HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / J , SCANNED
BY Permit Number:
St. Lucie County
Building Permit Ap
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
OCT
St. Lucie
Residential
PERMIT TYPE: INSTALLING GUNITE SWIMMING POOL WITH CONCRETE DECK
PROPOSED INPROVEMENT LOCATION:
Address: 6780 Dickinson TER Port St Lucie, FL 34952
Property Tax ID #: 3415-706-0047-000-1 Lot No. 5
Site Plan Name: Santangelo Block No. 3
Project Name: SANTANGELO
DETAILED • DESCRIPTION OF WORK:
INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters -Windows/Doors
_ Electric —Plumbing
p _ Sprinklers _ Generator
J
Total Sq. Ft of Construction: pp b ( Sq. Ft. of First Floor: _
Cost of Construction:$ A �0,�. Utilities: _Sewer _Septic
Roof Pitch
Building Height:
11
,OWNER/LESSEE: _
CONTRACTOR:
Name_ Maria Santangelo
Name: TAMEST LEONARD
Address: 6780 Dickinson TER
Company: A&G CONCRETE POOLS.INC.
City:. Port St Lucie State: FL
Zip Code: 34952 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-Mall AATR GHAMRAN POOLS COM
State or County License CPC1457902
•• --•-- -•--••-•• •. v, a Mcwnucu ,muuce ur wmmencemenr is regmrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
eL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
'A Name;ARON AL.LEN Name:
Address: 2367 7Th STREET Address:
City: LA VERNE. State: CA City: State: _
Zip:91750 Phone Zip: Phone:
FEE SII
Name:
Not
BONDING COMPANY: _Not Applicable
Aaaress: Address:
City: City:
Zip: Phone: Zip: Phone:
vuvncni wim a nau un Arriuvi 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 the Issuance of a permit.
no
:ethe permit holder tobuild the subject structure
or and covenants that may restrict or prohibit such
deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that l 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
commencing work or recording vour Notirp of r'nmmonr•amanr
r "r gx 4 ctO L
Signature of Owner/Lessee/Contractor Agent for Owner
Si ractor/Licens older
E OF FLORIDA
ATE OF FLORIDA
fj NTY OF ST LUCIE
COUNTY OF ST LUCIE
s r oing ins ument was acknowledged before me
h� day of 20 J9 6y
The f oing instrument was cknowledged before
this day So
? y
of > rin m120 20]g by
n °?,o,,�m•
3 $4 ria Santangelo
AMES T LEONARDv
of person making statement
Name of person making statement.
o
T 3 3 v
bO
egs
ally Known OR Produced Identification X
Personally Known X OR Produced Identificati
Z N - r
e v g
Sy$
f Identification
Type of Identification
as
PrAd
ced DRIVER LICENSE
Produced
6
ONO
X//
(Signature oJ Notary Public -State of I rids)
Notary Public-Sta a doorida )
Commission No. 249625 (Seal)
Commission No. 94gg9q (Seal)
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