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BUILDING PERMIT APPLICATION
t. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: T�1� Permit Number: 1�da c5c�a�j c�umrq ft BY l _ .. REC51VED Lucie County Building Permit Applicati n FEB p 120118 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Pool inground -j PROPOSED IMPROVEMENT LOCATION: Address:16Plantation Lakes Drive Port saint Lucie FL 34986 Legal Description: Reserve Plantation- Phase 11A Lot 48 and that Parcel MPDAF 8 36 39 beg at NE cor of lot 48- Reserve Plantation phase HA Property Tax ID #: 3321-803-0052-000-9 Lot No. 48 Site Plan Name: Vincent Marcellino Block No. Project Name: Vincent Marcellino Residence Pool Setbacks Front Back: , ight Side:_ Left Side: DETAILED DESCRIPTION OF WORK: Installation Of Underground Pool, Spa, Deck, and Heating. CONSTRUCTION INFORMATION: aatuonai worts to ne errormea unaer tnis permit— a E1HVAC _ Gas Tank _❑Gas Piping Electric 21 Plumbing Sprinklers apply: Shutters ❑ Windows/Doors Generator F]Roof Roof pitch Total Sq. Ft of Construction: So ovvb= S . Ft. of First Floor: Cost of Construction: $ 4 S000 as Utilities:11 Sewer 11 Septic: , Building Height: OWNER/LESSEE: CONTRACTOR: NameVincent Marcellino Name: Omar Guzman Company: Liquid Art Custom Pools INC. Address:8050 Plantation Lakes Drive City: Port Saint Lucie State: _ Address:.3677 23rd Ave S. Suite B102 Zip Code: 34986 Fax: City:. Lake Worth State: FL Phone No.354-914-5090 Zip Code: 33461 Fax: Phone No. 561-223-2278 E-Mail:Horizon-palms@hotmail.com Fill in fee simple Title Holder on next page ( if different E-Mail: Omar@liquidartcustompools.com State or County License: CPC1457691 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW LNFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Vincent Marcellino Name: Omar Guzman Address:8050 Plantation Lakes Drive Port saint Lucie FL 34986 Address: 8050 Plantation Lakes Drive City: Port Saint Lucie State: City: Lake Worth State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: City: Address: 3677 23rd Ave S. SuiteB102 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 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 fr.,.,,1�,.,�,,,1,,.,1,+ %'W111111G 1111 I lEi VV V11%V1 aG\Wl M 11 1VM1 1YV 16. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of—C-60ffictodLicense Holder STATE OF FLORIDA STATE OF FLORI COUNTY OF SUM QP(tC� COUNTY OF - The The forWing instrument was acknowledged before me The for oing ins ument was acknowledged before me this � day of N011C44 &L , 20 1, by this day of DCCgL1X.,Lr 20a by y10)Cc;n7-( 14,4e_ &Uiv© _V Dma,r 0 mo-n Name of person making statement Name of person king statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificati n Produced -0-19— O(L LAC p Y MARIO EDWARDS Produced NOTARY PUBLIC STATE OF FLORID / Comm# GG059842 (Signature of Notary Public- State of orida) p r08 4/23/021 (Sig e oT N y Pu ic- Sta e o Florida) - Commission No. (Seal) Commission No. 2V 2 '' jCA HERNAIdID =• O? MY COMMISSION 0 GGO ' EXPIRES Septemlw 288, .• REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE a 3�2� �c9 RECEIVED DATE COMPLETED tev. 8/2/17