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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALCWPLI'CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: No-z-o`� Permit Number: RECEIVED e Building Permit Application OCT 3 0 2010 Planning and Development Services 9T; welt Gdlltityi Mfri:iltrli� Building and Code Regulation Division'�T--` 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT'APPLICATION FOR: Pool inground SCANNED P.ROPOS'ED IMPROVEM:ENT.LOCATION' St Lucie Co Address: P I d Cam/ 3 V9 Legal Description: Pr Property Tax ID #:L'� '��- �-L �.,a i� Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side:„ Left Side: �© DETAILED DESCRIPTION OF WORK; INSTALLING A SWIMMING POOL �L ` 01'4 lZ > Ll /f 1116 10A0V/ 40�>� iiy rtoZ/s f� �Z��r ��r2,rd� i�i 8o� - 63 y8) CONSTRUCTION INFORMATION: Additional work to be performed • under this permit— check all apply: F]HVAC Gas Tank Gas Piping _ Shutters D Windows/Doors ® Electric 0 Plumbing Sprinklers Generator E]Roof Roof pitch Total Sq. Ft of Construction: 1^�M Lost UI I.VIIJLI UI.tIUll. .7 ��' �Jy�� 11 1.1 S(]}1I�Ft7�I of First Floor: ULIIILICJ. L_===JJCWCI Septic DUIIVIIIg nelgIII. OWN ER/LESSEE: - = CONTRACTOR; Name &.4ito A/ Name: BARRY MILLS Address: t= 510 S MIA ✓ 0r'0C-- Company: CRYSTAL POOLS City: r44 P, Ctice— State: Address: 4680 US1 Zip Code: I Y Fax: City: VERO BEACH State: FL Phone No. Zip Code: 32967 Fax: Phone No. 772-567-3067 E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail: JIMMYR@CRYSTALPOOLSIRC.COM from the Owner listed above) State or County License: CPC#1457120 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL C,ONSTRU_CT10N-LIEN LAW INFORMATION:- DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: C.ilf2T11 S �//vC- _ N am e: BARRY MILLS Address:! 8zsg N, 014154i2'7 7MI L Address: City: State: 4:Z. City: VERO BEACH State: Zip: 331fl'3 Phone S6) -630— 353-Y Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: I Name: Address:!468o us, Address: City: I City: Zip: I Phone: I Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify thaf 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. Piease 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 improvemients 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 your Notice of Commencement. dehi-) &)TWA At_44 er/ Lessee 'ontractor as Agent for Owner Signature of Conty ctor/License Holder STAWq OF FLORI` STATE OF FLORIDA CO TYIOF EWtat—d COUNTY OF s4z C &oe.A_ 6>-41 The forgoing instrument was acknowledged before me this N.day of &cX6\,oe 20_; by i Nbme of pegsin statement Persona llylKnown J M u'.00MA Type of Identification '_ Commission # GG 132141 Produced "' 11 Expires November i6. 2021 6"&1 TIwTroyFeln lawtinoe 800 M i (Signature; of Notary Public- State of Florida ) Commission No. fiber 1E ins FRONT I ZONING SUPERVISOR COUNTER I REVIEW I REVIEW DATE RECEIVED DATE COMPLET Rev. 8/2/17 The forgoing instrument was acknowledged before me this _S7 day of 24- by Name of per on ing statement rsonally Known OR Produced Identification pe of Identification My COMMISSION 6 GG 006627 vrx lgr :November4swal) Bonded Thru Notary Public Underwriters VEGETATION f SEA TURTLE 1 MANGROVE REVIEW REVIEW REVIEW