HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
CANNED
Permit Number: JS6C�_ DJ�
��BY RECEIVED
.
Building Permit Application AUG b 41017
ning and evelopment Services
ling and de Regulation Division
) Virginia venue, Fort Pierce FL 34982
ne: (772)'462-1553 Fax: (772) 462-1578 Commercial
Permitting Department
St. Lucie County
Residential X
PERMIT API
LICATION FOR: Pool inground
.
PROPOSED
;IM'PROVEMENT LO.CATI N
Address: 456,9 S 25th ST. Ft. Pierce
L$gal Descript, n: 33 35 40 SW 1/4 OF SW 1/4-LESS N 800 FT AND LESS W 40 FT AND LESS S 78 FT AND LESS THAT
PART FOR A IDN RD RIW MPDAF:FROM SW COR OF SEC RUN N 89 54 00 E ALG S SEC LI 40 FT,
Property Tax I �d #: 2433-333-0001-000-6
Site Plan Nam : ITALIAN CASTLE OF THE TREASURE COAST LLC
Project Name: Martin Mohr
Lot No.
Block No.
Setbacks Frt nt Back: Right Side: Left Side:
ILED'ODETAFWRK
OHVAC
RElectric
Total Sq. Ft of
Cost of Constr
INSTALL NEW INGROUND POOL
Dee rrormea u
Gas Tank
R1 Plumbing
uction:
S 48,900
tnis permit — cnecK aii apply:
❑Gas Piping In Shutters
Sprinklers []Generator
S Ft. of First Floor: _
Utilities:DSewer El Septic
Windows/Doors
Roof Roof pitch
Building Height:
OWNER/LE
SEtE -
CONTRACTOR,5
Name ITALIAN, 3ASTLE OF THE TREASURE COAST LLC
A�dress:3389, heddan ST # 471
Name: ROBERT COLSURDO
Company: POOL DOCTOR OF THE PALM BEACHES
City: Hollywoo State: f�
Z�p Code: 330 1 Fax:
Address: 401 SW FEDERAL HWY
City: STUART State: FL
Phone N0.678'938-7542
E-Mail: shelly�ijohngo@gmaii.com
Zip Code: 34994 Fax: 564-444-0276
Phone No. 772-287-0768
Fill in fee simp a Title Holder on next page ( if different
from the Own l r listed above)
E-Mail: schillerpools@pooldoctorpb.com
State or County License: CPC lys &y&Z
If value of consttuction is $2500 or more, a RECORDED Notice of Commencement is required.
S-UPPLEM�NTALtCONS,
�RUCTIORIILIEN�LAWINF,ORMA LION
_T:..
_� _ _ _w
_
:...$..
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DESIGNER/ENGINEER:
— Not Applicable
- MORTGAGE CO
COMPANY:
_
Not Applicable
Name:R�41CAMEOF
THE MWASURECOAST LLc
Name' R08ERTCOLSUFi00
Address: 4002slhsT.FLF1o=
Address: 3aa9s�eWWST0471
City: ►+ od I
I State:
-City: STuma
State•.
Zip: lil
"Phone
Zip: Phone:
FEE SIIMPLgITITLEHOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
wFEOERALmy
Address•4o+
Address:
- ._
City: I
City:
Phone:
Zip: Phone:
Zip: II
OWNER/CO TRACTOR AFFIDVIT: Application.is hereby made to obtain a permit toy do the work and installation as Indicated.
I certify -that n work.or installation"has commenced priorto theissuance,ofa permit:
S Lucie Coun makes no representation that is granting a ppermit will,authorize .the permit holder to build the subject structure
which is in.con ctwith any applicable Home Owners Association,rules,,.bylaws or and covenants that may restrict or prohibit such
structure. Pleas idonsult with your Home Owners Association and review your deed for any restrictions which may apply.
11 consideratio of the granting of this requested permit, I do hereby agree that I will, .in all respects, perform the work
I7'accordance v i th the approved plans, the Florida Building Codes and St..Lucie County Amendments.
The following b ilding permit.applications are exempt from undergoing a full concurrency review: room' additions,
accessory structures, swimming pools, fences, walls; signs, screen rooms and accessoryuses to another non-residential use
WARNING TAI :OWNER: Your failure to Record a Notice of Commencement may result in your paying twice, for
impprovemen6 to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the fi<+st inspection. if you intend to obtain financing, consult with,lender or an attorney before
commencineWork or recording your Noticp of cnirrimonromant
8104ture of O'
ner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Ucense Holder
STATE OF FLORIDA,
COUNTY OF1
sL w<<o
STATE OF FLORIDA
i
COUNTY OF sL LUC[e
The forgoing instrument
was acknowledged before me
The forgoing instrument was acknowledged before me
this ++� d�ay�
f ��>y - . 26 by
this ++th day of Jib : 26 qby
Nam
personally
of person aking statement
Name of person making statement
Kn
n QR Produced identification x
Personally Known :x O Produced ratification
Type of Identi
cation
Type of Identification
Produced
Produced
�(Slgnatu a
�Rr�20
'� ida )
(Signature of Nota\\
0
Commissio
4o%i
EXPIRES Novembef ete2at8
��ll
or ota sery COMM
Commission No _�� VQQ; M�sSIOIyF�A9 %%
, (Seal)
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLA
VEC tom! ��
'•�: �'
aSiVE
'°::
MANGROVE
REV IEW
REV
RE'Vfiyp
REVIEW
DATE
RECEIVED `'1
g
rq�Hlt
I►1U«
DATE
COMPLETED
I
,b l�
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8/2/17