HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETEL t APPLICATION TO BE ACCEPTED
Date: `�� Permit Number:
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Building Permit Application '41N,
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Planning and Development Services oc� o Oj�tjv
Building Code Regulation Division e��o���y9�� Nb�S
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2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground
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Address: ';o gvin n -V trx-• St. Lucie rount,
Legal Description: Cove oc \ ,\ lsPL''lr�6r) 2 PJkk"" �O
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Property Tax ID #: wr2 S (J 1 — [� �j — nQQ �, Lot No.
Site Plan Name: fit.) t) r KMo, n Block No. 3
Project Name: tJ of )Nn n n
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Setbacks Front o� + Back: 15 , Right Side: ,S t Left Side:
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Installation of Gunite Pool, Deck and Equipment
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i iona wor O e e orme un er is perm —c ec a app y:
�HVAC flGasTank ❑Gas Piping _Shutters aWindows/Doors
ZElectric ✓� Plumbing Sprinklers ElGenerator E] Roof
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Pool' a30
Total Sq. Ft of Construction: Z�!¢K ; 3q o S Ft. of First Floor:
Cost of Construction:$ �at�00 r 00 Utilities:nSewerSeptic Building Height:
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Name W G T K VsnQ n 6a r; s%o PV41r
Name: Terry Wix
Addri, g vi(n l7�wC
Company: Pools by Greg, Inc.
City: `�}1� Pin.: nSon TSlawc� State:''eL
Address: 8886S Federal Hwy
City: Port St Lucie State: FL
Zip Code 3` <k �i a Fax:
Phone No. o� — 5 �q " I `t I 0
Zip Code: 34952 Fax: 772-337-9287
E-Mail:
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: CPC1458338
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of commencement is required.
IS
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
City:
Zip::
FEE SIMPLE TITLE HOLDER:
City:
Zip:
_ Not Applicable MORTGAGE COMPANY: YNot Applicable
Name:
Flo Pfau W Ot Fin Address:
State: FL City: State:
Dc;,4 — Zip: Phone:
Not Applicable BONDING COMPANY: -XNot Applicable
Name:
Address:
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 permitwill authorize thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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
_ Signature
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF Sk, UQC.1 C, COUNTY OF ,L UCa2,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this, a day of M o V 20 Eby this day of N OV 20 by
Tcrr�l w i% I Tr rr( \N i X
(Name of pers n acknowledging) (Name of persoo acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. (Sea
,�r+icy Notary Public State of Florida
Note Public Stale of Florida
My Commisalon GG 201733 A Thoma6lna oWin6
Revised 07/ Expires 03/2012022 My Commission GG 201733
'yip Expires 03129/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS