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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Date. Permit Number: I 1 l O� m , . pp � Building Permit A licatiRED Planning and Development Services Building and Code Regulation Division NOV - 8 ?018 23001Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Retjj ent PERMIT APPLICATION FOR: To Select from dropbox, click arrow a �Un Y, FL Addr Legal Prope Site PI Proie( Total Cost S O C&V, &Z li-. escription: St Lucie County :y fax ID #: � �°y 7e)1 — tot — o0o " S Lot No. n Name: Block No. Name: G��S �/��►� ks , Front % Back: NI,� Right Side: N ill- Left Side: j (l/NSW �o�✓L �7��%l�'7Nat1�s / 3 (��©�/�6S ��✓"!°f}v�- I onal work to be nertormed under this permit —Check all that Gas Piping apply: Shutters Windows/Doors HVAC Gas Tank Electric El Plumbing Sprinklers Generator Roof Roof pitch ;q. Ft of Construction: f Construction: $ OTC OQQ S Ft. of First Floor: Utilities:Sewer 0Septic Building Height: auwmi..» „i.,,.,w,.L:4,,,,,, ,, ,,,,;, �.I ,k ,,, ,.- ,,. ,,«..�.,, __, .a= ,. �„ .�.... ,,d,,,, „�,,,, ✓ corvTr ,,. ,, �'a�Z ,.uS ,...x �,� '?�_,+Yn �,, ,r% $aa., .-Yf Name /'-'A4- -94- Name: MICHAEL GOODWIN Address: City: Zip Code: Phone l E-Mall: /v y Company: JENSEN BEACH ALUMINUM d�����'-'r State: Pt- "i 9S-7 Fax: No. ��/ �% S Address: 1720 NW FEDERAL HWY City: STUART State: FL Zip Code: 34994 Fax: 692-9744 Phone No. 692-0090 E-Mail: MICHAELLGOODWIN@YAHOO.COM Fill in from ifee simple Title Holder on next page'( if different 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 SU'Pl EMS( NT 1UCONSTR ' CTION LIEN LAUV INFORMATION �, �� p� zlq r .w„ ,... ,a fa - 3 2%,,: •� hM: fXr"C5 ^�,rv,,, r'", ;;"l' 1 ',"r�».J ,�4.4 ,,,, nd ,� ...' DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: haa1- 4_41AAi1-_Vd4 Name: Address: 5 t V A_At-t^1,5M fit— 5-0friF Address: City: State: a L_ City: State: Zip: �hon(U 37L1!:9Z yrTT_ Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: i 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, fence , walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your it re o Record a Notice of Commencement may re ul our paying twice for improvements to your pr p rt . Notice of Commencement must be recor posted on the jobsite before the first inspe i . f intend to obtain financing, cons with r an attorney before commenci w k r c our Notice of Commencemen i Owner/LessWContractor as Agent Signature of Contracto 'cense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFF .0 !,G%F COUNTY OF The f r�M�'n�g instrument was acknowledged before me, The forgoing instrument was acknowledged before me this `�cTay of / ri// 2qV by this y of X�Oy 20, by //lyiri��L_ �DDI��I,Ci (Name of person acknowledging) (Name of person acknowledging ) (Signatu 6f'Notary Public= State of Florida) (Signature -Notary Public- ate of Flo Personally Known OR Produced Identification Personally Known f" OR Produced" Identification Type of Identification Produced Type of Identification Produced Commission No. Seal Commission No. (Seal) :a• ANN M, GAUMOND ,.: r :Pv'o� ., ANN M. GAUMOND i- Revised 07/ 15/201 I 'Af f ° EXPIRES: December7, 2018 Bonded Thnr Notary Public Underwriters! - ''=., _",;,a;: ' of ilt° `` EXPIRES: December 7 2018 Bonded Thni Notary Public Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS