HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFOMUSTBE COMPL-i3O FOR APPLICATION TO BE ACCEPTED
Date: \a31 Iy\4 Permit Number:
RECEIVED
_—�
Building Permit Application DEC 13 2018
Planning and Development Services ST. Lucie CouD_�LPermlttJnq
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: I as Eck tV-� CV-t2k "v-, SCANNED
Legal Description: OAKS AT INDIAN RIVER LOT 6 ea , ..ie BY_, tsr
Property Tax ID #: 4509-807-0009-000-4 Lot No. 6
Site Plan Name: Srr\ Block No.
S
Project Name: tY> �'r\r\
Setbacks Front 25 Back: 15 Right Side: 7.5 Left Side: 7.5
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional wor to e ertormed under tispermit—check all apply:
In ❑
E1HW Gas Tank []Gas Piping Shutters Windows/Doors
DElectric LYE Plumbing Sprinklers ElGenerator EIRoof Roof pitch
P001 ; yaQ
Total Sq. Ft of Construction: N7�)tcat , Y,) 0 S Ft. of First Floor:
Cost of Construction:$ g3ISso,00 Utilities: MSewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Srvxi -Tr l
Name: -rrN \1-1 '� X
Address: 1 �k r1 r X on Uco_IG ( wt
Company: POOLS tY GREG
City: S1 AG \r\ State: FL
Address: "U'su e,
City: 9 S L_ State:
Zip Code: Fax:
Phone No. 330-801-2835
Zip Code: 34952 Fax: 772-9287
E-Mail: jeffll27inc@yahoo.com
Phone No. 772-337-9713
Fill in fee simple Title Holder on next page (if different
E-Mail: office@poolsbygreginc.com
State or County License: CPC 148338
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: YNot Applicable
Name: G;ir2O.0Y4 Ar'kQS Name:
Address: I a I IS r(ot"' Mau W n -Hn Address:
City: h State: FL_ City: State:
Zip: 71�A\\ Phone: - Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
Applicable
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 andcovenantsthat 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 vour Notice of Commencement.
_ Signature of
STATE OF FLORI A
COUNTY OFk. LUU C.
The forgoing instrument was acknowledged before me
this -day of nC G 20l_Lby
Signature of E91ractor/Ififtense Holder
STATE OF FLORIDA
COUNTY OF, , o
The forgoing instrument was acknowledged before me
this Ia dayof Z�e-G 20PRby
`T-Zr'r. \i\I i X Tr r r -\l h X
(Name of pers n acknowledging) (Name of persub acknowledging)
(Signature of Notary Public- State of Florida) I (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification roduced Type of Identification Produced
Commission No. rn, tota7Pub14%t*ofFlorida Commission
A Thomasina BONnn3
... . My Cnmmission GG 201733 _p402%�. Notary Public State of Florida
Revised07/15/ "^ -*m',.dr Expires0312912022
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