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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST CBE COD IT11 ]: )R APPLICATION TO BE ACCEPTED ii U Date: 4 Permit Number. BYcl�d 7'd 5ro� SCANNED RECE11f E as ® St. Lucie County Building Permit Applicatio i APR 23 2019 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial RA4ehU&jeC County, FL PERMIT APPLICATION FOR: Pool inground III Address: t i a l) Legal Description: Property Tax ID#: 33aa Sol -QQ1 1-a - c000- I Lot No. i3 Site Plan Name: Block No. Project Name: C—O be n Setbacks Front r Back: 3 l i Right Side:o W U )I Left Side: ETAIIsEDDSGRfFb INOFW R€��e d.wm WE f .. .d t5 � I Installation of Gunite Pool; Deck and Equipment 19ny— r.uuiuundiworrccooe enorrnea unaerunsperma-anecrcau appry: 0HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors ❑✓_ Electric Plumbing Sprinklers E] Generator Roof Qvo) - oi_}g Total Sq. Ft of Construction: P+.t 3 o N A S Ft. of First Floor: Cost of Construction: $ 5, 5 , � © Utilities: Sewer OSeptic Building Height: �w ?t�u�' �T` r aaE'i3l's`�..EiavxSOM0-2 '"+ 'fig.. �� ° a t . 3" ''';� , m w a p�;a� ,�,°m .IC=O, ,� tr`.`s Name n %' ( Name: Tenywix �0I Address: l3 g r 'v a r C �' f4dL. Company: Pools by Greg, Inc. City: S L Zip Code: 3 y A it In Fax: Phone No.'� 59 -$141' State: Address: 8886 S Federal Hwy City: Port St Lucie Zip Code: 34952 Fax: 772-337-9287 Phone No. 772-337-9713 State: FL E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: office@poolsbygregine.com State or County License: CPC1458338 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: _G;1y' Po,ory Ar i a Name Address:_ II I I S S(o Plar o kI f%1`4 Address: City: " State: FL City: State: Zip: Phone: — Zip: Phone: FEE SIMPLE TITLEHOLDER: X._ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: city: Zip: Phone: Applicable 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 ano 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 concurrenry 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 corrimpncina uinrlr nr rornr.f,. ,,,.., _4r c _ Signature of OyVn—V7Ussee/Ag46nt STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �� , VU COUNTY OF ��, \1C�Q The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this o o day of C Zp( g_by this 2_0 day of Se f+ zp 1 by trr4 \f�l i X 1 t rr'\ V.I i X (Name of pers n acknowledging) (Name of perso acknowledging) (Signature of Notary Public- State of Florida Personally Known,OR Produced Identification Type of Identification Produced 201733 (Signature of Notary Public- State of Florida)Signature of Notary Public- State of ` Personally Known �4 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 a SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION Designer/Architect/Enginmr. ❑ Not Applicable Mortgage Company: a Not Applicable NameM. P,�n,�_�,11 �OGC1S Name Mailing Address J9,01 HCl2e I o D f- . Mailing Address City Fn r-t P % ( co!, —State FL City State Zip Phone }a—aO1— 16 3y Zip Phone Fee Simple Title Holder's Name: A Not Applicable I Bonding Company: O Not Applicable Name Name Mailing Address Mailing Address City State City State Zip Phone 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/engineer 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. 1 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. n Srgnatiie�` �O eiT-ge iVi�ee STATE OF FLORIDA COUNTY OF MARTIN The foregoing instrument was acknowledged before me this -IQ dayof RT,2o�by Ti rr.l \X (Name of Person Ackn wledging) (Signature of Notary Public State Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Knowr�_ OR Pmduced Identification Type of Identification Produced Public State of Florida GG 201733 eq Sjgntitute�of of ` ctor/L`Ic`e ise'H61d'e�'e` STATE OF FLORIDA COUNTY OF MARTIN The foregoing insulin nt was ackmow[edged before me this Aaday of r 2011by (Name of Person Ackna (edging) (Signatureof Notary Public—StateofFlorida) % (Print, Type, or Stamp Commissioned Name of N tary Public) Personally Known 4 OR Produced Identification Type of Identification Produced A Thomasina Bowins T:IBLDIBldg_FormsWew ApplicationslApplications\Building Permit Application.Docx Rev. 8/10/15 D.