HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 Az8
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: �� \ — -- ` Perrnit Number: 190 1' �7 (a �—I
RECEIVED
_. _ • -_.. JAN 2g1019
Building Permit Application Permitting 29 9
ont
Blanning and Development Services uilding and Code Regulation Division St- Lucie County SCANNED
2300 Virginia .Avenue, Fort Pierce FL 34982 By
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential YEA. �-ueje Conn
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION:
Address: 3906 DUNE SIDE DRIVE
Legal Description: LOT 32 TARPON FLATS
Property Tax ID q: 1423-566-0035-000-5
Site Plan Name: TARPON FLATS
Project Name: ALBERG
Setbacks Front 6 A Back: s Right Side:
DETAILED DESCRIPTION OF WORK:
23-� LeftSide: 22.'
INSTALL GUNITE SWIMMING POOL WITH PAVER DECK
Lot No. 32
Block No.
CONSTRUCTION INFORMATION:
rtiona work to
e e
ff
orme under
Gas Tank
tispermit—check-a
[]Gas Piping
apply:
❑
_Shutters
Windows/Doors
I�HVAC
LlElectric
12rplumbing
Sprinklers
Generator
❑Roof
Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:
$ S3
00 D ` Utilities:
2Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CHRIS AND LISA ALBERG
Name: James T. Leonard
Address: 1080 RUSTLING OAKS DR
Company: A & G Concrete Pools, Inc.
City: MILLERSVILLE State: MD
Zip Code: 21108 Fax:
Phone No. NA
Address: 410 SaegerAvenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-467-1624
Phone No. 772-878-7752
E-Mail: CHRIS.ALBERG@VERIZON.NET
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: abirmingham@angpools.com
State or County License: CPC1457902
1r value or construction is >A3uu or more, a etconDtq Notice or commencement is required.
"DESIGNER ENGINEER of p icabFe
MORTGAGE COMPANY: Not Applicable
Name: ReyRamt m
_
Name:
Address: lmormrtaw
Address:
City: varo Beach State: e-
City: state:
Zip: 329153 Phone: M)47_Swln
—
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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
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 I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St Lude 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 oorrfrecordin our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Age r Owner
Si u yai ctor/License Holder
STATE OF FLORTT f�/�j 1
COUNTY OF
E OF FLORIDA
LUJ11 ll it
COUNTY OF st.Lucia
The f Ing inst ment was acknowledged before me
this1day o nus 20 �by
The oing ins e w wledge fore me
this day of 20 " by
Chas ra
James T. Leonard
(Name of person acknowledgln
(N a of person acknowledging)
(Signs re f Notary Public- State of Florida
(Sign u e of N ry Pu icic- State of rida )
Personally Known OR Prc uced Identi�Gationy
Personally Known ✓ OR Produced Identification
Type of identification Produced I lrl V/ r I 1 �_
Type of Identifl Ion Produced
Commission Nse_� (Seal)
Commission No.
ANGELA BORSODI.3IRMING
Notary
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Revised 07/15/2014 .�44• �yq ,gi Notary Public - Sta[e of Fb�ida
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