HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONv
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED— ^ O I D w _
Date: Permit r. Numbel �l UD
.. .ter
Building Permit Application JgNO FNFo s�q�
Planning and Development Services a 370ig S'1` ej:
Building and Code Regulation Division eS Ittlg9 p V%
2300 Virginia Avenue, Fort Pierce FL 34982 t tucle Co� mant Ct
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential —
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 7921 PLANTATION LAKES DR, PORT ST LUCIE, FL, 34986
Legal Description: RESERVE PLANTATION PHASE 1 LOT 60
Property Tax ID q: 3321-801-0060-000-2
Site Plan Name:
Project Name: PATRICK
Setbacks Front
DETAILED DESCRIPTION OF WORK:
Lot No. 60
Block No.
INSTALL GUNITE SWIMMING POOL WITH CONCRETE DECK
TOOL er\c�. ' qo► CC2b
CONSTRUCTION INFORMATION:
AGairional work to be nertormed under tispermit—check all appy:
OHVP Gas Tank E]Gas Piping _Shutters ❑ Windows/Doors
Electric OPlumbing Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor: _
Cost of Construction: $ O Utilities: Sewer[] Septic
Building Height:
OW N ERAESSE E:
CONTRACTOR:
Name KAREN AND JAMES PATRICK
Name: James T. Leonard
Address: 7921 PLANTATION LAKES DR
Company: A & G Concrete Pools, Inc.
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No.
Address: 410 Saeger Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-467-1624
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
I,7,7'2-878-7752
E-MaiI: �,r_b*min rr, 60gnoOol,S' Corn
State or County License: CPC1457902
Y
it vame or construction is >zsuu or more, a xecoKoeu Notice of commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name: Ray Reinhard
Address: 1010 Easter Lilly Lane
City:yemaeaCh - State: FL
Zip: 32963 Phone: (772)473-6303
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY:_ ___
Name:
Not Applicable__
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
- —
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
no
:e the permit holder to build the subject structure
or andcovenantsthat may restrict or prohibit such
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.
STATE OF FLORID ) 1^ I STATE OF FLORIDA
COUNTY OF V I� `,`I COUNTY OF St
The filloing inst ment wasyack_nowledge(�efore me
this day of D 1i o�(ii) Y 20 fiEby
The fo oing instrp ment was. ac^knowledged efore me
this day of U&M 20 by
James T. Leonard
(Name of person acknowledging )
(Si Notary
, Public- State of FI r da )
Personally Known OR Prod r f d y�tihan, tPersonall Known v OR Produced Identification
Type of Identification Produced I I I IF`'(l 11(Li Type of Identification Produced
Commission
(Seal)
Commission
BORSODI-BIRMINGHAM
Notary Public - State of Florida s�' M, o: Commission # GG 249625
RCV1SCd l)%/15 Commission 9 GG 249625 or r+°'1' My Comm. Expires Aug 16, 2022
'� My Comm. Expires Aug 16. 2022 Bonded through National Notary Assn.
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SUPERVISOR
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SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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INITIALS