HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFJ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a� SCANNED Permit Number:.'I�a�J''��`�
���fl➢Pi����� R.ECVVED
Building Permit Application MAR 2 8 Z018
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
j
PERMIT APPLICATION FOR:. Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: ' U I D I it rt._ -Fat F 7 p1 E72 C�F_ 34 tL
Legal Description: L�T.S I2 N 7— 4-n Btu l 1 iPfi— I O4- C%{o
Property Tax ID #: 2-No Z (Z0 3 &I kp 3 "0
Site Plan Name:
Project Namec
Setbacks Front Bac . I Right Side Left.Side: l 0
Lot No. 3 l� N /Z.
Block No.
DETAILED DESCRIPTION OF WORK:..'
INSTALL GUNITE SWIMMING POOL WITH CONCRETE' DECK
CONSTRUCTION INFORMATION:
Additional work to e performed under this permit -check a apply*
�HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction`. S Ft. of First Floor:
Cost of Construction:-$ �'T �� Utilities,-Ti Sewer ❑ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
r,
Name,(,i i.W1
Name: James T. Leonard
Address:LPl b I Q D ►rl.e ?'R•E� ��
Company: A & G.Concrete Pools; Inca
City: QI Pirt,�¢- State:—
Address: 410 Saeger Avenue
Zip Code:_'3449 Fax: _
City. Fort Pierce State: FL
Phone No. 1-12. ?i0'L 4-7 L49
Zip Code: 34982 Fax: 772-461-1624
E-Mail:
Phone No. 772-878-7752
E-Mail: FHERNANDEZ&NGPOOLS.COM
Fill in .fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CPC1457902
If value of construction is $2500 or more,,a RECORDED Notice of Commencement is required.
z
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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)473-6363
Zip:Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: i
Address:
City:. !
City:
Zip: Phone:
Zip: Phone: I
-I certify that no work or installation has commenced pl for 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 Own ers'A§sociation 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, Wo 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 Recordia 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
f you intend to obtain financing, consult with lender or an attorney before
before the first inspectioAlng
commencingwork or recur Notice of Commencement.
G
Sign o ctor/L' ense of
Signature o Owner/Lessee/C n ctor as Agent for Owner
STATE OF FLORIDA C, i
ATE OF FLORIDA
'1,�'n
COUNTY OF UT:���. I
COUNTY OF St. Lucie
The forgoing: instrument was acknowledged before me
The forgoing in trument was cknowledged before me
this day of t'a.►" 20 Ltby I
this IA� day of MaW 20 by
l IL
Ja e T. Leonard
(N e,of so ack o ledging) . i
t A kL,
(Na a .f pees -a kno I dging )
Signature of Notary Public- State of FlorZd
Signature of Notary Public- State of Florida )
Personally Known OR Produced ifi lion ✓ .
Personally Known f OR Produced entifica 'on
Type of Identification Produced
Type of Identification Produced
Commission No.. "
Commission. No.
FAR D HE�NANDEZ
FARA D HERNANDEZ
AJQ
?off""�%�.�
,
MY.
Revised 07 15 201 i mod°' -EXPIRES. October 28, 2018
-'� �' EXIP RES October 28. 2018
39g.ot53 FbridallotaryServlce.com
(407) 398•ot53 FlprldallotaryService.com
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE . MANGROVE
COUNTER -
REVI
RE)AEW
REVIEW REVIEW REVIEW REVIEW-
DATE�/
COMPLETE
INITIALS.