HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED.FORAPPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
-- BY
111,14111111110 St. Lucie CountytvEo
- — Building Permit Application o2'1ot9
Planning grid DevelopmentServices APR
'Building and Code Regulation Division Pe St.
D �rtmoM
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lude
Phone: (772) 4..62-1553 Fax: (772) 462-1578 Commercial Residential
PERMITAPPLICATION FOR: Pool 'nground
PRnpnSFf1,IIUIP hx/rwAi=nlT l n7 n
Legal
PropertyTaxlD#: l_ G27
Site Plan Name: Bons
Project Name: ..
Setbacks Front
�i Right Side:
D7
Left Side:
Block No.
awl' vv w n m;,-,
INSTALL GUNITE SWIMMING POOL WITH CONCRETE DECKe7 y
CONSTRUCTION •IN FORMATION;
. .__.......... ..... .. ... ..� ,u.cu wmoI LIM Permit—cneCK all apply:
❑HVAC ' _ Gaws Tank []Gas Piping, _ Shutters ❑Windows/Doors
Electric OPlumbing. Sprinklers' Q Generator Roof Roof pitch
Total Sq. Ft of Construction.
�' /gyp S Ft. of First Floor:
Cost of Construction: $yam>� Wo Utilities:llSewer Septic Building Height:
OWNS
/LESSEE:
CONTRACTOR:
Name
cS, Ing,
f
Name: James T'Leonard
Address: .7 711
Company:A & G Concrete Pools, Inc.
//�f
City:80 of11A'i' $e State:. FL
Zip Code: Fax:
Phone Not �' lgbg
Address: 410 5aegerAVenue
City:
City: Fort Pierce.
Zip Code: 34982 F. .. State: FL
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@ANGPOOLS.COM
State.or County License: QPC1457902
......... �, o U noucc uc wmmencemem: is requlrea.
0
Ii SUPPLLM"N CONSTRUCTION.LIEN LAW INFORMATION: II
Name: Ray Reinhard — -- -
Address: 1010 Easter Lilly Lane
City: Ve s Beach State: FL
Zip: 32963 phone. (7721473-6303
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 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 attornev befasa
STATE OF
COUNTY(
The f oing inst acknowledge efore me
this � day of _ 0; 20 �by
Personally Known PrQdpcP,dJ�jep_tifFatio
Type of Identification Produced-[ 1 ((1�% -flu1-
Commission No.
Notary Pebi1C - State of Florida
My Comm. Expires Aug 16,2022
Revised07/15/2014 3orcedthrocghNational Notary Assn.
W,�
STATE OF FLORIDA
COUNTY OF
The fprgoing instrument was acknowledged before me
thi day of MMIJJ 20 j 9- by
James T. Leonard
(Name of person acknowledging )
LL komAa - , �"_
(Sign 0
re of Notary Public- State —of FIo a )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No °e. (SiBalA90RSOG691RMINGHAM a. Notary Public - State of Florida
:1�M _s°.' Commission State
2 lo6
c.;ucs Aug l
9orde[ throtgh National Notary Assn
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