HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �O— Permit Number: .. 10 k n O.T-s
Building Permit Application iuij 0 2 2917
Planning and Development Services PEtR HITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982 �/\7
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PFPOSED,,litliPRQ1/EMIT.LO; t1N
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Address: 21 Obr I tzc,L L Fe✓t T �✓Lc.0 3"1 `! "vZ
Legal Description: �S` QPZ- — Olo
Property Tax ID#: _3 0-7 -7 O)o l Lot No.
Site Plan Name: 1'yT►2tStr Block No.
Project Name:
Setbacks Front__& A- Back: Right Side: /a Left Side:
>` + 44
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IL 0' 1PN11, WORK
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itiona work to be e orme un er this permit-check all appy:
HVAC Gas Tank Gas Piping Shutters Windows/Doors 11
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11 Electric ❑Plumbing Sprinklers 1:1 Generator _Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ /�, 00b '� Utilities"nSewer 0Septic Building Height:
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Name —(120-f 5 1-02.E5E Name: MICHAEL GOODWIN
Address: I C 2 Company: JENSEN BEACH ALUMINUM
le
City: I !2 State:e� Address: 1720 NW FEDERAL HWY
Zip.Code: 3KC132 Fax: City: STUART State:FL
Phone No. 2 nUCi Z Zip Code: 34994 Fax: 692-9744
E-Mail: Phone No. 692-0090
Fill in fee simple Title Holder on next page(if different E-Mail: MICHAELLGOODWIN@YAHOO.COM
from the Owner listed above) State or County License: CGC 1508437
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable .
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: + City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County 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 Re Notice of Commencement may result in))bur Paying twice for
improvements to your property. ommencement must be de/apo on the jobsite
before the fir n pe io If y i obtain financing, consul i ndney before
commenci wont, r rd' r ice of Commencement.
s
Signature o wner/Lessee/Con r ctor as Agent for Owner ignatu a of Contractor/ ' e Ho der
STATE OF FLORIDA F FLORIDA
COUNTY OF S4� � �,�/ COUNTY OF
The forgoing instrument was acknowledged bgfore me The forgoing instrument was acknowledged before me
thiX9&Z)iay of M249.;F_ 20/7by thijq?q�day of ,T/1�ic 20/ by
� 0_4almZe9i�gJ
(Name of person acknowledging) (Name of person acknowledging)
(Sigraftrre of Notary Public-State of Florida) (Signature Notary Public State o F orida)
Personally Known &-"'�OR Produced Identification Personally Known !/OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. ,W.M.P .,
A f AUMOND �. AUMOND
=41 =+ ::= MY COMMISSION#FF 173907
MY COMMISSION#FF 173907 _
e ber 7 2018 r., EXPIRES:December 7,2018
Bonded Thru Notary Public Underwr tern „qf lk one hru Notary Public Underwriters
Revised 07/15/2014`°x'-`
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS +