HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COC _ FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:'
SCANNED
BY
alit St. Lucip. Coun a�'IDS X)9
Building Permit Applicati n"
Planning and Development Services ; €. � r^^ C; ; l�i ent
' '
.--I_
Building and Code Regulation Division per° ,i °'
COurityr FL
2300 Virginia Avenue, Fort Pierce FL 34982 ct Lucie
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Pool inground
Address: �JgO� G,�c�2S�C1�2. Lc�11e,
Legal Description: t P• rgo S k l,n ; t
Property Tax ID #: 3 q - U OS -• (Xl 2 O - 000 Lot No. ate_
Site Plan Name: (A-) " 'P,a Block No.
Project Name: o,
Setbacks Front — Back: al!5r Right Side: Left Side: -�
"U �X,�
��TA) Dp€SCRrrr��k! 1U OFF OfyK y01
w'?� �IN,
Installation of Gunite Pool; Deck and Equipment
(enCq0V, U SZo�
Y � ON ORT & .Z z.'.�,-���
4xi..�cr�..vcr
Adclitional work o b e e orme un er is perm -c ec a apply.
❑HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
_
0 ❑Sprinklers ❑ ❑ Roof
Electric Plumbing Generator
(Q 001 : awo
Total Sq. Ft of Construction: ooi,�`i S Ft. of First Floor:
Cost of Construction: $ 35 �9(�; 00 Utilities: oSewer ❑Septic Building Height:
r 'm n
01 111--
Cr a 7, cam' €••,, s 111,
11, � 1 51,11
r�i^��F 'k^ydiCtl fin ..
Name C"0.i %
Name: Terry Wix
Address: q � S ] h e d t.( l�
Company: Pools by Greg, Inc.
City: FG f } P ; c rr u. State: �-_ L
Address: 8886 S Federal Hwy
City: Port St Lucie State: FL
Zip Code: 3IA6� 4 3 Fax:
Phone No.�" l
Zip Code: 34952 Fax: 772-337-9287
E-Mail:
Phone No. 772-337-9713 "
Fill in fee simple Title Holder on next page (if different
E-Mail: office@poolsbygreginc.cwm
State or County License: CPC1458338
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of commencement is required.
N
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name:
City:
Zip::
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:
kppncaaie MORTGAGE COMPANY, Not Applicable
Name:
AU1. N n'rAn Address:
_ State: FL_ City: State:
— 0G`1 Zip: Phone:
Not Applicable
BONDING COMPANY:
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
Not Applicable
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 1 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
c
_ Signature of Oy n0 Lessee/Ag nt
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF LVUC. COUNTY OF ��.L,1C\�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
o thiso day of !!C 2d%_1by this'_o dayof 20tJ__by
Ttrit� wiX I I e r wiX
(Name of pers n acknowledging) (Name of persoo acknowledging)
(Signature of Notary Public- State of Florida
ll
Personally Known -OR Produced Identification
Type of Identification Produced
Public State
(Signature of Notary Public- State of Florida )
Personally Known b _ OR Produced Identification
Type of Identification Produced
Commission No.
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS