HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 APE �� ��`IJ Permit Number:-, '1
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Building Permit Application -
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 13305 NW 6AIWOob PLACE P&M ciN IrL 34956
Legal Description:_PIVER&NO (PA &7-3&) LOT OR �q59—Z 5R7�
Property Tax ID#: L1425--703- 0033 -000- 5 Lot No.
Site Plan Name: Block No.
Project Name: )\-1YA.44V KE510046
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Setbacks Front Back:ZI Right Side: i _Left Side: bD LAaW
DETAILED DESCRIPTION OF WORK:
_7 16ROWb SJ l M M IN(. (moo L -{- f a,vef2 0e_Gl�i
CONSTRUCTION INFORMATION:
Acid itiona l.work to e ne rforme under t ispermit—check all apply:
�HVAC 0 Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Z Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1 Z,D0o o 0 UtilitiesE Sewer El Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name SAAA N M U2p1a Y Name: Ryan Figman
Address: 1336 NW 64VyIOUD PLACE Company: Apex Pavers& Pools
City: PALM CI T y State: r(- Address: 725 SE Monterey Road
Zip Code: 3119 g0 Fax: City: Stuart State:FL
Phone No. 712-2 3 3-1 393 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: )scalise@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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 TP OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improveme t Jo your property. A Notice of Commencement must be recorded and posted on the jobsite
before the it In pection. If you intend to obtain financing, consult with lender or an attorney before
commenci r or recording our Notice of Commencement.
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Signatur O r/Lessee/Contractor as Agent for Owner Signiturt of Cont act r/License Holder
STATE OF FLOR D STATE OF FLOR A,,r
COUNTY OF �knJ COUNTY OF �N1I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2y day of_WAN 20(7by this Zy day of MAR ca ,20 17 by
MUM V Ryan Figman
(Name of person acknowledging) (Name of person acknowledging)
(Sig re of Notary Pu c-State lorida) (Sin ure of Notary Publi -State okUicla)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced FLOL Type of Iden '
�aI?ya. DOREE
Commis o � �''' DOREENJ, A eal � O Commission vt MY COMMISSION#FF? 211,
'---rVY C0 v1k1f3S}6N#FF 9282 FEES:January 3,Y02�
_+.
EXPIRES:January 3,2020 .§Arq ' Bonded Thru Notary Public Underwriters
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Revise 5/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS