HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f,,
Date: lQ. (O. (� Permit Number:
�17_1�1r_
k6iwo
Building Permit Application JUN PJ S 21901?
Planning and Development Services PEF, dil -T�e 4G
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, L
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROP05ED )MPRO!%�IV(E1UT
...M.,n,...,..w:
Address: 13517 INDIAN RIVER DR 802 , JENSEN BEACH FL 34957
Legal Description: INDIAN RIVER LANDING BLDG 8 UNIT 802 AND UNDIV SHARE IN COMMOM ELEMENTS
MAP 45/09SX OR 1745-2653
Property Tax ID#: 4509-804-0049-000-7 Lot No.
Site Plan Name: PATTERSON Block No.
Project Name: PATTERSON i
. Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DEM
D �RIt�TIC N OF 11UURC, �� { � Kz
F . - �� r
WINDOW & DOOR REPLACEMENT
4 WINDOWS IMPACT
2 SLIDING GLASS DOORS IMPACT
t,
CQNS,TRUCTKINNt)Rl1ATf€?N � 1 W`��
Additionalwork to e e orme under this permit-check a aA
apply:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator F] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 13,000.00 Utilities:n Sewer[]Septic Building Height:
OWNER/LESSECt3NT,RACTR ��
. ,t ..
Name MARY G PATTERSON Name: MICHAEL GOODWIN
Address:13517 S INDIAN RIVER DR APT 802 Company: JENSEN BEACH ALUMINUM
City: JENSEN BEACH State:FL Address: 1720 NW FEDERAL HWY
Zip Code: 34957 Fax: City: STUART State:FL
Phone No.834-8747 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.
SU 'i `ENf»NT �CDN4TITlQ1 !�[ CIAW [NCRIIATIQN '
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _NotApplicable
Name: SUNCOAST ALUMINUM ENGINEERING LLC Name:
Address:13630 58TH STREET NORTH SUITE 101 Address:
City: CLEARWATER State: FL City: State:
Zip: 33760 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
r
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 thepermit 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 revie room additions,
accessory structures,swimming pools,fence ,w IIs,signs,screen rooms and accessory uses t nother on- ential use
WARNING TO OWNER:You all rei o cord a Notice of Commenceme r it i o ying twice for
improvemenrsti
ou r er . N ice of Commencement must e r r ed a d on the jobsite
before th p io . If o in nd to obtain financing, cons t wi I der torney before
comme in r or n r Notice of Commencement.
5
Signature of Owner/Less on a or as�Agentor Owner Signature Contractor L s Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST ,C Uf1a� COUNTY OF ST L!>Gl�E
The,for Ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiay of ,T 20`zby this 'qday of f()A]G' 20 1Z by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signatu f-Notary Pubiic-State of Florida
// )
Personally Known LOR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. S
ANN M.GAUMOND E-u'.
ANN M.GAUMOND
V d RhY COMMISSION#FF 17 C07
EXPIRES:December 7,2018RES:December 7,2018
Revised 07/15/201Bonded Thru Notary PubliThru Notary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
r -