HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.W94
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j R / /3`en
Date Permit Number: ( u / 40
® C RECEIVED
Building Permit Application DEC 0 S 20t8
Planning and Develo ment Services
Building and Code R ulation Division ST. Lucie County, Permitting
2300 Virginia Avenu Fort Pierce FL 34982
Phone: (772) 462- 53 Fax: (772) 462-1578 Commercial 'Residential X
PERMIT APPLIC
TION FOR: Pool inground
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Address:- c
Legal Description:
Property Tax ID #:
Site Plan Name: _
Project Name:
Setbacks Front
Installation of
C)4-�-01 -- 000
AAt n
Lt:k:_ Right Side:
Pool, Deck and Equipment
oe 3 —4o-
Left Side:
ienormeU unueruusperrrut—cnecKBu apply:
Gas Tank []Gas Piping _Shutters
❑✓_Electric 0 PI bing OSprinl
Y001 ; a�`l
Total Sq. Ft of Const uction: Dr r k a l o ac,
Cost of Construction $ 0 , n(r)
ers FIGenerator
S Ft. of First Floor: _
Utilities: 0 Sewer D Septic
Lot No. -
Block No.
SCANNED
BY
St. Lucie County
QWindows/Doors
11 Roof
Building Height:
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il+ina R.. 4'uw a`�
Name'. w
Address: 1 =
City: -f
Zip Code: 3
PhonelNo.
E-Mail:
Fill in feesimpleTitle
from the Owner listed
i,
Name: Teny Wa
c
Company: Pools by Greg, Inc.
rrce State: mil-
Fax:
U
Address: 8886 S Federal Hwy
City: Port St Lucie State: FL
Zip Code:34952 Fax:772-337-9287
Phone No. 772-337-9713
Holder on next page (if different
above)
E-Mail: office@poolsbygreginc.com
State or County License: CPC1458338
If valueot constructiod is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: C re_aor•,j A iGS
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
);:)I IS
r(o Place N nr4ln
Address:
City:
Zip: 23�A \\ Phone:
State: FL_
—
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
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 is in conflict with any applicable Home Owners Association rules, bylaws or anq 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 concurrenry 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
t
_ Signature of
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF - + t UC.I e, COUNTY OF !Si.l
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge1d? before me
this 'S day of e C, 201�by this _L day of. �e C. . 20 iq by
wiX Term( M i)(
(Name of pers(bn acknowledging) (Name of persoo acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public -State of Florida I
Personally Known, OR Produced Identification Personally Known )—OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
(Seal)
Commission No.
(Seal)
y rumC state of Florida 'FR A Thomasina aowins
A Thomasina Bowins c My Commission GG 207733
Revised07/15/20 FyCommissionG0201733�_de Expire803Q0/2022
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