HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPL CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED`:; uu u
Date: ��^ '� Permit Number:
RECEIVED
Building Permit Application NOV 2 s 2018
Planning and Development Services ST, Lucie County, Permitting
Building rid Code Regulation Division
2300 Vir inio Avenue, Fort Pierce FL 34982
Phone:( 72)462-1553.Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground
PROPOSEDIMPROVEMENT LOCATION:
Address: 17701 WAGONWHEEL LANE, FORT PIERCE, FL SCANNED
Legal Description: CARLTON COUNTRY ESTATES LOT 7 BY
Lucie Count
Property'
Site Plan
Project N
Setbacks
ID #: 3211-701-0009-000-2 Lot No.7
1e: WILLIAMS Block No.
WILLIAMS %
DETAILED D'ESCRIPTION.OF WORK:
Right
Left Side:
GUNITE SWIMMING POOL WITH CONCRETE DECK
CONSTRUCTION INFORMATION:
Wag
naI wor .to e e orme under t—checkispermit a apply:
❑HV cC Gas Tank []Gas Piping _ Shutters ❑Windows/D`oors.
❑Electric ❑ Plumbing []Sprinklers ❑_ Generator ❑ Roof' ❑ Roof pitch
Total Sq. Pt of ConstructioInII:. �./�� S Ft. of First Floor:
Cost of Construction: $ �"I /1 lJl J Utilities: Sewer ❑Septic Building Height:
OWNER LESSEE:
CONTRACTOR:
Name KE
Address:
City: PEE
Zip Code:
Phone No
E-Mail:
Fill in fee
from,the
NETH AND JOSEPHINE WILLIAMS
Name: James T. Leonard
, CARLTON CT
Company: A & G Concrete Pools, Inc.
(SKILL State: NY
10566 Fax:
Address: 410 Saeger Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772467-1624
Phone No. 772-878-7752
�imple Title Holder on next page ( if different
Owner listed above)
E-MaiI: r Qi�lYI11lf1Q
hn I�QYI �Q,$aL' C
State or County' License: CPC1457902 �—
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAM/ INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Ray Reinhard
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d resj;1010 Easter Lilly Lane
Address:
_
City: Vera Beach State: FL
Zip; 32963I Phone: (772)473-6303
City:. State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: I
BONDING COMPANY: _Not Applicable
Name:
Address: I
Address:
City: I
City:
Zip: I 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 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 accordarf ce 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,
accessorysltructures, 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 vour Notice of Commencement.
bignature or uwner/Lessee/contractor as Agent for owner
STATE OF FLORID j I I� I n
COUNTYIOF U-lA AT
The f oing inst m nt s acknowledge efore me
thi iay of ffjby
(Nam of person acknowledging )
(Signa u e;of Notary Public:-S-tat4fif Florida) I /
Personally �(nown OR Pro uc d �en�j"fication
Type of Identification Produced n� Wnku
t4ryy Public - State of Florida
Commission.? GG 249625
through National Notary Assn.
STATE OF FLORIDA
COUNTY OF St. Luca
Thefo oinginstr t a acknowledge�d(tt Qbefore me
this; dayof 20 by
James T. Leonard
(Name of person acknowledging )
Sig a ure of Notary Pubic- SIB
` e of Florida )
Personally Known `Z OR Produced Identification
Type of Identification Produced
Commission
Notary Public - State of Florida
My Comm. Wires Aug 16. 2022
Bonded through National Notary Assn.
v
REVIEWSI
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
/
INITIALS
yl `�