HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l�J,aoL`\� PermitNuinhpr.O�oi9�
SCANNED KtUtIVED
�'75W L .-"M BY OCT 2 2 2i719
'COUNTY I St. Lucie County
Building Permit App iat+O o4pty, Pern
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 Residential xx
PERMITTYPE: INGROUND POOL WITH CONCRETE DECK
PROPOSED INPROVEMENT LOCATION:
Address: . 2280 SWEETWATER DRIVE FORT PIERCE FL 34981
Property Tax ID #: 2433-601-0009-000-4 Lot No. 7
Site Plan Name:
Project Name:
Block No.
DETAILED DESCRIPTION OF WORK: I
I CONSTRUCTION INFORMATION: I
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:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LARRYBLESSING
Name: lAmT7, T rFnunnn
Address: 2280 SWEETWATER DRIVE
Company: A&G CONCRETE POOLS INC
City: FORT PIERCE State: FL.
Zip Code: 34981 Fax:
Phone No.
Address: 8880 GLADES CUTOFF RD
City: PORTSTLUCIE State: FL
Zip Code: 34986 Fax:
Phone No 772-878-7752
E-M all ABIRMrNGHAM@ANGPOOLS.COM
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CPC1457902
n vame aT conscrumon is ;.c]uu or more, a necoeoeo Notice at commencement is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: .
Name: AAunwATTUNT
Address: .26377 7TH STREET
City: LA VERNE State: CA
Zip: 91750 Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
UWNLK/'GUN I KAU tUR AFFIOVIT: 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 Counttyv makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflictwith 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 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 Naticia of rmmnfanrpmant
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100,f
ev
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-Signature of Owner/ Lessee/Contr ctor as Agent for Owner
- ' nay a of Contractor/Ucense H Ider
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF sT LtTc1E
.The forgoing instrument as acknowledged before me
this day of C: o ie r . 2019 by
The forgoing Instrument as acknowledged before me
this' J1 day of 2041 by
,
LARRY.BLESSING
TAn4ES T LEONARD
Name of person making statement. "
• Name of person making statement. -
Personally Known OR Produced Identification )CX
Personally Known _x OR Produced Identification
Type of Identification
Type of Identification
Produced DRIVER LICENSE
Produced
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Y°ek ANGEfA BORS001-BIRMING
. —Notary
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(S' natu e f NotaryPublic-St te;p Commission-# GG 24962
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Commi55!on No. a e mmission # GG 24962
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Aug 76,
Bond [hr gh Natiora' NcL'rv.
mI5510n NO. GG24962i -
Aug 16, 2
Bonded through National Notary A
220,
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