HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
g1ro [Lucm
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: IN GROUND SWIMMING POOL WITH DECK
PROPOSED IMPROVEMENT LOCATION:
Address: 2115 '1'rowbridge Rd Fort Pierce, F134945
Property Tax ID #: 2213-434-0002-000-7 Lot No. 13
Site Plan Name: Fields Block No.
Project Name: Fields
I DETAILED DESCRIPTION OF WORK:
Install Gunite Swimming Pool with Concrete Deck
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 50,876.00
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name P' Bryan Fields
Name: JAMES T. LEONARD
Address:2115 Trowbridge Rd
Company: A&G CONCRETE POOLS, INC.
Address: 8880 GLADES CUT OFF ROAD
City: Fort Pierce State: FI.
Zip Code: 34945 Fax:
City: PORT SAINT LUCIE State: FL
Phone No.
Zip Code: 34986 Fax:
E-Mail:
Phone No 772-878-7752
Fill in fee simple Title Holder on next page (if different
E-Mail HVIZZO@ANGPOOLS.COM
State or County License CPC1457902
from the Owner listed above)
YQIYG VI bV113 I Ul L UII .) 4JUU UI IFIUIC, d RCI.VRUCU IVOTICe OT Lommencement Is requlrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: AARON ALLEN
Name:
Address: 26377 7TH STREET
Address:
City: LAVERNE State: CA
City: State:
Zip:91750 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the 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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 recording our Notice of Commencement.
SigrratGreof Owner/ Lessee/Contractor as Agent for Owner
Signa rif,Csrt►`t actor icense Holder
STATE OF FLORIDA )_ . f ! f , '�
STATE OF FLORIDA
COUNTY OF �� C _��/� f
C
COUNTY OFsT.LUCIE
Swofn to (or affirmed) and subscribed before me of
V Pysical Presence or Online Notarization
Sworn to (or affirmed) and subscribed before me of
this Li day Ofk1,k%A 207,E by
Physical Pres ce or Online Notarization
Th i sJk.J HkA
�
ay of u if 2020 by
JAMES T. LEONARD
Name of person makingAtatement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identifc tion
Type of Identification
1,
duced l
Pr duced
(Signature of Notary PIS- S
apv n?8, Notary Public State of Florida
, HeathgrS� {{°
(Signature of Notary Pubfic�SC �r^id"a
Notary Public State of Florida
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Commission No. z° ..
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Commission No. _ < M Co 4rhtt5S n GG 262653
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