HomeMy WebLinkAboutBuilding Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
WCEIE
Q Na ° , ° aFWBuilding Permit Application
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:3937 SHORESIDE DR FORT PIERCE, FL 34949
Property Tax ID #:1423-566-0004-000-9 Lot No.
Site Plan Name: ,ffdC.� �-1" 4—)* Block No.
`_
Project Name: (L ��-� 4—)-
DETAILED DETAILED DESCRIPTION OF WORK:
Install gunite swimming pool with paver deck
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
_ Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Gas Piping
_ Sprinklers
Shutters _ Windows/Doors _ Pond
_ Generator
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 1 )
Address: O I ? '5n ` C
City:51at ,,�n3L�t'o State:MX
Name: JAMES T. LEONARD
Company: A&G CONCRETE POOLS, INC.
Address:8880 GLADES CUT OFF ROAD
Zip Code: Lim S Is Fax:
City: PORT SAINT LUCIE State: FL
Phone No.
Zip Code: 34986 Fax:
Phone No 772-878-7752
E-Mail:
E-Mail HVIZZO@ANGPOOLS.COM
Fill in fee simple Title Holder on next page ( if different
State or County License CPC1457902
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
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 ALIEN
Name:
Address: 26377 7TH STREET
Address:
City: LAVERNE State: CA
City: State:
Zip:9t750 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.
cie-C-ou ty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
4L
ith lendgfr or an attorney before commencing work or recording our Notice of Commencement
Sigroture of Owner/ Lessee/Contractor as Agent for Owner
ignatur ontracf r/License Holds
STATE OF FLORIDA A C
STATE OF FLORIDA
Lr I't
COUNTY V l
COUNTY OF n. LUCIE
SW n to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
thi Q 5 `dMay of u 202� by
Swop to (or affirmed) and subscribed before me of
_ Physical Pres nce or Online Notarization
this day of tie Q 202� by
uL' B E. arck,e"�
JAMEST.LEONARD
_Nape of person making statement. %
Name of person making statement.
Personally Known OR Produced Identification \4
Personally Known x OR Produced Identification
Type of Identific t'o,n.
roduced
Type of Identification
Produced
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ignature of Notary Public- St I� �,� Notary Public Stets
c Heather Vizzo
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