HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALVAPPLICABLE INGO MUST BE CO ETED FOR APPLICATION TO BE ACCEPTEI
Date: y — & Permit Number: -1oy—
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Building Permit Application
Planning and Development Services JAN 181019
Building and Code Regulation Division PQrmrra
2300 Virginia Avenue, Fort Pierce FL 34982 St, Lu le ,aarhnant
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X my
PERMIT APPLICATION FOR: Pool inground III
Address:
Property Tax lD #: �tQ(e&l
Site Plan Name: Ukajit
Project Nagle: A GI kj'C
Setbacks Front GCS Back: Y6 Right
Installation of Gunite Pool. Deck and Equipment
❑HVAC u Gas Tank
Electric W1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2'.' Qo , 8 U
3
Lot NoRe UCe.
Block No.1tWt'r
Left
Piping ❑_Shutters []Windows/Doors
nklers ❑ Generator [] Roof
Pool ; 3�3
_ S Ft. of First Floor: Df mac , Q O
Utilities:,nSewer ❑Septic Building Height:
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Name
Name: TenyWnc
Address:aJL4)40'6/0deS'M
Company. Pools by Greg, Ing.
City: Tn- rf Alfr e e State: Ff
Zip Code: /Fax:7'%1-337-9 497
Phone No. %7a-S Lt-
Address: 8886 S Federal Hwy
City: Port St Lucie
Zip Code: 34952 Fax: 772-337-9287
Phone No. 772-337-9713,
State: FL
E-Mail: %y dj lizizb-�/,- (-Rai , Cya,?
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: office@poolsbygreginc.com
State or County License: CPC1458338
If value of constructionis $2500 or more, a RECORDED Notice of Commencement is required.
.V
I SUPPLEMENTAL -CONSTRUCTION -LIEN LAW INFORMATION: III
L)t]IOIVtK/t1Yl3IIVCCK: _ Not Appacame I MORTGAGE COMPANY: } Not Applicable
Name: %vfegag pyy &-iName:
City: t1 State:
Zip: ZI�A\\ Phone: - - �
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name: -
Address:
Zip: Phone:
_Not Applicable
1 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 1 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 conwrrency 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
commencine work or recordine vour Notice of Commencement.
r&I
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— Signature of O v r/ Lessee/Agent
STATE OF FLOR1J3A STATE OF FLORIDA
COUNTY OF UQQC COUNTYOF SLLoc\iz
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �day of NOJ 201q_by this 2-LL day of lV oU 20 Lt_by
Trr� W i X Tc rrl \j li
(Name of perssiin acknowledging) (Name of persoo acknowledging)
_L-
,
(Signature of Notary Public- State of Florida)
Personally Known :�\ OR Produced Identification
Type of Identification Produced
Commission No.
State of Florida
a Bowins
Revised 07/15/2014
(Signature of Notary Public- State of Florida )
Personally Known--X_OR Produced Identification
Type of Identification Produced
Commission
Notary Public State of FI
A Thomasina Bowins
Expires 0312912022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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