HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Nu
JAWA
. Building Perm it'Applicati n MAR 8 J019
Planning and Development Services Permitting Department
and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone:.(772) 462-1553 Fax: (772) 462-1578 Commercial Kesidential
PERMIT APPLICATION, FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: _ I2 O(n3 -5 'f NbIAO 9I VE/_ D21V
Legal Description: R65 510 L0T 10 (0¢. 1020 -Z06y : 1l %9 -1 S;Z -, z06g_q/
Property Tax lD #: Lp%q_ (oo z _006(o-UOa_9 Lot No.�_
Site Plan Name: MALANeZyN RE50eNCE Bock No.
Project Name: MAI.Atie.-zjn1 IQE51,01EEAICE
Setbacks Front Back: 15 Right Side: 10 Left Side: ! O
DETAILED DESCRIPTION OF WORK
:NG0U�jD 5wtµH l x(b pdeL le e i e�V m4Leivviv,
inn c > os w r c> --Pe Cry) 67 . 0-,9ds'
CONSTRUCTION INFORMATION.:
Add
itiona wor to a e, formeun er t is permit — c ec a ap
0HVAC ply:
L _I Gas Tank Gas Piping _ Shutters Windows/Doors
Electric ✓❑_Plumbing Sprinklers Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $rjb,000, 00 Utilities: Sewer El Septic
Building Height:
OWNER/LESSEE:-
CONTRACTOR:
Name ,jowtj, MA'LANC zy
Name: Ryan Figman
Address:_12063 5 SMPIA 4 91 VEIL D121 K
Company: Apex Pavers & Pools
City: JC-45ErJ OUCH State: rL
Address: 725 SE Monterey Road
Zip Code: 3y957 Fax:
City: Stuart State: FL
Phone No. "722 - 233- g3S,3
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` jscalise@apexpavers.com
from the Owner listed above)
State or County License: CPC1458696
If value of construction is >A:Puu or more, a KtCUKDtu Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: Tea PAiJ LL
Address: l U ?.EL
_ Not Applicable
9,OWELS
IZ
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: jbae pioceli5 State`ti�
Zip: �SA95fL Phone:\ ?72-- 201 — ko3q--
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: Not Applicable
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 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.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signaturl of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF H A• -Tlt I COUNTY OF MAkrI n/
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _Z!6 day of _ FE6 , 20 L9__-by I this -Uday of kb 20 _ by
JOM tJ i"IA L/?W70, Ryan Fgman
(Name of person acknowledging) (Name of person acknowledging )
G�
(Si ure of N&6y Public- State of Florida) (Signs a of Notary. Public- State of Florida )
Personally Known OR Produced Identification k Personally Known V OR Produced Identification
Type of Identificat' •0 Type of Identification Produced
JULIECommission No. "= MY COMMI9SfM$) # GG097020 Commission No.� COMMIR # GG097020
EXPIRES April 06, 2021-
"� • o� EXPIRES April 06, 2021
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPER ISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
RE EW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
3112,11
C
I
COMPLETE
-
INITIALS
, rry