HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC BL INFO MUST BE COMPLI TED FOR APPLICATION TO BE ACCEPTED
Date "
JI:HIVN�p Permit Number:
BY
` ; St. Lucie Countv RECEIVED
Building Permit Applicatie,1 APR 0 4 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-1553 Fax: (772) 462' 1578 Commercial Residential
PERVIT APPLICATION FOR: J'o Select from dropbox, click arrow;4t the end of line
I�i.� I=
PRO
POSED IMPROVEMENTLOCATION:
Address:- 3%$-b 5 ocimnl _P✓L Ifl32
Legal Description: 4"75o S OGEziN (�✓L ���
IS car i� j�,yrs c��. ✓� o t1 �11n^-T' L Z of KaOwr.16AI,! Go ^✓� b y %8�- Za86
Property Tax ID #: 26 3$- —Go l - boll - 000 Lot No.
Site Plari' Name: fjLYk 7��o�f I Block No.
Project Name: A- 5 T- 1
Setbacks Front N '? Back: -'JoL — Right Side: ~�`� Left Side:
:e
e
DETAILED DESCRIPTION OF Vii T K'::p.
;,; /�'L ��✓aAu.�lc�v�' ��o��.>rit,t?��rriri�/r; S�u��
CONSTRUCTION INFORN11AT10Nf�
Mona worcto�rform'ne u ei zhispermit -c ec all apply:
OHVAC Gas Tank _ 1]Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing USprinklers ElGenerator Roof Roof pitch
Total Sq,,Ft of Construction: - i".-' S Ft. of First Floor: _
g��-
Cost of C. onstruction: $ / Utilities: _SewerSeatic Building Height:
OWNERLESSEE: e, . n4° �I�, CONTRACTOR°' `
Name l�a 9,i1'l A'ST'] � GNyu<rJeetC Name:
MICHAEL C CODWIN
Address: ?5'z) 5* M L17L Company: JENSEN.-BEACH ALUMINUM
City: -TLrifCY� (?aLYFr + _ State.`r2 Address: 1720 NW FEDERAL HWY
Zip Code: �cfrj S"�% Fax: City: STUART _ State: FL
Phone No. Lis - Zoli`7; Zip Code: 34994 Fax: 692-9744
,I
E-Mail:' Phone No.
692-0090
"`p'a r' MICHAELL ,)ODWIN@YAHOO.COM
Fill in fee simple Title Holder on next.pa.;e.(if different E-Main: ,._
4 r l ` CGC 1508437
from the Owner listed above) State or County Lic',-mse:
If value of construction is $2500 or more; f RECORDED Notice of Commencement is ro ilred.
SUPPLEMENTAL CONSTRUCTI�'tUEN LAIN INFORMATION:
d.
DESIGNER/ENGINEER:
_' Nit :.Applicable
ORTGAGE COMPANY:
_ Not Applicable
Name:
&Ncf QUh/N l?1
ame:
Address: 13fz3��lgru
4fVk�r i�/�ert�t�l
Address:
City:
State: I?LG
City:
State:
Zip: Phone:
Zip:
Poone:
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 c [irrfenced prior to the issuance of a permit.
St. Lucie. Countyy makes no representation tfiatis granting a permit will authorize the perrriit 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, ir, .Jllrespects, perform the work
in accordance with the approved plans, the Eloiida Building Codes and St. Lucie County ArNbriciments.
The following building permit applicationsiare a empt from undergoing a full concurrenryreview: room additions,
accessory structures, swimming pools, fenc'y�alls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:
imoroJements to vour f
eta7ye li
STATE OF FLORIDA J�.,�
COUNTY OF S7T /,_IG
cord a Notice of Commencement
e of Commencement must be r
to obtain financing, consult
The forg ing instrument was acknowledgg8,heYore me
th— Allay of
Personally Known. OR Produced'lrjentification
Type of I�cjentification Produced
Commission No.
1°;I �"'ti&••, VIANNM.GAUMOND �gFg
M1r &MISSION # FF 173907 Ig
Revised 07/15/2014
Undeneriters
result ii aying twice for
ie I ayYd ted on the jobsite
de or attornev before
STATE OF FLORIDA.,
COUNTY OF 5777— ii 1�C1�
is
The forgcIiinng instrumejtwas acknowledged before me
thj� ^' 4y of 20 ,g by
(Name of person acknowledging)
(Signature ry Fubli State of F orida )
Personally Known 1,<': OR Produced Identification
Type of Identification Froduced
Commission No. (Seal)
+& gas EXPIRES: December 7, 2018
•"?;pr„r?`- Bonded Thor Notary PoUic Undemriters
REVIEWS
FRONT
ZONING_ ' I SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW+"- ., I REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS,,
4'li `G ti
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - Permit Number:
'Building Permit Application SCANNED
Planning and Development Services j: IC BY
Building and Code Regulation Division t ' St. Lucia C;nl lnt%
2300 Virginia Avenue, Fort Pierce FL 349821
Phone: (772) 462-1553 Fax: (772) 462- 1578 Commercial Residential
PERMIT APPLICATION FOR: Tq Select from dropbox, click arrow at,the end of line T
PROPOSED IMPRCiVEMENT`LOCAJION:
Address:
,t
Legal Description:
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: y"»'; '•'s'
Setbacks Front Back: , Right Side: Left Side:
c, , :-.
DETAILED DESCRIPTION"OF 1NQiK Y i'
CONSTRUCTION INFORfVIAT10N'..ij
-Adaitiona wor to e
e orme .under tispermit-check
all
apply:
Q
11HVAC
Gas Tank
?`'_ EDGas Piping
_Shutters
r _
Windows/Doors
Ll Electric 0 Plumbing
;j' Sprinklers
Generator
i
Roof Roof pitch
i
Total Sq. Ft of Construction:
ty
h!• 1 `.
S Ft. of First Floor:
Cost of Construction: $
Utilities: _Sewer Septic
Building Height:
OWNER/LESSEE = -
CONTRACTOR: `
Name
Name: MICHAEL GOODWIN
Address:
- -
Company: JENSEN BEACH ALUMINUM
City:
V _State:_
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: Fax:=' ` _ F7
Phone No.
Zip Code: 34994 •• - Fax: 692-9744
Phone No. 692-0090
E-Mail: :: r
Fill in fee simple Title Holder on next page (if different
E-Mail: MICHAELL.(jOODWIN@YAHOO.COM
State or County License: CGC 1508437
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires.