HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC`A�BT INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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� Date: Permit Number:
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Building pp Permit Application
APB 9 7 28V
Planning and Development Services Puhiic Works
Building and Code Regulation Division 5t. Lucie County, Ft
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ReSideritial
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: o ap11� :�kdwood
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Legal Description: l�o�l l•f}Q 6 / flmt�e_190
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Property Tax ID#: 151 aj•'56 —0612 Lot No. T3�
Site Plan Name: l ! Block No.
Project Name: 0,1
Setbacks Front Back: loa•`r Right Side: 3�•l Left Side: 33•��
DETAILED DESCRIPTION OF WORK:
INSTALL GUNITE SWIMMING POOL WITH CONCRETE DECK
CONSTRUCTION-INFORMATION: -
Additional work to e e orme under t is permit—check a apply:
❑_HVAC E]Gas Tank Gas Piping
p ng _Shutters Q Windows/Doors
Electric 0 Plumbing, Sprinklers Generator Rloof Roof pitch.
Total Sq. Ft of Construction: S . Ft.of First Floor:
,1. ,-,
Cost of Construction:$, �u y � •— Utilities: Sewer Septic .Building Height:
OWNER/LESSEE: CONTRACTOR:
Name t 6 o i Name: James T.Leonard
Address: Q- Company: A&Glconcrete Pools, Inc.
City: T i Oe(_ a Stater Address: 410 Saeger Avenue
Zip Code: Fax: City: Fort Pierce State:FL
Phone No.- 7 7 CDO) I Zip Code: 34982 Fax: 772-467-1624
' / J. 772-878-7752
E-Mail: 'W 1 IJ�S 6i`Gl �t� � Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: FHERNANDEZ@ANGPOOLS.COM
from the Owner listed above) State or County License: CPC1457902
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN,.LAW INFQRMATl0N ,
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Ray Reinhard Name:
Address:1010 Easter Lilly Lane Address:
City: Vero Beach State: FL City: State:
Zip 32963 Phone: (772)473-6303 Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 Countyl 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 accesso,uses to anothirnon-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 recording our Notice of Commencement. I
Sig ature o Own er/Lessee/C ac ent f4of0 er c License Holder
STATE OF FLORIDA TATE OF FLORIDA ,
COUNTY OF CS = �.,l,L-fie— COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was ackn ledged before me
this (�day of Q� 20 t�by this day of Q..�1Lt� I ,20 _by
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pV + r y4) e) Ja T.Leonard
Na o person knowle ging) Na e f perso ackno ledging)
( ignature of Notary Public-State of Florida) ignature of Notary Public-State if Flori
Personally Known OR Produced Ide tific ion Personally Known OR Pro ced Ide ification
Type of Identification Produced Ly Type of Identification Produced
FARE► NDEZ
No. " FA�A D ADEZ Commission No..
s My COMMISSION#FF172419
•€ MY COMMISSION#FF172419 ot=
a 2018 ''occi°'' EXPIRES October 28 2018
oF'rt,,:•` (407)398-0153 FlOridallotaryService.com
Revised 07/1 -olss Floridallotaryservice,com
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