HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / Permit Number: % /�
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REL"ERFED
Building Permit Applicat
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
JAN 3 12019
Permitting Department
JS,,,4urri� County, FL
PERMIT APPLICATION FOR: Pool inground
PROPOSED IMPROVEMENT LOCATION: Rr
Address: 16183 CARLTON.ADAMS ROAD, FORT PIERCE, FL, 34945 St. Lucie County
nn�l noc�rintinn. LUKES LOTS LOT 9
Property Tax ID q: 2236-700-0009-000-3
Site Plan Name:
Project Name: SWAIN
Setbacks Front Backo�' Right
Left Side
Lot No. 9
Block No.
DETAILED DESCRIPTION OF WORK: IIII
INSTALL GUNITE SWIMMING POOL WITH CONCRETE DECK
"Tan1 er,c/vimrye-)-:::IerI-r7i4 !9(2)-0&Y
CONSTRUCTION INFORMATION: III
v UHVAC LJ Gas Tank UGas Piping LJ Shutters
Electric 0 Plumbing []Sprinklers ❑ Generator
Total S Ft of Construction: v 4 7a 1' _ q. �O cJ S Ft. of First Floor:
Cost of Construction: $ r301.000 Utilities. Sewer ❑ Septic
❑ Windows/Doors
❑ Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WILLIAM AND RITA SWAIN
Name: James T. Leonard
Address: 9086 107TH CT
Company: A & G Concrete Pools, Inc.
City: VERO BEACH State: FL
Zip Code: 32967 Fax:
Phone No.
Address: 410 SAEGER AVE
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-467-1624
Phone No. 772-878-7752
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: FHERNANDEZ@jANGPOOLS.COM
State or County License: CPC1457902
If value of construction is W500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: Ray Reinhard
Address: 1010 Easter Lilly Lane
City:yemBeach State: FL
Zip: 32963 Phone: (772)473-6303
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
COMPANY: - -_Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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. 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
commencine work or recording vour Notice of Commencement_
as Agent
STATE OF FLOT welt,
COUNTY OF Lid
The forgoing instr ment was acknowledge before me
this e day of 11LA 20 I�by
IQ_m JerN Swain
(Name of personnaackknoVvlledfging )
LO r11U1f14�AAI�
(SignatJ�i a of Notary Public- State of F�l rida )
Personally Known OR PrQclucd Identification V
Type of Identification Prolduuced_ )ylY2.r I ICP.rl4t°,
Commission No. Z'TI6 r... ANGELABORSODb3
„i.• Notary Public -Slat
tq :,o' Commission a Gi
`'?w4: u„rnmm F�oires:
Boedee through Natiora!
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF
The for oing instr ment was acknowledged p before me
this day of�Q 201 1 by
James T. Leonard
(Name of person acknowledging)
(Signat r of Notary Public- State of F o 'da )
Personally Known �/OR Produced Identification
TvDe of Identification Produced
i,ss6on No. �Pu-
249629� .�30Rtfi. 20222te a`Farica.��.Saic
4otary Assr..
?or ice° My Comm. Expires Au9!6. 2022
Bonded through 4atiora) %otarr, Ass:. "
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
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INITIALS