HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE C011.0LETED FOR APPLICATION TO BE ACCEPTED
Date: �a\a� ` �1 "' Permit Number: `� �a' dS1
B€_sliding Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ,,
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To' Sielect from dropbox, click arrow at�the end of line
PROPOSED IIVIPROVEMEIVT LO:C'l3TION r „
Address: 217 E EASY ST , FORT PIERCE, FL 34982
Legal Description: INDIAN RIVER ESTAT�S UNIT 03 BLK 14 LOTS 16,17 AND 18 (MAP 34/10S)(1.22AC)(OR 3195-751)
Property Tax ID #: 3402-604-0016-000-2 Lot No.
Site Plgn Name: MICHAEL Block No.
Project Name: MICHAEL
Setbacks Front N/A Back- '�;,/�s Right Side: N/A Left Side: N/A
160 MPH EXP-B / SCREENRO6I 4 / EXISITING CONCRETE SLAB
E]I IVAC LJ Gas Tank
` :DGas Piping
❑_
Shutters
a Windows/Doors
Electric
Plumbing
41I J
Sprinklers
Generator
E]
Roof
Roof pitch
Total So. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ 7000.00
= Utilities:
_ Sewer C Seat'.c
Building Height:
[Tll1lAIGR^%l GCCGG_.,s z t 'd n. ;ru'?s
('(1AITRArTno.
Name JOSHUA MICHAEL & KIMBERLY A Mla ,HAEL
Address: 217 E EASY ST
City: FORT PIERCE " '- State: FL
Zip Code: 34982 Fax:
Phone No. 772-263-0255 =
E-Mail: - Y
Fill in fee simple Title Holder on next p;.:;;e,( if different
from the Owner listed above) ~�
Name: MICHAEL GOODWIN
Company: JENSEi' BEACH ALUMINUM
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail: MICHAELI".' ODWIN@YAHOO.COM
State or County Lice,hse: CGC 1508437
If value of construction is $2500 or more; a F,F.CORDED Notice of Commencement is req-jired.
SUPPLEMENTAL CONSTRUCTiUI'L�IE,NjLA11U INFCiRMATION k r
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fiy. �'.5^'.
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DESIGNER/ENGINEER: _ Not:Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: FBC PLANS & ENGINEERING SERVICES :`
Name:
Address: 6272 ABBOTT STATION DR UNIT 101
Address:
_
City: ZEPHYRHILLS _ State: FL
City:
State:
Zip: 33542 Phone: 813-788-5314:
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 conl i pced prior to the -issuance of a permits
St. Lucie -County makes no representation- tliat is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home;Ow:j.ers 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, fe'nces,`walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure id Record a Notice of Commencement may
improve is to you pr rty oti-ce of Commencement must be recor
before a first in ti nte�nd to obtain financing, cons It •th I r
com nci ork r c r i V11r N'o"_tice of Commencemen .
-:s
,,
Signature of Owner/Less e/ ontractor aS.Agent�o_rer ignature of Contractor/
STATE OF FLORIDA
COUNTYOF
�j
The for g'ng instrument was acknowledged, before me
tlk =may of ���r' 2.Q� f?Y
(Name of person acknowledging)
I+r{
(Signature of Notary Public- State of Florida'): --
Personally Known ✓ubOR Produced fdertification
Type of Identification Produced _
Commission No.
ANN.h . GAUMOND
-.• ' .: MY COMMISSION # FF 173907 u
r paying twice for
sted on the jobsite
attorney before ,
Holder
STATE OF FLORIDA
COUNTY OF SST �L�GLt�
The forgoing instrument was acknowledged before me
t1,�7� M of lDe5,C 201Z by
(Name of person acknowledging)
(Signatub —State n Florida
tart' Pu•
� )
Personally Known %OR Produced Identification
Type of Identification :Produced
Commission No.
ANN M. GAUMOND
;, a: txNIHtS:-uecemoer �, zu IC EXPIRES: December 7, 2018
Bonded Thrh Notary Public Underwriters
Revised 07/ 15/2014 Rf' �„,; �. %' of c4`' Bonded Thru Notary Public Underwriters
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