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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r Q ��
Date: Permit Number:
Building permit Application AUG 0 �,
Planning and Development Services t7 201/ ,
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
Address: 5846 SUMMERFIELD CT #51 D, FORT PIERCE FL
Legal Description: THE GROVE CONDO SECTION ONE UNIT 51D (OR 39921032)
Property Tax ID #: 3410-507-0204-000-4
Site Plan Name: WISE
Project Name: WISE
Setbacks Front N/A Back: N/A
Right Side: N/A Left Side: N/A
Lot No.
Block No.
CAT II SUNROOM / 160 MPH EXP B / EXISITING CONCRETE SLAB & ROOF & SHUTTERS &
EGRESS LIGHTING .
❑ HVAC
11 Electric
❑ Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5,000.00
LJ Shutters
Generator
S Ft. of First Floor: _
Utilities:D Sewer Septic
Windows/Doors
Roof Roof pitch
Building Height:
OWNER%LESSEE`
CONTRACTOR
Name WISE CARL & MATILDA
Name: MICHAEL GOODWIN
Company: JENSEN BEACH ALUMINUM
Address: 5846 SUMMERFIELD CT #51 D
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.413-237-7358
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: 34982 Fax: 692-09744
Phone No. 6952-0090
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
If value of construction is $2500 or more, a KtLUKUtU imotice or Lommencemeni is iegwreu.
DESIGNER/ENGINEER: _ Not Applicable
Name: DAVIDNORRtsPE
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 112 COLEMAN RD
Address:
City: wINTERHAVEN State: FL
Zip: 38880 Phone: 863-299-1048
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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: Yo r/'e Record a Notice of Commencement may result in your paying twice for
improvements to your pr ptice of Commencement must be recorded a p st on the jobsite
before th t in�b ecti n.nd to obtain financing, consul it der r orney before
Comm cing cf1f�pr c Notice of Commencement.
s
Signature of Owner/Le`6
STATE OF FLORIDA
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COUNTY OF,
The t9o
ing instthisday�f
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(Name
ractor as Agerjt for Owner Signature of o e Hoiaer
STATE OF FLORIDA
101I►J COUNTY OF 211, V
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(nowledged before me The Ir
ing instru ent was acknowledged before me
20 aby thisday of UOUYr20 0__ by
p l� )11 1Q.L
(Name of ers n know_ Igclging )�
of otary Publi tate of Flori ) N I (Signature of N\tary PubK-State of Florida
Pe ovally Kno n OR Produced I�n Persona nown V. OR Produced IdentifTeat(on
Typ of Identific tion Produced Type of Identification Produced
Comm o. l ( �� Commission No. A PU • JOHN L EY
•`4•Qy p`�' JOHN LEE TiNNEY ; Notary Public - State of Firnrid,
My_GeFnm. Expires Noy 1-54018
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=• : ��: • My Comm. Expires Nov 15, 2018 '•;�9, Commission # FF 165316
Revised 07/15/2 $% oao�� Commission # FF 165316 1'FO`."J�'BonaelthroughNationalNotaryAssn.
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REVIEWS
FRONT
COUNTER
SUPERVISOR PLANS
RE IEW REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
ZONING r
REVIEW
DATE
COMPLETE
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INITIALS