HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE) INFO MUST BE COMPLETED FOR APPLICATIOMTO BE ACCEPTED
Date: / o�"`' �Permit Number:
REcEi
� r
Building Permit Application OCT'22 Z018
Planning and Development Services
Building and Code Regulation Division Permitting Depa'� II
2300 Virginia Avenue, Fort Pierce FL 34982 St, C1e en
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re ' COunty� FL
PERMIT APPLICATION FOR: Pool inground El II
Address: 13196 NW WHEATON LN, PALM CITY, FL 34990 SCANNED
Legal Description: RIVERBEND (PB 67-36) - LOT 2 BY
Property Tax ID #: 4425-703-0007-000-4
Site Plan Name: RIVERBEND LOT 2
Project Name: POOL LOT 2 RIVERBEND
Setbacks Front 106'-8" Back: 23'-9"
Right Side: 27'-10" Left Side:
INGROUND SWIMMING POOL WITH PAVER DECK
Lot No.2
RM.'�a
aWindows/Doors
11 Roof
Total Sq. Ft of Constructron: S Ft. of First Floor:
Cost of Construction: $���-1� Utilities:
Sewer 0Septic Building Height:
Name STANDARD PACIFIC OF FLORIDA
Address:8895 N MILITARY TRAIL, SUITE 101B
CitV: PALM BEACH GARDENS
Zip, Code: 33410 Fax:
Phone No.561-345-6729
E-Mail: JACKIE.DINATALI@LENNAR.COM
State: FL
Fill !in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: JOSEPH B. HOLSTON
Company: FOUNTAIN BLUE POOLS
Address: 2731 VISTA PARKWAY
City: WEST PALM BEACH State: FL
Zip Code: 33411 Fax: 561-969-0667
Phone No. 561-969-2299
E-Mail:construction3@fountainbluepools.co.
State or County License: CPC1458019
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPREEMEN7AL C.O(U
'MATf
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 is 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 len r or an attorney before
commencing work or recordin -_. purNot'ce of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Cont or/Lim se Holder
STATE OF FLORIDA r
�
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The f r of ins �&asnowl d e before me
�� _ /
The forgoing instrument was acknowledged before me
this day of 20j6 by
thi's of 0 by
i ent
Personally Known d entification
ame of person making statement
Personally Known OR Produced Identification
Type of Identific,,__ .. lqt,
�•
Type of Identification
Produced �.:
Produced
4
(Signature of ' U Sc- State &f.F�r�a)
o ary Public- State of Floridaeded\Commission
No���"/HO:• F�� (Seal) GG� icy74(mission
7ature
No. '>YCf2 1 33L (Seal)
/V
RIEVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
?6_0
DATE
COMPLETED
Rev. 8/2/17