HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: `.0 U 3 VecFt�FD
SCANNE MAR
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.. �� �I IPIP, CoInty tPet?�tUs Deaa,t
- . Building Permit AppliCation �ecopn eat
Planning and DevelopinentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:.(772)'462-1553 ;Fax: (772) 462-1578 COI'nl'1'lercial . . RESidentiai
PERMIT APPLICATION FOR: Pool inground.
PROPOSED IMPROVEMENT LOCATION:
.Address: 6I5b- P irt.yn-GL ate CL C-F �" PlIC ✓-c-e- 3 y q'S 1
Legal Description: `ts'� � - CWAC%o CZ-Ly1.iv� �.yYd -ins rfi-t,,✓�j = lie T 19
Property Tax ID#: I311 ,-bZ - b-Z) Lot No.- 'l q
Site Plan Name: -Block No.
Project Name:
Setbacks Front ack: :Right Side: Left.Side:
DETAILED DESCRIPTION OF WORK:
INSTALL GUNITE SWIMMING POOL WITH CONCRETE DECK
CONSTRUCTION INFORMATION:
.Additional wor .to je"e orme under this permit - check a apply:
11HVAC L_J Gas Tank . Gas Piping _ Shutters a Windows/Doors .
❑ Electric. 0 Plumbing Sprinklers E]Generator -0 Roof Roof pitch
Total Sq. Ft of Construction: Sc�Ft. of First Floor:
�jj,� .
Cost of Construction::$ ^i�Q � ��Q r I I Utilities: u Sewer D_ Septic.' Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name
Name: James T. Leonard
Company: A & G Concrete Pools; Inc.
Address: 410 Saeger Avenue
Addres : j50kA_ -time C1�'10..
City:.21?:rC..2. p ..State:
Zip•Code:."6"51 Fax: '
City: Fort Pierce State: FL
,/
Phone No.1701. *63 • #1 [ Q
Zip Cod' e:.34982 Fax: 772-467-1624 .'
'E-Mail:
Phone No. 7727878-7752
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: CP014.67902
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:. _-Not Applicable.
Name: Ray Reinhard
Name: .
Address: 1010 Easter l_illy.l_ane
Address:
City: Vero Beach State: FIL .
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:
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.consideratiiion-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 ofIlCom.mencement 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 our Noticelof Commencement..
I.
A s-
natur • fLQw"ne L ssee/Contractor as Agent forOwner Si � ctor/License Holder
STATE OF FLORIDA .
COUNTY OF: S'i'• �;:Ll Cam.
The forgoing instrument was acknowledged before me
this I ^I day of F-d- 1:1w iw. 4 20 I g by
Na e f pers a knowl e ging )
STATE.OF FLORIDA
COUNTY OF . . St. Lucie
The forgoing instrument Was acknowledged before me
this o-QAay of Fjp' 20 15L by
Jar, Zle,onard i
.(Narr/e ofAJersop!acRnowj4dgjng) / - III
1�
A �
v . v ---I V
( ignature of Notary .6blic- State of Florida) / (ignature of Notary P blic- State of FloridaAf
Personally Known.. 'OR Fro �Lceecc�L'Identif atiom J Personally Known OR Produced Ide
Type of Identification Produced L(� Type ofldentification Produced
Commission No. a RNANDE
FARA b HE ommission No:. .'��5...��•,,
• = _ MY COMMISSION #FF1 7241
•.'. h oQr MY
COMMISSION #lFF172419
'EXPIRE c.
Revised 07/15/2014L(407)gg o153 FloridallotaryService.com (a07) 398 0153 FloridallotaryService.com
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