HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 9-6-18SCANNED
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services S E P 0 6 2? 011, 8
Building and Code Regulation Division ST. Lucie County, PPrrnittlng
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT APPLICATION FOR: Pool inground
MENTLOCAT
0 R b 0 0 S E b,-'! M 0 'R' Q'V"� E" b N
Address: ILDLID ID
Legal Description
Property Tax ID
Site Plan Name:
Project Name: _
Setbacks Front Back:clW. 3q Right Side: Left Side:
fT.A,,",!'LEQ.DESCRIPTI0N OF 0011k"
_�
ln5fall*03 9uhi+�6 50irnminn Pool 0-r-ta SPCI
hl h-of NCY* LYAr W of
a Rd *J Op OIL Of
%of
Lot No.
Block No.
0-T NFORM I0N:':1"'1"'11ti
�T 0� .1 1 1.. 111�Ok
Additional work to be nertormed under this permit — check all apply:
11HVAC 11 Gas Tank 0Gas Piping In Shutters D Windows/Doors
Electric Plumbing OSprinklers F—]Generato'r Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction:$ /00)". Lltilities"n'SewerEl Septic Building Height:
E
"CO �Tj, Ag,-O R -
Name LA MtenaiLl 11 LLP-,
Name:( klrwmLennarA
. AddreSs: q0tp 861Q &Mlie.
Company: Alt obner0p, &S, III e
City: b= PO4-o n State: FL.
Address: 40 5Qt1 X 19 V. el I
Zip Code:,3345'7 - Fax:
City: 4b N-rox, State:
Phone No. 39-7-9910-dQal?
Zip Code: 34q'ga - Fax:112A1P"1-X02.q
E-Mail:
Phone No. -17
Fill in fee simple Title Holder on next page if different
E-Mail:ffii rry•inWnajD M oxna owls. Olom
from the Owner listed above)
�r
State or County License: lq7 9001
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Sl1PPLEMENTAJL CONSTRll07Tl0N
LIEN LAW II0�',011M'ATION
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DESIGN R/E GINEER:
Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name: In Y
Name:
Address: I
1,
Address:
City: YO
State: L
City:
State:
Zip: .3;kg1eA Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
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 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 fins • onsult with lend r or an attorney before
commer%ing work or recording vour Notice of C ence ent. /I —
Signa of 0 ntractor Agent for Owner
Signa ure�of&ieNmj6sewie-Halder-+
Ot�t—
STATE FLO I , 1
STATE
•
COUNTY OF W03" L
COU OFF
A
The for oing instrument w s acknowledged before me
this , day o 204 by
The or oing instr men was acknowledge before me
this dDay of Ik by
I
Jlme
Name of per• sop making statement
Name of pers9p ma Ing statement
V
Personally Known 1/ OR Produced Identification
Personally Known
OR Produced Identification
Type of Identification
Type of Identification
Prod ed
Prod d
1
,
(Sign ur of Notary Public- State of F rida)
(Signat r of Notary Public- St e f ElAkaj
Y
Commission No. �eL(SP�III�ic'LABORSODI•BIRMING
AiMD mission No.
n �( Pub. AhGE-130RS%;>5u"ur,!SG
"1 �:(Sl�i�y�cu.rc State
+� Notary Public - State of FI
Commission X GG 24962
ida
�' of Commission = GG 2496
My Comm. Expires Ar.S ' S.
ov rti.: M y Comm. Expires AugAu 1
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Bonded through Nations. tiot�ry
Bonded t
rpugfi;National Nota •Assn.
REVIEWS
FRONT I 7�;��
v
S
EGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
,REV
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17