HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Planning and.Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: 1 1 lJ - 1 A 5 7
SCANNED
BY RECEIVED
St, Lucie County
Building Permit Applica tion APR 1 2019
ST. LUcie County, Permitting
Commercial Residential X
PERMIT TYPE: GUNITE SWIMMING POOL W/SPA AND TRAVERTINE DECK
PROPOSED'INPROVEMENT LOCATIONt
Address: 453 S. NARANTA AVE PORT SAINT LUCIE FL 34983
Property Tax ID.#: 3419-530-0008-000-9 Lot No. 8
Site Plan Name: COFFEY Block No. 32—
Project Name: COFFEY
DETAILED, DESCRIPTION OF WORK:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
2Electric XPlumbing _Sprinklers _Generator
Total Sq. Ft of Construction: I Sq. Ft. of First Floor:
Cost of Construction: wo Utilities: Sewer _Septic
,Windows/Doors
_ Roof . Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LARRY COFFEY
Name:_JAMES T. LEONARD
Address: 453 S. NARANTA AVE
Company: . A&G CONCRETE POOLS,INC.
City: PORT SAINT LUCIE State: _E
Zip Code: _ 34983 Fax:
Phone No.
Address: 410 SAEGER AVE
City: FORT PIERCE StateFL
Zip Code: 34953 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-Mall ABIRMINGHAM@ANGPOOLS.COM
State or County License CPC1457902 25959
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:
Name: RAY REINHARD
Address: 1010 EASTER LILY LANE
City: VERO BEACH State: FL
Zip: 32963 Phone
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip; Phone:
Address:
Zip: Phone:
_Not Applicable
UWNER/ LUNTRALTUR AFFIOVIT: 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 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 befor
commencing wofk or recorcUng vour Notice of Commencement.
Signat re O n r ess o ractorasAgentforOwner
Sign e n actor/License alder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
thls28 dayof FF.RRTTARY 2012 by
The forgoing instrument was acknowledged before me
2i3 FEBRUARY
this day of 20-12 by
LARRY COFFEY
JAMES T. LEONARD
Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification %f
Personally Known X OR Produced ldentificatio
Type of Identification
Type of Identification
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Produced T-)RTVF.R LICENSE
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