HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1cl
=RECEIVEDBuilding Permit Applicationmini
Planning and Development ServicesBuilding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Pool inground SGANNED
BY
PROPOSED IMPROVEMENT LOCATION: St hirmp'rolinb,
Address: 8359 CALUMET CT
Legal Description: SABAL CREEK PHASE IV LOT 159 (OR 4061-1600)
Property Tax ID #: 3328-701-0012-000-5
Site Plan Name: GAMBINA
Project Name: GIUSEPPE GAMBINA
Setbacks Front Back: �1o. n Right Side: W04.S, Left Side: -7 O
Lot No.159
Block No.
DETAILED DESCRIPTION OF WORK: III
INSTALLING GUNITE SWIMMING POOL WITH SPA AND PAVER DECK. GAS HEATER
I CONSTRUCTION INFORMATION:
onaiworKtooe errormea unaertnisperma—ci
HVAC Gas Tank ❑Gas Piping
Electric ElPlumbing []Sprinklers
Shutters ❑ Windows/Doors
Generator Roof = Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 50.1000 Utilities:llsewer El Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GIUSEPPE GAMBINA
Name: JAMES T. LEONARD
Address: 703 SW GOLDSHINE CT
Company: A&G CONCRETE POOLS, INC
City: PALM CITY State: FL
Zip Code: 34990-1528 Fax:.
Phone No.
Address: 410 SAEGER AVE
City: FORT PIERCE State: FL
Zip Code: 34982 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: abirmingham@angpools.com
State or County License: CPC1457902
If value of construction is $2500 ogre, a RECORDED Notice of Commencement is required.
1.n.AAr 1 C,ALl_ A`7 f_e7
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: RAVREINHARD
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 1010 EASTTER LILY LANE
Address:
City: VERO BEACH State: FL
Zip: 32963 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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
Si3449_;;tAdt�
gfiature of ner/Lessee/Contractor as Agentfor Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
The r�going instr pin as acknowledged_before me
this 8 day of U, 20 M-by
�h.6e,op .. 01 ambi m
(Name of perso a knowledging )
d" I&W& A", �'
(Signatur otary Public- State of Flori
Personally Known OR Pr duced Iden)ification ✓
Type of Identification Produced :r�yer'1�('2.r�sp.
Commission NoAjO15 (Seal)
ANGELA BORSODI-BKR
rOF FLORIDA
x�
I, OF ST LUC15
The for
instrument was acknowledged before me
this if dayof April 2019by
JAMES T. LEONARD
(Name/of person acknowledging ))JJ
(Signature Ootary Public -State of Florida 03
Personally Known L"� OR Produced Identification
Type of Identification Produced
Commission
ANGELA BORSODI-BIRMINGHAM
Commissior > GG 249625
'^�o; Commission F GG 249625 '•.
Revised 07/15/2014 '.'.far n°4' My Comm. Expires Aug 16. 20Z2 °F r`..' My Comm. Expires Aug 16. 2022
Bonded through Naliona! NOLry Ass I Bonded through h'atiora: Notzry Assn.
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