HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AP 2LICABLEAFOM//UST BE COMI ; , . ED FOR APPLICATION TO BE ACCEPTED `-
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Date: �1 ` c?
Permit Number:
SCANNED
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BY
RECEIVED
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Building Permit Application AUG 2 4 2018
Plannir g and Development Services
Buildin " and Code Regulation Division ST. Lucie County, Permitting
2300 ginia Avenue, Fort Pierce FL 34982
Phone:(772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERM}T
APPLICATION FOR: Pool inground
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Address
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Legal De
cription: )11 yi, g-e r L O,�Cf- Es�x}e_s Lo i B LP
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Property
Tax ID #: 3 oa - 1,7t)r b C 1)- nbo -n Lot No. 3 C.
Site Plan
Name: Block No.
Project IN
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Front oZ Back: Right Side: Left Side: _
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Setback $i
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Installation of Gunite Pool, Deck and Equipment
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Additf wor o (eperformedunder tis perm -c ec a a app y:
C�H ❑Gas
C L_J Gas Tank Piping _Shutters Windows/Doors
ZEle'ctric W Plumbing S ❑ ❑
p rinklers Generator Roof
Pool o�ti
Total Sq. t Ot Construction; a ( S . Ft. of First Floor:
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I Cost of C nstruction: $ SLI, an�;,�� Utilities_ ]Sewer Septic Building Height:
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Name
�'1Y'15 h,/� c C)� er r1
Name: Terry Wix
t'IYI� 1'Y\Ar�-iy1 LY, •
Address:�'So
Company: Pools by Greg, Inc.
City:
�r"i �1 �+^G� State:
Address: 8886 S Federal Hwy
Zip Code
�6'-lq Ll l Fax:
City: Port St Lucie State: FL
Phone Nolf(grla
) ,s;3 a - 5 a%l
Zip Code: 34952 Fax: 772-337-9287
n Y-1bD Y1101 '1))7
E-Mail:
Phone No. 772 337-9713 ,
Fill in fee
E-Mail: office@poolsbygreginc.com
mpl1tle Holder on next page( if different
tlle
from the
wner listed above)
State or County License: CPC1458338
If value of
c nstruction is $2500 or more, a RECORDED Notice of Commencement is required.
t
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESIG
Name:
Addre
City:
Zip:
ER/ENGINEER: _ Not Applicable
by piy Ar i- ►S
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
s: I a_�15 blot ,% 6Yj
State: 'FL
Phone:, - 4��`l 05 � �—
FEE SI.I
Name.
Address:
City: I
Zip: I
I
PLE TITLE HOLDER: Not Applicable
I
BONDING COMPANY: X_Not Applicable
Name:
Address:
City:
I
Phone:
I
Zip: Phone:
I certify tounty
at no work or installation has commenced prior to the issuance of a permit.
St. Lucie 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
structur '. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consieration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accor l� fiance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The follo�lnring building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN�NG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improv�eements 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
comm bcing work or recording our Notice of Commencement. ti
l s
_ Signat Ire of O er/ Lesse Ao r gent Signature of Cctor/Lic se Holder
STATE Pr FLORIDA . STATE OF FLORIDA
COUNTY OF CDL . l—uC1 C, COUNTY OF Sk' LQ6 Q
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of 20 &-by this )I day of A U 20 LJ_ by
(Name of person cknowledging) (Name of person a knowledging )
of Notary Public- State of
. "4
(Signature of Notary Public- State of Florida ) T�
Personally Known > _ OR Produced Identification I Personally Known OR Produced Identification
Type of I entifcation Produced Type of Identification Produced
No.
(Seal)
1 4 Notary Public State of Florida
A Thomasina Bowins
'on GG 201733
Commission No. (Seal)
!r A Thomasina Bowins
v. My Commission GG 201733
• Expires 03029/2022
oress
o3129J2022
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