HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED NOY-
/�Date: �O 5/.) Permit Number. C)y cy
SCANNED
R
ECE11Vt:
Bwlding t�Slicatio
Planning and Development Services APR —Xartment.
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982Pe rm ttlPhone: (772)462-1553 Fax: (772)462-1578 Commercial Reg�e� �l"I.9
PERMIT APPLICATION FOR: Pool .inground
PROPOSED IMPROVEMENT LOCATION 1.....
Address: 5-90 8 Yucca Street, Ft. Pierce, FL 34982
Legal Description: Lot 3, Block 91, Unit 9, Indian River Estates,
the public records of Saint Lucie County, Florida
Swimming Pool and paver deck on sand.
-ording to the plat thereof, recorded in PB 10, PG 74 of
CONSTRUCTION INFORMATION: -^ 1
Additional work to be nertormed
under
this permit —check
—]Gas
all
apply:
1]HVAC
Gas Tank
Piping
Shutters Q
Windows/Doors
ZElectric
❑✓—
Plumbing
Sprinklers
Generator
Roof
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ dd 0
S Ft. of First Floor: _
Utilities:cn Sewer ESeptic
Building Height:
,0WNER/
CONTRACTOR
Name Kurt & Linda Boller
Name: Jose E. Moreno
Company.; Artistic Pools Inc.
Address:
City: Fort Pierce State: FL
1
Address 1609 N Hepburn'�Avenue - Suite 26
34982 " : �'
Zip Code: :t, Fax• ,°<
Ju iter FL
City: P,., c G 'State:
Phone No. 772-5�8;;,7253"
Zip Code: 33458 MFax: _''
E-Mail: lindaboller@yahoo.com
Phone No. 561-220-7665
Fill in fee simple Title Holder on next page ( if different
E-Mail: Joe@artisticpoolsinc.com
from the Owner listed above)
State or County License: CPC056713
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address: 1 '
City:
Zip: :.Phone: --
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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.
rya ureofsgwner./4Lessee/Contractor as Agent for Owner Signature
STATE OF FLORIDA
COUNTY OF PALM BEACH couNry
The forgping instrument as acknowledged before me
this' day of 20 aby
( me•of=person�cknowledg ng:),
(Signatur of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced r� V
Commission No.
MADIS G. D14Z
w'• , EXPIRES: April 29, 2019
Revised 07/15 ��V- ' Bo-mThr so-yPor u d..b.
STATE OF FLORIDA
COUNTY OF PALM BEACH COUNT'
The forgoing instrument was acknowledged before me
this'41 day of20 X-1 by
Jo5.6 6. MofteN
(Name of person acknowledging)
_�& 062" -_
(Signature of Notary Public- State of Florida ) 46
Personally Known "/ OR Produced Identification
Type of Identification Produced
Commission No.
MADIS 0. DIAZ
EXPIRES: Apol 29.2019
9onded Thru Notary PubUc Undaw km
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