HomeMy WebLinkAboutBUILDING PERMIT APPLICATION9�
All APPLICABLE INFO MUST BE
COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' �' "! Permit Number: / Da2 1, O SL C17
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Building Permit Appl cationFEB 2 2 2019
Planning and Development Services Permitting
Building and Code Regulation Division Department
2300 Virginia Avenue, Fort Pierce FL 34982 S t. Lucie County. FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: INGROUND SWIMMING POOL
PROPOSED IMPROVEMENT LOCATION:2322 OAK DRIVE HUTCHINSON ISLAND FL 34949
Address: 2322 OAK DRIVE HUTCHINSON ISLAND FL 34949
Property Tax ID #: 1436-602-0009-000-3
Site Plan Name: GALLAGHER
Project Name: GALLAGHER
DETAILED DESCRIPTION OF WORK:
INSTALLING GUNITE SWIMMING POOL WITH CONCRETE DECK
N INFORMATION:
Additional work to be performed under this permit —check all that apply:
Lot No.4
Block No. 28
St. Lucie County
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ lA_J� Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARGARET GALLAGHER
Name: JAMES T. LEONARD
Address: 2322 OAK DRIVE HUTCHINSON ISLAND FL 34949
City: HUTCHINSON ISLAND State: _
Zip Code: 34949 Fax:
Phone No.
Company: A&G CONCRETE POOLS
Address:410 SAEGER AVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772.467.4452
Phone No 772.878.7762
E-Mail:
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: RAY REINHARD
Address: 1010 EASSTER LILY LANE
City: VERO BEACH State: FL
Zip; 3zssa Phone
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip:-- ---Phone:--
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City:,
Zip:.
Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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. 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 our Notice of Commencement.
1�11 .- A
Sig a ur of Owner Less a/Contractor as Agent for Owner
tat tractor/License Hkder
STATE OF FLORIDA
TE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The grgoing inst n ent was a knowleclig before me
this 200 by
The f r oing msr�_rpe_nt.w_as_acknowledged before me
this rdayoftu��20A by
M)rddaayljofD�
Ila ghe,�r
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JAMES T. LEONARD
Name of�on making statement"
Name of person making statement.
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Personally Known xx OR Produced Identification
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DATE
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DATE
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Rev.9/26/18