HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �(
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Building Permit Application JUi J _4._d 2017
Planning and Development Services PErNA11-TING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: tel 4004 i?A ACI✓E �,E45C— J ge,604 FL 905-7
Legal Description: !RIVE M-my ALK 3 LOT �Z (O/L 1083 - /4)
Property Tax ID #: `7J�f'/�/�-�d�J� 600 - Lot No.
Site Plan Name: AAMMA-x_ Block No.
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK
Right Side: Left Side: Z �, '01vb
,(iJGRo9 .WJXM(06 Foal. Wt l.1 52lGcc PAJL_-,2-'PboL. V.ruL
CONSTRUCTION INFORMATION:
itiona wor to (e ne orme under
CJHVAC L 1 Gas Tank
is permit -check
Gas Piping
a
apply:
In Shutters
a Windows/Doors
_
❑✓_ Electric 0
Plumbing
Sprinklers
In Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ L/0, 000. Oa
Utilities:[]Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name &IM6AS 94HAf 4
Name: Ryan Figman
Address: (p/ .400A k4 01414E
Company: Apex Pavers & Pools
Address: 725 SE Monterey Road
City: '_'k- L --Yi 65AC-1I State: FL
Zip Code: 3y957 Fax:
City: Stuart State: FL
'•Phone No.-%2 - 233. 9 3M
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: jscaliseC&apexpavers.com
State or County License: CPC1458696
from the Owner listed above)
It value of construction is $Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone: -
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
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
commencin work or reco..rding your Notice of Commencement.
—If __�- �-
as Agent for Owner Signature ofContract6r/lAcense Holder
STATE OF FLORPA STATE OF FLORIDA'
COUNTY 01 COUNTY OF MA21ri1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 19 day of _ jVI A 20 17 by this day of _ MA y 20 /% by
AID ,4-5 / PIWIA IL Ryan Figman
(Name of person acknowledging) (Name of person acknowledging )
(S' ature of Notary Public- State of Florida )
Personally Known
Type of Identjfreei
Commission
Revised 07/ 15/2014
OR Produced Identification -!
EXPIRES Apol 08. 2021
(Sig re of Notary Public- State of Florida)
Personally Known C OR Produced Identification
Type of IdentjfiWULon-Produced
JULfE M SC
Commission%OMMpry. ISSIO l ACT1020
�'� ... EXPIRES Aud 08. 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
e
J
COMPLETE
1
INITIALS
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