HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLI� PPLICABLEJNI iiAUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � �• � • �� .. Permit Num .
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Building Permit Applicatio BIOZ g g :0nv..
PI finning and Development Services =
Bul, ing and Code Regulation.Division
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2300 Virginia Avenue, Fort Pierce FL 34982,
Phl ne:.(772) 462-1553 :Fax: (772).4624578 Commercial.
.
PE�
MIT APPLICATION FOR: Pool_inground. SGANNE® ..
PROPOSED
IMPROVEMENT LOCATION:Ep
Add' ss:' l l�ljji, 1� I-2YCt2; E'L 3UN 2.
Legal, Description:...: U0 r i 5F ! gcC J-7 i n. aUA., (1 Ve- 0- G9+0(_ reS
Propil rty Tax ID #: 3 -4 d � �2 b B i �Z arv0 Lot
Site 11lan Name:. Block No,.
Project Name: -�
Setbpacks Front _ ,'d Back: Right Side- Ipfr drip s�o
Iii
. . U1M2WnarvvU1n w uc OI I,VIJI1CU .UIIWOI una i./cnnIL-uieLK au. apply:
iHVAC _ Gas Tank -ElGas Piping _ Shutters Q Windows%Doors,
EElectric. I Plumbing .Sprinklers.Generator Roof Roof pitch
Total,Sq. Ft of.Construction:. S : Ft. of First Floor:
Utilities: Sewer Septic Buildin Height:
Cost ',if Construction;:$' C P g . g-
OWNER/LESSEE:
CONTRACTOR:
Namel.
Addr Eli
. .�iVlkQtj,.
Name. James T. Leonard
A & G.Concrete Pools; Inca
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s: rj�l^c_ . _
Company:
City:.
1;h-c.' - State: rL
Address: 410 Saeger Avenue
Zip CV'uI
de:: 3 K i �Z : Fax:.
City: Fort Pierce . ..FL
Phon
No.1?��Z-% /
Zip Code:.34982 Fax: 772-467-1624.:.
-
E-Ma�ll'lll:
Phone No. 772-878-7752' .
Title Holder on next.page ( if different:Owner
Lin',imple
listed above)
State or County'License: CPC1457902
LPI %..,I13.I uLawn 1b ;14,vv yr more, a RCwKUrU ivonce or commencement is. required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:-.
DESIGNER/ENGINEER:
Nan
Add
city
.Zip:lI1329s3.
- ... _Not Applicable.
RayReirihard
MORTGAGE COMPANY: - _.Not -Applicable
Name:... .
Address:
city: State:
Zip: Phone:..
SS: 1010 Easter Lilly:Lane
r;1 Vero Beach. ' Stater FL .
Phone:. (772)03-6303
FEE'
-Na n.ile:
Address,"
Cityi
Zip
SIMPLE TITLE HOLDER:. Not Applicable
BONDING COMPANY: ' Not Applicable
Name:
Address:
City:
Il Phone:
Zip: Phone:
I ce - lfythat no work-or.installation has.com,Menced prior.to theissuance of a permit:
.-St. LL cie County makes no representation that is granting a permit will authorize the permit holder.to buildahe subject.steucture.
whit i is in conflict with: any applicable Home Own ers: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.col consideration of ... granting:of this. requested-permit,ldo;hereby agree that l will, .in.all respects,. perform the work.
in accordance with the approved plans; the Florida Building Codes and St. Lucie County Amendments.
The f Illowing building permit applications are exempt from undergoing a full concurrency review: room additions,'
1 It acce ory.structures, swimming pools, fences, walls; signs, screen rooms and accessory uses to another non-residential
III g. ry n esldentlal use .
WA i„ KING TO OWNER: Your failure to Record a Notice of Commencement may result.in your paying twice:for
imp kovements to.your.property.:A Notice of Commencement,must be recorded and.posted on the jobsite.
bee the first inspection. If-yo' U intend to obtainfinancing, consult with lender oran attorney before .
com, encing work or recording our -Notice of Commencement. .
s:.
Signature of Owner/Lessee/Contractor as Agent for Owner Si of ei6RtffEfor/Licensf Holder
STATE OF FLORIDA
STATE OF. FLO�l4�► w
CO TY OF:. v �1 • :1/IJI:LI'�/ COUNTY OF St.Lu�IB
The instr en a ledg d fore me Theo V instr ent as acl owledg . efore me .:
this' day of 20� 0 by this. yof . 20 by
G,r F James T. Leonard
.(N ` of rson acknowledging-); .. .(Name er knowledging) .
( Ijl'"toegk Notary Public- State of Florida) (Signa ure of ota u lic- ate of: Florida
n' )
y TRACEY W. MCGHEE . - ✓ . a 7 . C W. MCGHEE
Person d nt'fication Personally Known OR Pr MV �a �� _
Type c �7f � Type .of ldentificaelon'Ptoduced:�` TARYtie
�`Q✓�fa9 D� �.
. Ca- mn iE FF241935 { FF241935
Co I�; is 19 . (Seal) Commission No:. °,r ®•�
C . xplres 8/10/2019.
evi
§ed 07/15/2014.
REV
IIEWS UFRONT ZONING :SUPERVISOR PLANS : VEGETATION -SEA.TURTLE MANGROVE
COUNTER :' REVIEW REVIEW .'REVIEW REVIEW ::REVIEW: REVIEW
DATE
COMPLETE
INITIALS
IIII ,.
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