HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AP ICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTI�U--"
5CANNED
Date: Permit Nu
BY
R!
RE-COEIV"'D
Plannin and Development Services
P
Permitting Department
B Iding!J'and 6de Regulation Division St.
00 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
PERMIT
APPLICATION FOR: Poolinground Property, Tax ID
Project Na e:
,,Setbacks Front vo' Back:l()' Right Side: Left Side: c� 3 S'
gam Oil
Installatk,
n of Gunite Pool, Deck and Equipment
01,
IRWIN 51 ON' Lot
ACICIttlonal orkTo--bn norformed under this permit — cheCK all apply:
13 RGas E]Windows/Doors
HVAC: Gas Tank Piping Shutters
Elect c W-1 Plumbin� OSprinklers 01 Generator Roof
"I
pool
Total Sq. Ft f Construction: Qcj�\ n !, 4�'% 0 Sq. Ft. of First Floor
—1
Septic Building Height:
11
Pools by Greg, Inc.
Zip Code: ;1 Fax:
City: Port St Lucie
Phone No.
Zip Code: 34-952 Fax. 772-337-9287
E-Mail:-
phone No. 772-337-97T37
Fill In fee s! pie Title Holder on next page (if different
E-Mail: office@poolsbygreginc.com
from the Oil er listed above)
State or County License: CPC1458338
if value of cankruction'is $2500 or more, a qECORDED Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGIINERANGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name,'t�I
Name:
Address:
Flag WOr tVN
Address:
City: \J'11P 5 t P A\ ran P,ar a av
State: _IS_
City: State:
Zip: Phone: 2,oS
III
- c6-:n -05H I
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Namea,�
Name:
Address:
Address:
City: 11
City:
Zip: Phone:
Zip: I'I Phone:
lll
I certify hat no work or installation has commenced prior to the issuance of a permit.
11
St. Lucie County makes no representation that is granting a permit will'authorize the permit holder to build the subject structure
which is h conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structurd'I 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 accord° nce with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The folio,) ing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory11 structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN1G 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 he first inspection. If you intend to obtain financing, consult with lender or an attorney before
comme , cing work or recordine vour Notice of Commencement.
41
of
STATE FLOR�DA , l STATE OF FLORIDA I
COUN OF S� , �\iC1 e, COUNTY OF ST, UQ e.
The fo o I instrument was acknowledged before me The forgoing instrument was acknowledged before me
this' �r ay of V\ 201 -9—,by this day of , 20 by
�cShLx Tc.r ry wl l'
(Name of Rers n acknowledging) (Name of persoh acknowledging)
(Signature jof NotaryPublic- State of Florida )
Personally nown K OR Produced Identification
Type of IdejI iification Produced
No. (Seal)
(Signature of Notary Public- State of Florida )
Personally Known ->�, OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
,1v Notary Public State of Florida ££LLOL JJ uolsslwuwop dtry P G
Revised 7/15/2014 A Thomasina Bowins ' suimoe ei�18euiw1 d
My CW=isslon GG 201733 a WOU W SMS ollWed k=N %F4 u14
n
REVIEWS I,
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PLA
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
REVIEW
DATE 11
COMPLETEJjJ
INITIALS
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