HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CON'_ TED FOR APPLICATION TO BE ACCEPT'
Date: Permit Number:
RECEIVED
Building Permit Application DFr 10 201li
Planning and Development Services Oormilling Department
Building and Code Regulation Division '�t rude county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool ).faker PropertyTaxIQ#: 2429-211-0002-000-5
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Address: n Ede a�c�r r� PLO A o�
9 35 40 E 1/2 OF NE',1/4 OF NW 1/4 LYG N OF NEW EDWARDS RD R/W AND LYG SW AND W OF FIVE MILE CREEK -LESS
Legal Description: RETENTION AREA MPDAF: FROM SE CDR OF
NE 1/4 OF NW 1/4 RUN N 00 53 38 E ALG E LI OF NE 1/4 OF NW 1/4 285.02 FT TO
SW R/W LI OF FIVE MILE CREEK, TH N 40 19 40 W ALG SW FVW 109.03 FT TO POE, TH S 54 07 of W ALG N R/W LI OF
EDWARDS RD 76.21 FT TO CURVE CONC NWLY, R OF 1399.88 Fr, TH SLY ALG ARC AND N R/W U 586.37 FT, TH N 00 56 56 E
17.44 FT TO CURVEiCONC NWLY, R OF 1382.88 FT, TH NLY 575.38 FT, TH N 54 07 01 E 74.89 FT TO SWLY R/W LI OF FIVE MILE
CREEK, TH S 40 19 40 E ALG S W LY RM LI 17.05 FT TO POB (11.33 AC) (OR 467-2067: 1458-2174: 1659-465 ; 3751-1916: 3809-32,
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Site Plan Name: � � c)nn\SO n �erst FroY\tG SCANNED
Project Name: Njjc,\/,n\cnr BY
1 1 Setbacks Front Back: �� Right Side: D dy Left Side: o� �i(g St. Lucie County,
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Installation of je j eG+C,
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Aoclitional o e e orme un er Is perm c ec a apply:
�IHVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
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❑✓_ Electric E]Plumbing; OSprinklers [i 0
_ Generator Roof
Total Sq. Ft of Construction:. _. S Ft. of First Floor:
Cost of Construction:$ .7 LJO101.00 Utilities:SewerE]Septic Building Height:
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Name'j,\ r, son _T-t_rr i FraA)!,
Name: Terry Wm
Address: 'Yk3\o J(;:r)u5o,r (,jS PLO �� ��
Company: Pools by Greg, Inc.
City: T) rt Q i e r(-,P State: FL
Address: 8886 S Federal Hwy
City: Port St Lucie State: FL
Zip Code: 3L\CV% i Fax:
Phone No. - t� oZ "' S act — 1 O '1--"
Zip Code: 34952 Fax: 772-337-9287
Phone No. 772-337-9713
E-Mail:
Fill In fee simple Title Holder on next page (if different
E-Mail: office@poolsbygreginc.com
State or County License: CPC1458338
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Cxr o��rv�flr i a S
Name:
Address: J
I
I t is 4o Place. N n,r+ln
Address:
City: State: FL
City: State:
Zip: alb'\\ Phone: 3D5 -
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
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
applicable Home Owners Association bylaws
which is in conflict with any rules, 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.
Signature ntractor/lj ense Holder
_ Signatures wner/ 1-e9see/Agent
STATE OF FLORI A
STATE OF FLORIDA
COUNTY OF k. LuCA e,
COUNTY OF
The forgoing instrumeptkwas acknowledged before me
this L' L day of V>20 L�by
The forgoing instrument was acknowledged before me
day of 12 C 20 (,�_ by
this � 1
Trt��I
Trrr
wi%
I \,'10(
(Name of pers n 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 roduced
Commissio o
� NItI�yP4BTi State of Ptie d
Commission (Seal)
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Notary Public State
yp of Flodda
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Revised
f awing
�+ Ex Commission GG 201733
Expires
4M 0329/2022
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