HomeMy WebLinkAboutBUILDING PERMIT APPLICATION•
ALL APPLICABLE I
Date:
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1 ) SCANNED Permit Nu
BY
Qt 111de County
A
rt
e�N' 7 kji • 1.1J ]..
JUN 2 0 2018
- Building Permit Application
Planning and Develo Cent services Permitting Department
Building and Code RE gulation Division St. Lucie County, FL
2300 Virginia Avenuc, Fort Pierce FL 34982
Phone: (772) 462-3553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION
FOR: pool inground
R�.;o-:Ov-a Dsva��..4
EaM.>,:���ks, �a� ���w..x�
S•,3. .<,®,t ter. . �.xr�.
.zc _...:s -:�ro.�1T.,r�:�L�mO._-^C-,rzA:�4a.:,.kO,«rN.�FE...�����- p. �K�L
�.w.�:�P,,.�ijra��rt�:i�� �.�a 5�°�'k';��.`��:.i�•::_�Ti
Address: 1 U14
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front
Installation of
0 b5' Back: ' . Right
ite Pool, Deck and Equipment
Side:
%0 3 "rC-
V L9I,—
P%UU1Llvual wv1 n W c c11V1111CU UI IUCI 1111J Pt;:11111L — L11CGR d11 dpply:
QHVAC _ Gas Tank ❑d L__L
Gas Piping _ Shutters Windows/Doors
✓
f
'Electric 0 Plumbing OSprinklers ElGenerator Roof
Pool ,.
Total Sq. Ft of Const uctio`n:��� o ��� 10 I S . Ft. of First Floor:
Cost of Construction is �i3 i 3 S i? , Cj L7 Utilities:Sewer E]Septic Building Height:
Name 1 't `5r'6
Address: � 0 `.4
City: ,C-:"OctjP
Zip Code: ' q
Phone No.(-"
E-Mail:
Fill in fee simple Ti
from the Owner li!
If value of constructi
d n 5 - 1 e%og-e- C Name: Terry Wix
e.r,_c.. Cora J. 1.ck V,.-e_ Company: Pools by Greg, Inc.
C C. State:.F Address: 8886 S Federal Hwy
Fax: City: Port St Lucie State: tL
ao ��i.�a ( Zip Code: 34952 ^ . Fax: 772-337-9287
Phone No. 772-337-9713
Holder on next page ( if different E-Mail: office@poolsbygreginc.com
f above) State or County License: CPC1458338
is $2500 or more, a RECORDED Notice of Commencement is required. /
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: •-areOa0ry Arias
Name:
Address: ^J I l a I15
'Sbtl, PlgU N 0,'-Nn
Address:
City:
h State: FL_
City:
State:
Zip: Phone:
-
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.
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
commencine work or recordine vour Notice of Commencement.
l"
s
_ Signature er/ Lessee gent Signature of ctor/LiceWse Holder
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF G+, U36 C, COUNTY OF Uo CA iz,
The for�ggoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 7 day of 6Q\- ,�, 201-by this day of V u 1 C , 20 ( by
�rr� W i )( Te,rr,\I p,0
(Name of pers n acknowledging) (Name of persoo acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known "X OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 01TNoterya�teofFlorkla, Commissio
Th owins F__;�
NotaryPubic Stateof FWMa
My Commission GG 201733A Thornmina Bowlns.
my VA 3r
Revised 07/15/2014 0'- - - -
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE)EW
REVIEW
REVIEW
REVIEW
DATE
Gp
COMPLETE
INITIALS
a