HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -�r Date: i"l SCANN€D Permit Number: t Q c 1 f n�ej3O
r-- t
BY
� COUNTY St. LuCe Comfy
BuildingPermit Application RIC"'
Planning and Development services JUL 4 1019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential LVIe county _
PERMITTYPE: 'N_ G-ROUMb POOL w/ Pavrr DOCK
PROPOSED INPROVEMENT LOCATION:
,=; "U UN I N I I A N K I V H QR IENSEN BEACH 34957
Property Tax ID #: 4504-602-0020-000-3 Lot No. -
Site Plan Name: MYERS Block No.
Project Name: MYERS
DESCRIPTION OF WORK: `
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ _sy �� &00- r Utilities: _ Sewer _ Septic Buildine Heieht
OWNER/LESSEE:.
CONTRACTOR: -
Name- Scott Myers & Pamela L Myers
Name: TAMES T.'LEONARD
Address:- 17062 Jupiter Farms Rd
Company: A&G CONCRETE POOLS,INC
City.: Jupiter State: _EL
Zip Code: 33478 Fax:
Phone No c�Loa �S
E-Mail:
Address: 8880 GLADES CUTOFF RD
City: PORT SAINT LUCIE State: -FL
Zip Code: 34986 Fax:
Phone No 772-R78-77
Fill in fee simple Title Holder on nextpage (if different
from the Owner listed above)
If value, of construction Is S25oo nr mnrn_, nrrnonrn IU..H... _..
E-Mail gRTRMTNGHAM@ANCPOOT4COM
State or County License CPC1457902
_______
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
City:
FEE SIMPLE TITLE HOLDER- Not Appl(cable
Name:
Address:
City. -
Zip: Phone:
)WNFR/ rn!UTDAr ^D
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone:
BONDING
Address:
City:
ZiP: Phone:
Not
• ^rr �w•��� ._ uereuy moue to coram 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.
which is inOcOonWicmtawith any applicabletHome Owners Associationlr elsauthorize
bylaws or and co elnantss that may restrict or 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 aelim
commencing wnrk nr rnrnrriina_c
ui wuunencement.
Slgnatu/ Lessee ctor as Agent far Owner
?FLORID
Si r ractorj icense Holder
STATE
COUNLUC IE
TEOFFLORIDA -
COUNTY OF ST LUCIE
The forgoing instr ment was acknowledged before me
this _W day of _JZOJIby
The f rgoing instru(nen�t was acknowledged before me
thisaadayof ,llAIS1 201aby
5co4 M vIseS
TAMEST
Name of person making statement.
T FnhTARD
Name of person making statement.
Personally Known OR Produced Identification X
Type of Identification
Personally Known XX OR Produced Identification
Produced_ DRW_E T TC FTQ4F
Type of Identification
Produced
(Sign t e of Notary Public- State oricia) -
(Signature Notary Public-
Commission No.
oa. Eat aoRSoeheIRMNGH
^,
on
�eL.
_°;-O Notary PBORSODI-BIRMINGHublic - State of Flori
mmission No. GG2496 .x• ,� q GG
5� ($omi�.
Notary Public - State of Florid
Aug16,25
•�. oa r�°'' My Comm. Expires g 76, 20 2
Expires
pan"< My Com Fspirreess' A'u'gg� 16, 222
REVIEWS FRONT ZONNUGthrou t6URe
Bonded throu h National Notary As n
K sn.
COUNTER-"'
LANS VEGETATION SEA TURTLE MANGROVE
VIEW REVIEW
DATE
REVIEW REVIEW
RECEIVED
DATE
COMPLETED
ev.