HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I V
RECEpAD
BLdIdIng Permit Application BAH i 7 201g
Planning and Development Services Permlhing
Building and Code Regulation Division Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR:. Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 137 NE NARANJA AVE PORT SAINT LUCIE FL 34983.
Legal Description: RIVER PARK -UNIT 4- BLK 39 LOT 12(MAP 34/21S) (OR 4060-153)
Property Tax ID #: 3419-530-0198-000-7
Site Plan Name. RIVER PARK
Project Name: HADLEY
Setbacks Front_ Back: 1 eaU Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL GUNITE SWIMMING POOL WITH CONCRETE DECK
�eHce. 035 7
Lot No. 12
Block No. 39
CONSTRUCTION INFORMATION:
Acichtional work to jeperformedun er t is permit— check a apply:
11HVAC L-_I Gas Tank Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers I Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 50,000
Sq. Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name VANCE AND JEANENE HADLEY
Name: James T. Leonard
Address: 137 NE NARANJA AVE
Company: A & G Concrete Pools, Inc.
Address: 410 Saeger Avenue
City: PORT SAINT LUCIE State: FL
Zip Code: 34983 Fax:
City: Fort Pierce State: FL
Phone No..561 707 1328
Zip Code: 34982 Fax: 772-461-1624
E-Mail: jhwinetime@gmail.com
Phone No. 772-878-7752
Fill in fee simple Title Holder on next page (if different
E-Mail: FHERNANDEZ@ANGPOOLS.COM
from the Owner listed above)
State or County License: CPC1457902
it vaiue oT. cvnstrucnon is azsuu or more, a KLLUKutu Notice or commencement is required.
r
SUPPLEII/IENTAL CO'N,STRUCTION�LIEN,LAWAINFORMATION:°
DESIGNER/ENGINEER: _ Not Applicable .
MORTGAGE COMPANY:
Not Applicable
Name: Ray Reinhard
Name:
Address: 1010 Easter Lilly Lane
Address:
City: Vero Beach State: FL
City:
State:
.Zip: 32963 -Phone:. (772)473-6303
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
city:
rty:
Zip. Phone:
Zip: Phone:
I certify that no work or installation hascommenced 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 your Notice of Commencement.
ature of Owner/I.Ossee/Cont for Agent for Owner
STATE OF FLORIDAcc
COUNTY OF c�
The forgoing inst ent was acknowledged_before me
this _LOA_ day of VQO, 20 I by
(Striature of Notary Public- State of Florida )
cense Ho
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged efore me .
this tat day of �Q', 20Ll by
.(Na*of
re of Notary I
g)
lic- State of Florida
Personally, Known OR Produced Ide ific 'on V Personally'Known �/ OR Produced I ntifica 'on
Type -of Identification Produced F"L Type of -Identification Produced
Commission No. "."p;�•„ mmission No. v�rP�B ..
AVER D. HERNAND A D HL�ANDEZ
'•; •s MY COMMISSION #FF1 72A 19 My COMMISSION #FF172419
Revised 07/15/2014 1 t407i 39"0-0153
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