HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C 9 Permit Number: qn; L4
RECEIVED
Building-Permit Application
Planning and Development Services APR U 9 2019
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRQPOSED,IMPROVE'MENT LOCATION:
Address: CQbr /VAS �L✓Q J�ir/ / �G I
Legal Description: AiETJ7c-5 /S[A,%V love, %} Cb/UOo 5cz:7,-,cn 11 1?k24&T_. �r
,At-40 Ago afk7A- - rN lcom' x ON kz6z!4fn�t'(
Property Tax ID#: gSbZ -'5bl -OSI S-1 '"'000-7 Lot No.
Site Plan Name: �Zf2�IN Block No.
Project Name:
Setbacks Front_ Back: AJA— Right Side: Left Side: N A•
DETAILED DESCRIPl'ION rOF WORK ;i•
4V4A1:cA7uE SS L — f CpENIA!(o EGECMe_ Reg., ap
C�LtJG !'✓ NJ E /G)
C0NSTRUCT"1'N"IN'FORMATIO'N "
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Additional work toe e orme under this permit-c ec a t appy:
HVAC E]Gas Tank Gas Piping iShutters Windows/Doors
11 Electric 0 Plumbing Sprinklers IlGenerator Roof Roof pitch
Total Sq. Ft of Construction: Sq.
of First Floor:
Cost of Construction:$ (y '� Utilities:0Sewer 0Septic Building Height:
LES OUR,.. CONTRAC,TOR•
,,.
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Name _Y6Ohi Name: MICHAEL GOODWIN
Address: 1-74 -f Company: JENSEN BEACH ALUMINUM
City: LtAcT 1 SLIP N'f State: /VJ Address: 1720 NW FEDERAL HWY
Zip Code: /1130 Fax. City: STUART State.FL
Phone No. 516) -775 - 0(a(aZ. 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
Sl3PP,LEMENTALCONSTRUCTlON LIEN LAW°IN4EfJRIVIATION�
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: T 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,fen s Walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Yo fail Record a Notice of Commencement may result in y r aying twice for
improvemen to y r pr per otice of Commencement must be r de n ted on the jobsite
before th Irs i ect" n. I intend to obtain financing, consult 1 r o ttorney before
comm cin or eco our Notice of Commencement.
s
Sign ure of Owner/Le ee/Contractor as Agent for Owner Signature of Contractor/Li ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF T" ./.t�G/� COUNTY OF � i lJC1
The for ng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay of IVAI� 20j-5�by thi��ay of� /�/ �— 20/p by
(Name of person acknowledging) (Name of person acknowledging)
(Signature-of NotaryPublic-State of Florida} (Signature o tory Public-State of Florida}
Personally Known_v,-_OR Produced Identification Personally Known v� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No.
ANN M.GAUMOND _ ►t"•?+ ,w ANN M.GAUMOND
Eft. t�Y COMMiSS10N#GG 2697#4MYCOMMISSION#GG 269714
EXPERTS:December 7;2022 -• ��`,,: EXPIRES:Decetni5er7,2422 IgRevised 07/1S/2Q1 'sondeanallotwyP�CUnde**= '. ,F:'.•• eoraedttw vubscunaerwrrters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
-COMP TE
INITIALS