HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO (MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: . • 1- • 1 vl Permit Number:�-
Building Permit Application FEB 2 0 201'
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, FortPierce FL 34982 SCANNED
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X es , BY
PERMIT APPLICATION FOR: P �ytl�
To Select from dro box, click arrow at the end of line
.PROP,OSED IMPROVEMENT LOCATION:
Address:
— S OCi K(S-h
Legal Description: 27 36 40 ALL THAT PART LYING E AND N OF ST LUCIE RIVER AND W OF US 1- LESS AS IN ORS 2519-1312:2563-24
362570-2923:2525-2748:2591-608:2786.28533136-77 : 3145-0359 : 3161-171; 3161-174: 3782-2318: 4020-2298: 4062-1023: 4121-942. (217.62 AC - 9,479,527 SF) (OR 254-1990, 2013)
130fi=111_nnnl-On0/0 / Alternate Key 03 _
Property Tax ID #- >Ld I 1 I
Site Plan Name: KUZMA Block No.
Project Name: KUZMA
Setbacks Front Back: NA Right Side: NA Left Side: NA
DETAILED DE5CRIPTION.OF'WORK
CAT II SUNROOM/ 160 MPH EXP B /EXISITING CONCRETE SLAB & ROOF &EGRESS LIGHTING/
IMPACTROOM
CONSTRUCTION INFdR'MATION:
,e
Additional work to e e orme under tispermit—checka apply:
OHVAC 0GasTank Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 10,520.00
S Ft. of First Floor: _
Utilities: Sewer 0Septic
Building Height:
OWNER/LESSEE;
CONTRACTOR:,
Name KUZMA, KEN
Name: MICHAEL GOODWIN
Address:22 ALTA LOMA
Company: JENSEN BEACH ALUMINUM
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 540-299-3953
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
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 52500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: DAVID NORRISS ENGINEERING
Address: 112 COLEMAN RD
City: WINTERHAVEN State: FL
Zip: 33880 Phone: ee3-299-1048
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address: _
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 andcovenantsthat 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, 1 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: Your failure
improvements to your prope�rrA{y�
before the first inspection. If oUir
as
STATE OF FLORIDA
COUNTY OF
cord a Notice of Commencement may
e of Commencement must be recor
to obtain financing, consult with er
:ice of Commencement.
STATE OF FLORIDA
COUNTY OF
in yoi ying twice for
2
ed on the jobsite
%ttorney before
The fo o�'ggg ,iinstrument was acknowledged before me The forgoin instrument was acknowledged before me
thi�Re M5 20`341y thiV_ of /�A .20Z-9by
(Name of person acknowledging) (Name of person acknowledging)
(Signature oYNotary Public- State of Florida) (Signature ofNotary Public- State of Flonda )
Personally Known ✓ OR Produced Identification Personally Known L,-' OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07
Commission No.
ANN M. GAUMOND
EXPIRES: December 7.2022
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