HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit NWCber:
�01 I 9W --I
RECc-:ivEo
• Building Permit Application
NOV 3 0 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982.
Phone: (772) 462-1553 Fax: (772) 462r1578 CommNcial Residential X
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PERMIT APPLICATION FOR: ronhC)X, k
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Address: 7903 PLANTATION LAKES DR
Legal Description: RESERVE PLANTATION PHASE I LOT 66 (OR 3791-1877)
Property Tax ID#: 3321-801-0066-000-4 Lot No. _.—
Site Plan Name: WOODSON Block No.
Project Name: WOODSON
Setbacks Front NIA Back: 47-30' Right Side: 42.28' Left Sid-:' N/A
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t, DE `aO F'WO M, 44,
DETt 4
150 MPH EXP B POOL ENCL OSi IRE/ WITH NEW & EXISITING CONCRETE SLAB/ 20/20 MESH
CONSTRUCTtOIk A I
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Additional wor to be nertormed is permit — cnecK all apply:
In
11HVAC r�[]Gas []Windows/Doors
Gas Tank Piping Shutters
r7-1
F!ectric ElPlumbing _J Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
15,500.00 [IS-: Height:
Cost of Construction: $ U111lues: Sewer otic Building
R,,L TR z ACTO'R'.'V-,"
Name WOODSON, FLOYD & GLORIA
Name: MICHAEL GCiODWIN
Address: 7903 PLANTATION RD
Company: JENSEEN BEACH ALUMINUM
City: P ORT ST LUCIE State: FL
Address: 1720 NW HWY
City: STUART State: FL
Zip Code: 34986 Fax:
Phone No. 203-305-4370
Zip Code: 34994 Fax: 692-9744
E-Mail:' .. .....
Phone No. 692-0060
Fill in fee simple Title Holder on next.p e if different
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E-Mail: MICHAELLCk.ODWIN@YAHOO.COM
from the Owner listed above)
State or County Lice -nse: CGC 1508437
If value if construction is $2500_or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ ,Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: FLORIDA ENGINEERING LLC
Name:
Add ress: 4456 TANAMI TRAIL UNIT B14
Address:
City: PORT CHARLOTTE State: FL
City: State:
Zip: 33980 Phone: 941-391-5980
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not'Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: r
Address:
City: V.City:
Zip: Phone: -=
Zip: Phone: _
I certifythat no work or installation has coTtimenced 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 addi ' ns,
accessory structures, swimming pools, fences;, walls, signs, screen rooms and accessory uses to anotl r no esidential use
WARNING TO OWNER: Your fail o ecord a Notice of Commencement may re n y9dir paying twice for
improvements to our prop rt ice of Commencement mus record nd osted on the jobsite
before 'the fir ins e�ion/, i ' en`d.to obtain financing, co ult i Le r n attorney before
commenci wor gf/recd' FNotice of Comme A'' `
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forg�giig�gg instrument was acknowledged he fore me
thiizEe*y of d,D// 2GeZ; iy
(Name of person acknowledging) r"y:
(Signature-o 'Notary Pu/blic- State of Florida?
Personally Known `' OR Produced Identification
Type of Identification Produced
Commission No.
MY
?"% ;F F •:`' Bonded Thiu Not
Revised 07/15/2014 `,...:.:s.• ..,.a
GAUMOND
;ION # FF 173907
murrrber72018
ry Public Underwriters
STATE OF FLORIDA
COUNTY OF l 14-0C16;
The forgoin Instrument was acknowledged before me
thig2Z �Z// 2012 by
17
//ZC12�1 �4 6�4_4
(Name of person ackli:owledging )
(Sign atur otary.PubbIic- fate of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION # FF 173907
Bonded Thru Notary Public Underwriters
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