HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONT
.L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �Q
late: Permit Number: U ®� O�
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Building Permit Application SFp pq.1018
lanning and Development Services gepartcne
uilding and Code Regulation Division P�rmIEn9 County
fit, L1�G1R
300 Virginia Avenue, Fort Pierce FL 34982
hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
=RMIT APPLICATION FOR: Pool inground
tOPOSED IMPROVEMENT LOCATION:
dress: 2840 BROCKSMITH RD FORT PIERCE 34945
;al Description: SUBDIVISION OF MC NURLEN FARMS BLK 4 LOT 13 LESS W FT (8.02AC) (OR3852-1959)
Tax ID #: 2320-501-0066-000-7
Site Plan Name:
Name: COLASUONNO
Front Back: Leo 17 10 Right Side: ( [05 " Left Side: ) 3D ,
Lot No. 13
Block No. 4
DETAILED DESCRIPTION OF WORK:
INSTALLING SWIMMING POOL 0-one-refE decK
CONSTRUCTION INFORMATION:
U
'!tlona wor to e e orme un er t !s permit— c ec a app y:
HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
r�ra_lsq.
Electric Plumbing O.Sprinklers Generator Roof Roof pitch
To Ft of Construction: S . Ft. of First Floor:
Colllt of Construction: $��� Utilities: _ Sewer E]Septic Building Height:
11
OWNER/LESSEE:
CONTRACTOR:
Na
Ad
CitIll
Zip
Phllne
E-Mall:
Fill
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a PATRICK AND MALINA COLASUONNO
Name: JAMES T. LEONARD
Company: A & G CONCRETE POOLS, INC.
Address: 410 SAEGERAVENUE
ress: 2840 BROCKSMITH RD
FORT PIERCE State: FL
Code: 34945 Fax:
No. 'Z�a1 o�lQo',o�G1bS
City: FORT PIERCE State: FL
Zip Code: 34982. Fax: 772.467.1624
Phone No. 772.878.7752
ham an
E-Mail: abirmin 9 @ 9Pools.com
iin fee simple Title Holder on next page if different
the Owner listed above)
State or County License: CPC1457902
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: .
DESIGN R/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: 1
Name:
P ddress: I i' ' I
Address:
City: Vet( State: FL.�
City: State:
Z 'p: Phone:
Zip: Phone:
F
E SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
ame:
Name:
ddress:
Address:
C
ty:
City:
gyp: Phone:
Zip: Phone:
Z
that no work or installation has commenced prior to the issuance of a permit.
.ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
:h is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
cture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
)nsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
:cordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
following building permit applications are exempt from undergoing a full concurrency review: room additions,
!ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
►ROING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
)rovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
ore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
nmencine work or recording vour Notice of Commencement.
as
ATE OF FLQMAr6LW__"
LINTY OF •
signature of contractor/License Holder
STATE OF FLOOWCULnunhl
COUNTY OFF
Kinst ment��w��a�a knowledmy
ore me T r ons
ay of 1� ^O th _ day of
Public- State of Florida )
orally Known OR Pr cetj t'�i�a ion
of Identification Produced
TRACEY W. MCOHEE
mission No. �NOTA(,'�le;l WI3LIC
STATE OF FLORIDA
07/ 15/2014 4 ARP maims 8/10/2019
edged ore me
20 y
(SidnatGfe of oar Public- State of Florida )
Personally Known y OR Produce
Type Type of Identification ProduQedyAo,. _
Commission No.
STA FLORIDA
�$X41935
Expires 811012019
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