HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: n\ \F `DJ. Permit Number: d 1d 1 _ dyoi
Building Permit
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
In APR 16 2019 outAINP
BY
ST. Lucie County, Permitting St. Lucie
-------------
Residential X
PERMIT APPLICATION FOR: Pool inground III
Address: 15-1
Legal
PropertyTaxlD#:
3404-
1909 -
000 /
^ ODD—
I
Lot No.
Site Plan Name:
L Q1 \A
SO r\
Block No.
Project Name: LAWS
Setbacks Front N / n Back: Right Side: 6 S 1 Left Side: Q) i
Installation of Gunite Pool, Deck and Equipment
1]HVAC I l Gas Tank ❑Gas Piping
Electric W1 Plumbing OSprinklers
Qco1= 31S
Total Sq. Ft of Construction: r-), "'.Lo (
Cost of Construction: $ '::� U 140 r)_ 0n
Shutters Windows/Doors
Generator Roof
S Ft. of First Floor: _
Utilities: 0 Sewer 0 Septic
Building Height:
z gar m� r'+
� _Gf11��z
�a:ki> S n t�
r wsq. a-r t tv ti:,•'s`
Yb£_%i..n k t*f i.5IN,s.$� 'ka._. s M1'`z. ''d
O v
Name S� L u>sb
Name: Terry WV
/
Address: 25)r-i lam!Ir �Ph) Yl I.i aAl
Company: Pools by Greg, Inc.
City: Hbr�' Z3P IF S
Zip CodeO 3 Fax:
Phone No. -3flf &
Address: 8886 S Federal Hwy -
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772-337-9287
Phone No. 772-337-9713
E-Mail: / IyI 0. - La tJ�I? l_ VY% I • cpm
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: office@poolsbygreginc.com
State or County License: CPC1458338
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
LIEN LAW INFORMATION
Designer/Architect/Engineer. ❑ Not Applicable
Name M. RexqJelll BOGY f S
Mailing Address Ol H t o 0 f7R.
City T�n r t P i t rc e, State
Zip 3t-Iq 4a Phone -�fta—a01— I In SH
Fee Simple Title Holder's Name: A Not Applicable
Name
Mailing Address
City State
Zip Phone
Mortgage Company: 11 Not Applicable
Name
Mailing Address
City State
Zip Phone
Bonding Company: A Not Applicable
Name
Mailing Address
City State
Zip Phone
Notice to Owner. There are some properties that may have deed restrictions recorded upon them. These
restrictions may limit or prohibit the work applied for in your building permit It may be to your
advantage to check and see if your property is encumbered by any restrictions.
Owner/Contractor Affidavit: Application is hereby made to obtain a permit to do the work and installations as
indicated. I certify that no work or installation has commenced prior to the issuance of a permit.
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 Code 5th Edition (2014) and Martin County
Amendments. Plan revisions on all structures exempted by code from architect/engmeer design may be done by
permit holder -
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 job site before
the first inspection. If you intend to obtain financing, consult with your lender or an attorney before
commencing work or recording your Notice of Commencement.
I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
�SlgnatuR1of,Oii 'er/AgeiWL ssee
STATE OF FLORIDA
COUNTY OF MARTIN
The foregoing instrument was acknowledged before me
this Ie day of 20LIby
72 rr\I \&N%X
(Name of Person Ac�edgin g)
(Signature of Notary Public —State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ' )4 OR Produced Identification
Type of Identification Produced
FBC 5th Edition (20
A Thomasina gowns
My Commission GG 2o1733
Expires o3f2912e22
[Srgna ur optiac6 rfC ioenseHofdR)
STATE OF FLORIDA
COUNTY OF MARTIN
The foregoing instrument was acknowledged before me
this 1,15 day of A r.1 .20AI by
(Name of Person Ackno ledging)
(Signature of Notary Public —State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Know x OR Produced ldentification
Type of Identificatton Produced
late of Florida
Bowins
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Permit Application.Docx Rev. 8/10/15
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