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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: _ ntao(O
iS'�' ,• , _ , : """"'.' d moBYCOUNTY �o 8,
_ Stpq . bide Crliif l RECEIVED
Building Permit Application
Planning and Development Services AUG. 14 7019
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL34982 _ _ St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 CORlrnemW ReMidential X
PERMIT TYPE: IN -GROUND SWIMMING POOLL WITH CONCRETE DECK
PROPOSED IMPROVEMENT LOCATION:
Address: 9046 Pumpkin Ridge RD Saint Lucie West, FL 34986
Property Tax ID #: 3322-505-0154-000-2 Lot No. 145
Site Plan Name:. BIEDKA Block No.
Project Name: BIEDKA
DETAILED DESCRIPTION OF WORK:
INSTALLING GUNITE SWIMMING POOL WITH CONCRETE DECK
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq.'Ft of Construction'':'f. /yam
Cost of Construction: $ 1 0`7, S W
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors
-Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John and Kathleen Biedka
Name: JAMES T LEONARD
Address:_ 9046 Pumpkin Ridge RD
Company:_ A&G CONCRFTF ]2QOLS.INC
City: Saint Lucie West State:FL
Zip Code 34986 Fax:
Phone No.
Address: 8880 GLADES CUTOFF RD
City: PORT ST LUCIE State: FL
Zip Cade: 34986 Fax:
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
-� -•-Z••;UZU.I. •. V&�Uu WX mum, a ncwnucu nonce or wmmencement is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
aV® X
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Nat Applicable
Name: AARON ALLEN Name:
Address: 2367 7th STREET Address:
City: LA VERNE State: C_ City: State: _
Zip:91750 Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Not
Haaress: Address:
City: City:
Zip: Phone: Zip: Phone:
vuvrvcnl wry r rwa. r UK Arr1 uvr I: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to theissuance of a permit.
St. Lucie Counter 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 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
cOlflntencina Ovorkjor r4cordinE vnur Nntira of rnmmanraman4
Signatur o Owner/ es ee Contractor as Agent for Owner
'Sig t re c LlcenseHgder
STATE F rrLORIDA
E OF FLORIDA
COON P ST LUCIE
COUNTY OF T T.UCTE
The f rgoing instr ment was acknowledged before me
yclay
The forgoing instr exit was cknowledge before me
this Of 2011 by
this 1 day of � 201 by
1/
P)IO' yo
' 1 .
TAMES T LEONARD
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification X
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced DRIVER LICENSE
Produced
GEL B0RS001-BIRMINGHAM
Public - State of Florida
"
1;iexY O�eL... ANGELA BORSODI-BIRMING
h(Sigtire
Sig a ure of Notary Pu 'f04 . -
........ � � f14� . Expires Aug 16, 2022
`• �: No ar Public - Sate ofFo
o NotaryPublic- tK` W.Ida )Commission 4` GG 24962
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Bonded through National Notary Assn.
s} My Comm. Expires Aug 16,
Commission No. 2496
Commission No. 249625 Bond gh National Notary
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