HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_OS `t Permit Number:
=ECEIVPED
Building Permit ApplicationPlanning and Development Services Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground
�""PROPOSED, IMPROVEMENT„LOCATION
Address: 65 Aqua Ra Drive Jensen Beach, FL 349571i
Legal Description: RIVER WATCH BILK 3 LOT 3
Property Tax ID #: 4511-815-0007-000-2
Site Plan Name: EBERLE
Project Name: EBERLE
Setbacks Front n/a Back: Right
DETAILED DESCRIPTION OF WORK.
IN -GROUND CONCRETE SWIMMING POOL
..CONSTRUCT ION' "INFORMATI;ON:,
H/A Left Side: 2.1 .7 5
Lot No. 3
Block No. 3
itiona worko e performed under
L]HVAC Gas Tank
this permit— check
❑Gas Piping
a
apply:
Shutters
❑ Windows/Doors
_
ZElectric 0
Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 300
Si . Ft. of First Floor:
Cost of Construction: $ 3(7, 000 -CIO .___. Utilities:` Sewer E]Septic
Building Height:
OWNER%LESSEE
'CONTRACTOR:
Name Glenn & Mary Ann Eberle
Name: MIKE ALEXANDER
Address: 65 Aqua Ra Drive
Company: ALEXANDER CUSTOM POOLS
City: Jensen Beach State: FIL
Address: 50 NE. DIXIE HWY (1-1)
Zip Code: 34957 Fax:
City': STUART State: FL
Phone No. 561-248-1637
Zip Code: 34994 Fax: 772-444-3904
E-Mail:
Phone No. 772-444-3158
Fill in fee simple Title Holder on next page ( if different
E-Mail: ALEXANDERCUSTOMPOOLS@HOTMAIL.COM
from the Owner listed above)
State or County License: CPC1457939
iT vawe oT construction is 5Z5oo or more, a RECORDED Notice of Commencement is
i
W
SUPPLEMENTAL C,4;NSTRUCTIO'N LIEN LAW INFORMATION;
_
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: GREGORYARIAS
Name:
Address: 12115 56th PLACE N
Address:
City: WEST PALM BEACH
State: FL
City: State:
Zip: 33411 Phone: 305-879-0541
,
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 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.
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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
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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.
Signature of Owner/.gent/ Lessee
i
STATE OF FLCIDA
COUNTY 01 (A N? !
The fo going instrum nt was acknowledged before me
this day of f-2 VU0 - �y Zb 18
(Name of person acknowledging)
I
I
( gnature of Notary Public- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced D l___
Commission No.
MY COMMISSION # GG
Bwm Thru
Revised 07/15/2014
The forgoing instru ent was acknowledged before me
this IL day of %.li Q 20_+t-�Jrr
(Name of person acknowledging)
re of Notary Public- State of
Personally Known _X OR Produced Identification
Type of Identification Produced
No. 0. Mi '"�% NE S-DONOMM
:V; per, MY COMMISSION N GG 014371
Bonded Thni Ncwfy Public UW&w bis
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE,
COMPLETE
S
INITIALS