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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE t PLETED FOR APPLICATION TO BE ACCEPT' Date: Permit Number: I `70q • di gi0L SCANNED 1„ BY St. Lucie County RECEIVE Building Permit Application gEp 2 8 Planning and Development services 2017 Building and Code Regulation Division PERMITTING 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResidenPf6Fie County, FL PERMIT APPLICATION FOR: Pool inground ® ':©sly PRr `i�MW' 1�lIO ,, 3 , Adss: Le:aDescription: ,� Property TaxlD#:��' Lot No. Site Plan Name: Block No. Project Name: n ) Setbacks Front Back: J Right Side: _ Left Side: S� g Installation of Gunite Pool, Deck and Equipment Additional war o e e orme un ert is perm —c ec a appyc 11HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors ZElectric 0 Plumbing Sprinklers Generator Roof p6o l - Z&50 Total Sq. Ft of Construction: P12LIa - 5-15 W S Ft. of First Floor. Cost of Conls.truu�ction: $ y Y,3o0.0 0 Utilities: Sewer E]Septic Building Height: .k:A� TMx- LASS :;xtis wuf h '"y §? Ya^..z; 't"+r T" ." �. it?�''' 5av✓ `�:ykYa ''te''4$3"'` fiS�?MMk Name Lee I ir!ar\in -Don(4?A-i& "1 ".RE Name: Terry Wix Address: ��J 2y MLAl V--(-I 1ef U.X . Company: Pools by Greg, Inc. City: 0t'i- S+ t-tXtA'L. State::�L Address: 8886 S Federal Hwy Zip Code: L9 (O Fax: City: Port St Lucie State: FL Phone No. Spy- Zip Code: 34952 Fax: 772-337-9287 E-Mail: Phone No. 772-337-9713 Fill in fee simple Title Holder on next page (if different E-Mail: office@poo(sbygreginc.com State or County License: CPC1458338 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III u��rurvc /C1Vu11VCCK: nn _ NOL AppllcaDle MORTGAGE COMPANY: X Not Applicable Name: 71'P_gd(LI HYI L15 Name: Address: I!al /b T O Ifr_o_ Al Address: City: [ c Stater City: State: Zip: // Phone: 3/zi-.P79-6S4// Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: Name: — Address: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie mak es akes 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 accessary 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 _ Signature of STATE OF FLORIDA u STATE OF I COUNTY OF FLORIDAL COUNTY OF , The fprgging instrument was acknowledged before me this day of IF M 20 111by PeO nally Known R Produced Identification Type of Identification Produced Commission MY Revised EXPIRES May 12, 2020 The forg'oing instrument was acknowledged before me�J thisday of l 20 A by Personally Known " OR Produced Identification Type of Identification Produced Commission No. (Seal) JAYME CHAVEZ CUMMISSION # FFS91925 EXPIRES May 1Z 2020 FloriEallotary$ervlce:cmn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW.. - REVIEW REVIEW DATE COMPLETE INITIALS