HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: Permit Number:
RECEIVED
Buildingg-POrmit Application
Planning and Development services APR 13.2018
Building and Code Regulation Division
Virginia Avenue Fort Pierce FL 34982 Permitting Department
2300 Vir
9 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential•xx
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 13512 NW 8AYW60D Pi-Ae-6 PA LM C: (Tq FL. 3+ R90
Legal Description: RI �(z-N PB %— I 02 L40-7 3 �Z o
PropertyTax lD#: ZS --703 'a6gZ — 400., I Lot No. 7
Site Plan Name: RUSse:L Ieesl oee \J r I Block No.
Project Name:
I �
Setbacks Front Back: Right Side: eft Sider-T'
DETAILED DESCRIPTION OF WORK:
xN &Qoumb StimM I o& POOL
CONSTRUCTION INFORMATION:
Additional work to je ne orme under this permit— ca apply:
OHVAC _ Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing E]Sprinklels El Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 0 6i 600, 00 UtilitiesSewer 0 Septic Building Height:
OWNER/LESSEE:
COW -RAC
Name P'fkIC�A 12US5E1_[.
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Name: Ryan Figman
AddressA331Z. NW M`/Woob PL Af _6
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Company: Apex Pavers & Pools
City: PALM C riN4 State:
FL
Address: 725 SE Monterey Road
Zip Code: SLIM Fax:
City: Stuart State: FL
Phone No. -772-233 t 3 F3
I
Zip Code: 34994 Fax: 772-419-5101
E-Mail:
Fill in fee simple Title Holder on next page ( if different
Phone No. 772-41.9-5151
E-Mail: jscalise@apexpavers.com
from the Owner listed above)
I
State or County License: CPC1458696
IT value or construction is $ZWU or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: I Address:
City: State: I City: State:
Zip: Phone: I Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: I 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 Associationland 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 Comm6ncement 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 Notice of Commencement.
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7gnature of Owner/Lessee/Contractor as Agent for Owner Signatbre o Contra t oVo
s se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MA-2TIJ COUNTY OF
The for oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this I l day of �E6 20 1-by this 12 day of 20 I by
AVIC11A Ku 55EL .
me of person acknowledging)
Ryan Figman
(Name of person acknowledging)
re of Not y Public- State of Florida) � (Signat r of Notary lic- State of F orida )
Personally Known reduc Personally Known 5Q OR Produced Identification _
Type of Identifica i( ced L ! Type of Identifi at�o�,{
My COMMISSION N 60MI020 UUE�, • = M SCALISE
Commission No. IREdW08, 2021 Commission N � COMAAISSIpE,pR "1�0
- ak EXPIRES
••,,• April 06,1021
Revised 07/15/2014
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