HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �L� ' I $ SCANNED . Permit Number: 1 � r all,
RECEIVED
--- Buildiing Permit Application . :MAY .2 3 2ois
. Planning and Development Services' '
Building and Code Regulation Division r' ST. ci Lue County,/Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 COI'11rn1I Clal - Residehtlal
PERMIT APPLICATION FOR: •Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: _!?9 ,/t�C�✓ �[+✓� �'/',�/� %��C f✓ .
Legal Description: _"� / ��. �//\ ��%dt/ %1� -��4 %)l `%'�1 ti /�/ .:
-7
Property Tax ID #: .� ^ J`r� n 0 2 t� 0 — .. Lot No: '.
Site Plan Name: % �[? 6y h� -T J I Block No.
Project Name:
Setbacks Front Back: (J Right Side: �� Left'Side:,.? 5____` 9
INSTALL GUNITE SWIMMING POOL WITH PAVER DECK.
CONSTRUCTION INFORMATION:
AdClitionalwork-tobfIrforme under tis permit -c ec �,a .y:
�pElve
C�Ga Tank Gas Piping tters Q Windows/Doors
i
ctric L Plumbing Sprinklers i Generator EIRoof Roof pitch
Total.S,q.. Ft of Construction: S . Ft,. of First Floor:
Cost of Construction:.$ ddt 0" Utilities. _ Sewer ElSeptic Building Height:
L:N?ER-ESSEE:
CONTRACTOR:
Name_tj . V- F:e-bgepeC 00, C,EP).
Name: JamesT. Leonard.
Address: 3911 'Di1 mZ-3 f QE- PA_ •
Company: A & G Concrete Pools; Inc.
City: /-T. / E?'►�E State: 5�4,
Address: 410 SaegeAvenue "
City: Fort Pierce State:. FL
Zip Code: �/ fax: Al%�
Phone No.. N.
Zip Code: 34982 Fax: 772-461-1624
E-Mail: k L4.Phone
No. 772-878-7752
E-Mail': FHERNANDEZ a(J) 4NGPOOLS:COM
Fill in .fee simple Title Holder on next page ( if different
State or County License: CPC1457902
from the Owner listed above).
IT value ot construction iszsuU or more, a RECORDED Notice of Commencement is required.
O �.
SUPPLEMENTAL'CONSTRUCTION LIEN: LAW INFORMATION:
DESIGNER/ENGINEER:....:' ...Not Applicable...:-
MORTGAGE COMPANY:: '. ..Not Applicable: -
Name.: 'RayReirihard
Name: ;
Address:
Address: 1010 Easter Lilly:Lahe
City: Vero Beach- State: FL'.
City: State:
Zip: 3iss3.:. Phone:..(772)473-63' ...:
Zlp: ".Phone:'. .
FEE SIMPLE TITLE HOLDER:. . _ Not Applicable-
BONDING COMPANY:. _Not Applicable
.Name: ..
Name:
Address:
Address:
City:.
City: .. .
Zip: Phone: .
.Zip.. Phone:
" I certifyahat n.o'work or.installation has.commenced prior:to the it uance.of a:perm t: .
St. Lucie County makes no representation that is granting a permit -will authorize the permit holde'r.to build: the subject structure
which is in conflict with any applicable Home Owners: Association r les, bylaws or, and covenants that may restrict or prohibit such
structure..Please consult. with.your.Home'Owners Association- rid review your deed for any restrictions which. may.apply.
In- considerationof the granting: of•this, requested _permit, l_do.hereliy agree that I will, -in _aI[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-concur rency review: room additions,
accessorystructures, swimming pools, fences, walls; signs, screen rooms and accessory uses to.anothee non-residential use -
a
..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 Corn mence'rient i' ust be recorded and.posted on.the jobsite.
before the first inspection. If you- intend to obtain finanding, consult with lender or an attorney before.
commencing ork U recording our. Notice Of Commencement.. .
5
Sig t re ner%Lessee/Contractoras Agent for Owner Signature of Contractor/License Holder
ST TE F'FLORIDA LL STATE -OF FLORIDA -'-
-COUNTY OF: �T• COUNTY OF -
The The forgoing in ru ent was acknowledged before me The forgoing instrument was'acknowledged before me
this day of 20 f $by This: 1p day of 20 L, by
166 od
1 Ja a T. Leonard
(Nam o perso ack owled ing) (Na e f per n ac no . 'd ing) .
(S nature of"Notary Public- State of Florida) signature of Notary ubblic- State of Florida)
Personally.Known.. OR Pro uced ldentifica ' Personally Known ✓ OR Produced Identi icatio'
Type -of Identification Produced ��� Type. of -Identification Produced'
Commission No. ~"'�o� •.. b HERNAND . ommission No.. ANDEZ
• FAQ ff.,RA D.EN
MY.COMMISSION #FF17241
" ' ' COMMISSION #FFi72419
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'Revikd'07/15/2014 - (407) 3sa0!5.3 Floridallotaryservicezom ' °FF`•'"' Florid-MofilrVS vice.com'
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DATE
COMPLETE ,'3 (.
INITIALS:,.
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