HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'( w
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COCI
Y 4
N-TY
a ii 1 q F
Permit Number: ``l'l1c -o @
Building Permit Application
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
SCANNED
BY
St. Lucie County
Residential xx
PERMIT APPLICATION FOR: Pool inground III
PROPOSED IMPROVEMENT LOCATION:
address: 30a6 NW PAD CL licr-6 IA/4y - PQLM C/ry FL 3Ll990 -
Legal Description: QIVEIQ&wp (A6 �07-3&.) LOT S(OQ L-I020-1(•yq
PropertyTax lD #: q425-763-0013-000 - 9 Lot No. P
Site Plan Name: V16A/LL0 Ktb/QENCE I Block No.
Project Name: b((2A9L,0' $I&cAJ(-6 L411,
Setbacks Front Back: ( Right Side: Left Side ,
DETAILED DESCRIPTION OF WORK.
11J )20u0b Rs-(,Jl�-AM(0 6 ?doL
CONSTRUCTION INFORMATION: III
HVAC U Gas Tank
❑Gas Piping
U Shutters
Windows/Doors
Electric 0 Plumbing
Sprinklers
1:1 Generator
0 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 0 6i 000 • 00
S Ft. of First Floor:
Utilities:cn Sewer ElSeptic
Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name 814kit-
Dli'_40-LO
Name: Ryan Figman
Address:302(o NW RADCLIAAE td4y
Company: Apex Pavers & Pools
City: P4LM 'LJZJ State: fL
Zip Code: 3(4440 Fax:
Phone No. 772-233-q3 3
Address: 725 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-419-5101
Phone No. 772-419-5151
E-Mail:
Fill in f imple Title Ho on next pa ( if diff rent
fro Owner 1 ted a v)
E-Mail apexpavers.com
a or County License: CPC1458696
11 venue o! cunscrucuon n p4OYLL{IF(BOre, a newnueu nonce or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 deedfor 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. tice of Commencement must be recorded and posted on the jobsite
before the first inspection. If u inte d to obtain financing, consult with lender or an attorney before
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF M44Vt J COUNTY OF W (JI1
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged, qbefore me
this25 day of re . 20 a_by this 25 day of FCB .201by
MARIL a iope L) Ryan Figman
(Name of person acknowledging) (Name of person acknowledging)
1� oil
(Si V
ure of N6tary Public -State of Florida ) (Signa V
of Nota ublic-State of Florida )
Personally Known OR Produced Identification Personally Known X57 OR Produced Identification
Type of Identification Produced f+-UL D264-651-70-Z47.6 Type of Identification Produced
JULIE �S ALISE
:p
Commission No. - -
Ea Commission No.
OMMIS 10 #GG001020 :y.,'q,'•
EXPIRES April 06. 2021
Revised 07/15/2014
EXPIRES April 06, 2021
REVIEWS
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ZONING
SUPERVISOR
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MANGROVE
COUNTER
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DATE
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Il
INITIALS
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