HomeMy WebLinkAboutBUILDING PERMIT APPLICATION•��fNLL AP BLE NFO UST BE COMPC:'rD FOR APPLICATION TO BE ACCEPTED
Date: F Permit Number:
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Building Permit Application AUG 2 9 2017
Planning and Development Services PERMITTING
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 X
PERMIT APPLICATION FOR: pool inground
Address: 02 S'114, IIA7
Legal Description: 91%)er2 '06-r k Vlha O'nqp 9A&7/✓�
(0c 31
Property Tax ID#: 3wy— S30 —oaf/ —000-3 Lot No.
Site Plan Name: n_ ph, I to r Block No.
Project Name: h1 t.11 ,P f
Setbacks Front Back: ( (o / Right Side: 02 , �' Left Side: S�
Installation of Gunite Pool, Deck and Equipment
-MUI UV,IO, VVUIR LU UC CI IUI IIICU unuer uus per rnlu-uleLr, au
E1HVAC ��_ Gas Tank ❑Gas Piping
Electric Lr Plumbing Sprinklers
[ndpply;
Shutters
Generator
_
M
no A-70
Total Sq. Ft of Construction: _ ,P�No Y/ S . Ft. of First Floor: _
Cost of Construction: $ :�21 s Sp ��GJ UtilitiesSewer Septic
Address: '/ ail I'A,
City: o—rf ST "0, State: 1q-
Zip Code: 3KF�t) Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: TerryWnc
Windows/Doors
Roof
Building Height:
Company: Pools by Greg, Inc.
Address: 8886 S Federal Hwy
City: Port St Lucie
State: FL
Zip Code: 34952 Fax: 772-337-9287
Phone No. 772-337-9713
E-Mail: office@poolsbygreginc.com
State or County License: CPCI458338
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: (i JZ_,ctnrV APLQSName:
Address: / fih
Place A)
Address:
City: 1,�e a
State:
City: State:
Zip: _3.3 (// / Phone:
306 —V 7 9 — Q_5gJ
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
1 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 vour Notice of Commencement. _
of
nt
STATE OF FLORIDA (� j IAIQIJ
COUNTY OF i rj—
The forgoing instrum t was acknowledged before me
this day of 20 %lby
(Namtof person ac owledging )
(Sig re of�otary Public -
ate of Florida f
Per lyKwn ----,OR
Produced Identification
Type of Identification Produced
Commission No. ;'.4i4k,,(SealPAYME CHA
! :'c MY COMMISSION # I
Revised 07/15/2014
STATE OF FLORIDA ))�
COUNTY OF , Lu _u[ )
The forgoing instrumerAt was acknowledged efore me
this iJdayof 20 LL by
(Name of person �kc nowiedging )
(Sign re o otary Public- tote of FI ida )
Pers Ily Known l/ OR Produced Identification
Type of Identification Produced
925
l01l7.7
`-JXYME CHAVEZ
MY COMMISSION # FF991
EXPIRES May 12, 2026
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