addeess: City: City: Zip: Phone Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a:permit do thework and installation as indicated. I:_cdr ifythat no work or'instaliatlon has commenced".prior to the.issuance"of sperm t,. St.Lucie County makes no representation'thatis gronting.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 ana:covenants that may restrict orprohibit 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;.)do herebyagree that)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 full ton currency review,room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory"uses to anothernon-residential use WARNING TO`OWNER:-Your failure to Record a.Notice"of Commencement may result;n 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 commencin 'work.or recording our Notice-of Commencement. Signature o_.Owner/Lessee Contractor as Agent:for0 rier Signa of.Contractor/License Holder STATE OF FLORIDA. STATE OF FLORIDA COUNTY OF ST-LCIE COUNTY OF ST LUCIE The orpoing instty� nt was acknowledged before me The forgoing instr, mIent wat:acknowledged before me t i"_day of �.. F1' .2Q 1 by this�l1.day of 211 l by JAMES T LEONARD Name of person makingstatement.. Name of person making;statemeht Personally Known OR Produced identification Personally Known. x- _OR Produced Identification Type of Identification Type of Identification "Produced DRIVER LICENSE Produced. - ids . (Signature of Notary Public=S -' F', '=a eat ar Vizzo (Sig fure of Notary Public-5t (` '?� )e` my t jer{irrn9sion GG2s2 3 �p r., Notary Public State of to a Commission N � �S3 `"ForM1°�Se�ap�i�as'itttar2o22 (r e ether Vizzo l '1 ission N ° .G 53 "• ( e Commission GG-26 26 FxP44511(1312022 REVIEWS. FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE` COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. -