HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -
Date: 01/26/17 Permit Number:
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 x
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVE MENT'LOCATI'ON':
Address: 116 Harris Street Ft. Pierce FI 34982
Legal Description: B.S.HARRIS' S/D BLK 3 S 100 FT OF LOTS 13 AND 14 AND W 2.2 FT OF S 100 FT OF LOT 15 (OR 3803-1991)
Property Tax ID #- 3532-503-0041-000-6
Site Plan Name: McElwee
Prnier.t Name: McElwee Pool Installation /
Setbacks Front o� U Back: Right Side: 7,3 Left Side:
DETAILED DESCRIPTION"OF WORK:
Installation of new swimming pool with associated equipment& paver deck.
a
Lot No. 13,14,15
Block No. 3
['CONSTRUCTION INFORMATION:
Additional work toe nprtormed under this permit— check all apply:
(
11HVAC I_I Gas Tank Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator El Roof Roof pitch
Total Sq. Ft of Construction: eZS S ..Ft. of First Floor:
Cost of Construction: $ 21,379.38 UtilitiesSewer MSeptic Building Height:
OWNER/LESS,EE: ,
CONTRACTOR:
Name Mark H McElwee Kelly A McElwee
Name: Raymond P. Hengerer '
Company: Agua Vida Services Inc.
Address: 232 SW.Fairchild AVE
City. Port St Lucie, State: FL
Zip Code: 34984 Fax: N/A
Address: P.O. Box 6464
City: Vero Beach State: FL
Phone No. (772) 204-1682
Zip Code: 32961 Fax: 772-794-3369
E-Mail: m34952@gmail.com
Phone No. 772-794-0586
Fill in fee simple Title Holder on next page (if different
E-Mai aguavida@bellsouth.net
from the Owner listed above)
State or County License: CPC1457675
If value of construction is $2500 or more, a RECORDED NotiCe,ot Lommencemem:Is required.
SUPPLEMENTAL CONSTRUCTION UEN, LAW INFORMATION a
INEER: _ Not Applicable
me: _
dress:
11
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip:
one:
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORID ,
COUNTY OF 5-�- (.fits , i COUNTY OF �l ! (�1r1 Q I V PTV
The forgoing instrument was acknowledged before me
� d
this day of �in 20 IRby
(Name of pers&acknowledging )
J'alm I rw
(Signature of Notary Public- State of Florida )
Personally Known V111 OR Produced Identification
Type of Identification Produced
Commission No. W 11 b % V4(Seal
My Commission FF 966029
Revised 07/ 15 Expires 02129/2020
The forgoing instrument was acknowledged before me
this d"ay of M O-VC4-\ . 20 1 __�- by
f2 0-ki I-L2MMV,C'v
(Name of person acknoxyjledging )
(Signa'hife of Notary Put& State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. FF `11 °I 39 2 (Seal)
ALISA ENGLAND
Commission # FF 979392
My Commission Expires
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