HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO I
BE COMPLETED FOR APPLICATION TO -BE ACCEPTED
SCANNED Permit Number:
By
,ecelveo
W. Ludo COOP a
1019
Building -Permit Application
eP31t0e
nt
Planning acid Development Services L.Uode CO\Inty
Building and. Code Regulation Division
300 Virginki Avenue, Fort Pierce FL 34982
Ohone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential YES
PiRMIT APPLICATION FOR:
fl Pool ingrgund
ress: 6 z 600 N. HIGHWAY Y
AlA
ilDescription: GOV IiiOIT4 LYG OFA1A (1.58 AC) (OR 3906-1761)
a
ierty Tax -`ID #: 1403-130_0001-000-7 Lot No.
Plan Name: BASILE Block No.
act Name: BASILE i 1
Jacks Front
ront tl,1,64 i Back•�ec7e_ e- *Right Side: 9S Left Side:
pa
JSTRllCT GUNITE SWIMMING POOL WITH PAVER DECK _
nfg4g
W MEN
mono l wo k to b rt
1HVAC *i a❑E]Windows/Doors -
ElectricZ Plumbing []Sprinklers Generator Roof Roof oof pitch
I Sq. Ft of Construction:; S . o Ft f First t Floor:
q
of Construction: $ 11000-00 Utilities: 0Sewer I leptic Building Height:
I
Nar' e STEPFIEN A. BASILEz 1
Name: JAMES TRAVIS LEONARD i
Addess: 3702 N. AlA AOt. 304 Company: A & G CONCRETE POOLS 7
CitV! FORT:PIERCE FL.
State: Address: 410 SAEGER AVE.
Zip ode: 34949 171 Fax: NA City. FT. PIERCE
State: FL_
Phone No. NA
7(72-467A624
Zip Code: 349R" Fax:
H
E-Mail:
Phone No. 772-878-7752
Fill feesimpleTitle Holder on next page if different E-Mail:5 ' IrMirig-hon
fro r �the Omther listed0 A _Ve) State or County License: _CP61457902
If va[u6, of construction is $2500
or more, a RECORDED Notice of commencement is required.
AM - PH —Ell No
51
DESIGNER/ENGINEER:
� _ Not Applicable
MORTGAGE COMPANY: Not Applicable "
Iame:
RAYREWHARD PE#47041
Name:
ddress: 1010 EASTER LILLY CN.
Address:
C'ty:
VERO BEACH State: FL.
City: State:
Zip:32968
Phone: 772-ss7-7461
Zip: Phone:
I
F
E SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Applicable
lime:
_Not
Name:
Address:
Address:
CP,Ity:
City:
Phone:
II
Zip: Phone:
Zjp:
I ertify that no work or ins
St lLucie County makes no r,
w Ich is in conflict with any
stZcture. Please consult wli
In onsideration of the gran
In ccordancewith the appr
Th following building perm
adIe ssory structures, swimn
W RNNNG TO OWNER:
Im rovements to your I
be ore the first inspecti
commencing work or rE
d
STATE OF A
CObNTY OF
tion has commenced prior to the issuance of a permit.
sentation that is granting a permit will authorize the permit holder to build the subject structul
licable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit si
)ur Home Owners Association and review your deed for any restrictions which may apply.
of this requested permit, I do hereby agree that 1 will, in all respects, perform the work
i plans, the Florida Building Codes and St. Lucie County Amendments.
iplications are exempt from undergoing a full concurrency review: room additions,
pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Ar failure to Record a Notice of Commencement may result in your paying twice for
perty. A Notice of Commencement must be recorded and posted on the jobsite
If you intend to obtain financing, consult with lender or an attorney before
'ding your Notice of Commencement.
)r as Agent
Forgoing instru ent was acknowledged befoi
Lb Y` bay of CL�,w ; . 201 ' -by
e of person acknowlebgitig )
y Known_
No.
of Florida )
me
Identification
\\%� N[^Commission Expires
..bcr wua�w��u�C��se noiaer� A ��
STATE OF FLORIpA� , l�
COUNTY OF �[
The fi49knnstr ent was owledged fore me
this Lday of 20 ) Vby
(N f person acknowledging )
(' nature V Notary Publiefl ate of Florida )
TRACEY W. MCGHEE
Personally Known &=dRMRldR 1§h
Type of Identification Pr STATE OF FLORIDA
_ Comma FF241935
Commission No. Emir 0/2019
Re �li sed 07/15/2014
REV WS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE1
COMPLETE
INITIILS
II