HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 ALL APPLICABLE INFO MUST BE Cfj ' LETED FOR APPLICATION TO BE ACCEPTI-
Date: Iy' 'A' `� J ,e� Permit Number: I ll In' O
RECEIVED
i Building Permit Application OCT 0 4 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: pool inground
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Address: (��}��rn A �f isf'�.A n. -
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Legal Description: \06±1 \r\ S Y Lot `I
Property Tax ID #: L -, 0o O006 _ Q00 Lot No. �I
Site Plan Name: McLl0y\-_\I axle Block No. 3
Proied , Name:
Back: Right Side:, Left Side:
Installation of Gunite Pool; Deck and Equipment
HuuIuu I Ildl wulK w ue SAVIU1111CU unucr unb Nennu—l.uCLA an apply-
-HI AC Gas Tank []Gas Piping _ Shutters a Windows/Doors
RjElectric lr 1 Plumbing Sprinklers Generator Roof
Total Sql Ft of Construction: 50 - P o of So9 -Dec.K S . FtFt. of First Floor:
Cost of Construction: $ cJ Utilities: nSewer Septic Building Height:
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Name�11`�a\ore�i. 1�U,��.
Address U-1 1 \ of RA 7::)r i U-e,
City: T�-c v,-_Y r, Rx_o c 1. State: FL-
Zip Code: '3`1qS , Fax:
Phone No. —\Sq ~ 3o 3 - U 5 to G
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the! Owner listed above)
I
Name: Terrywa
Company: Pools by Greg, Inc.
Address: 8886 S Federal Hwy
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772-337-9287
Phone No. 772 337-9713
E-Mail: office@poolsbygreginc.com
State or County License: CPdl458338
If value of, construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: C-7lrqp q A i C>,S Name:
Address: J I ) a V 1 5 Placz N t),r41 Address:
City I' ti, State: IFL_ City: State:
Zip:,\\ Phone: - Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
city:'1 1 City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which lis in conflict with any applicable Home Owners 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 consideration of the granting of this requested permit, I do hereby agree that i will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements 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
commencing work or recording our Notice of Commencement.
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_ Signature of O r/ Lessee/Agent Signature of Co or/Licens Holder
I
STATE OF 1FLORIQk' UVU C FLORIDA
COUNTY COUNTY OF �� COUNTYOF
The forgoing instrument was acknowledged before me
this 3,196 day of 20 Irby
i
(Name bf pers n acknowledging)
A
(Signature of Notary Public State of Florida) C
Personally Known OR Produced Identification
Type of identification Produced
The forgoing instrument was acknowledged before me
this day of , 20 by
�r\
(Name of perso6 acknowledging)
--r�V
(Signature of Notary Public- State of Florida )
Personally Known _( OR Produced Identification
Type of Identification Produced
Commission N Commission No. (Seal)
,00 P4r� Notary Public State of Florida i
A Thoma in +0 % Nota Public State of Florida
• My Commission GG 201733 , A Thomasina Bowins
Expires 03/29/2022 y
My Commission GG201733
ReVis d 07/ 5 NadP Expires 03/29/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE%/IF'V
REVIEW
REVIEW
REVIEW
DATE
1-,� j�
COMPLETE
,
INITIALSI
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