HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 11109. Q,317
Building Permit Application
Planning and Development Services
Building and Code Regulation, Division GLU
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXXXXX
I PERMIT APPLICATION FOR: Pool inground 1. 1
Address: 2415 ATLANTIC BEACH BLVD
Legal Description: gee- A14ac,
Property Tax lD#:, 1436-601-0069-000-8 Lot No. IT 41—q
Site Plan Name: Block No.
Project Name: A t1iSon C.d%e_
Setbacks Front- N LA Back: Right Side: Left Side:
INSTALL GUN ITE.SWIMMING POOL WITH CONCRETE/ FLOCRETE DECKING
CONSTRUCTION I
AcIciltional work to be erformed under this permit cheCK all
apply:
E1HVAC Gas Tank E]Gas Piping
S . hutters Windows Doors
Elene'rator
ZElectric 'Z []Sprinklers
F]Roof
Plumbing
Total Sq. Ft of Construction:
Cost of Construction:$
Sq. Ft. of First Floor:
— Utilities: U Sewer 0 Septic
Building Height: -
OWNER/LESSEE, z vs
T C 0 N A Lyn
Name DAVID & JENNIFER ALLISON
Name: JAMES T. LEONARD
Address: 2407 ATLANTIC BEACH BLVD
Company: A & G CONCRETE POOLS, INC.
City- FORT PIERCE State: FL
Address: 410 SAEGER AVENUE
Zip Code: 34949 Fax:
City: FORT PIERCE State: FL
Phone No.
Zip Code: 34982 Fax: 772-467-1624
E-Mail:
Phone No. 772-878-7752
Fill in fee simple Title Holder on next page if different
E-Mail: tmcghee@angpools.com
from the Owner listed abo%ie)
. State or County License: CPC 1.457902
If value of construction is $2500 or more, a RECORDED Notice of Commencement is eequire.d.
.SUP.PLEMENTALCONSTRUCTION..LIEN, LAV,INFORMATION,-a,.,
DESIGNER/ENGINEER: xxx Not Applicable MORTGAGE COMPANY: xxx Not Applicable
Name: RAYREINHARD Name:
Address: 398 FARLEYS COURT Address:
City: VERO BEACH State: FL Citv: State:
Zip: 32967 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
xxx Not Applicable
Zip: Phone: _
BONDING COMPANY: �4 Not Applicable
Name:
Address:
City:
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 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 recordi ig your Notice of Commencement.
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF ` l'
Thelgrgoing instfu-trieUt1was a I ledged before me
thi ay of jUgf. 20 14 by
acknowledging )
Iry Public- State of Florida )
TRACEY W. McGHEE
Commisi c4nmd15 (Seal)
Revised 07/15/2014
mature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The r.dayof_
Instru acknowledged before me
this t s 2014 by
J6'mel5 �r
(Name f p spa-ackrrawledging )
(SignatuVof Ncotar Publ' ate of Florida )
TRACEY W. McGHEE
Personally Known � I ARZ011dt'-Xlf!cation
Type of IdentificaTA7;: OF FLORIDA
cxam# EE920oa^6
Commission No. _ °.P�m, rg� r cr,, s�'J9C� k
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