HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
. 7
Date: , /7! SCANNED Permit Number: I V I3p-
3 BY RECEIVED
i. I€ St. Lucie Count
Building Permit Application AUG /7 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 1
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 5846 SUMMERFIELD CT#51D, FORT PIERCE FL
Legal Description: THE GROVE CONDO SECTION'ONE UNIT 51 D
Property Tax ID #: 3410-507-0204-000-4
Site Plan Name: WISE
Project Name: WISE
Setbacks Front N/A Back: N/A
39921032)
Right Side: N/A Left Side: N/A
DOOR REPLACEMENT 2 OPENING / SLIDINDG /EXISITING SHUTTERS
— cnecK a
�HVAC LJ Gas Tank [—]Gas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5,000.00
Lot No.
Block No.
Shutters QWindows/Doors
Generator 0Roof = Roof pitch
Sql —Ft.I of First Floor: _
Utilities:In Sewer 0 Septic
Building Height:
OWNER%LESSEE;
CONTRACTOR
..
Name WISE CARL & MATILDA _
Name: MICHAEL GOODWIN
Address: 5846 SUMMERFIELD CT #51D
Company: JENSEN BEACH ALUMINUM
City: FORT PIERCE State: _
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: 34982 Fax:
Phone No:413-237-7358 ---- __ _
-82
_Zip Code: 349-Fax: 692-09744- - --
Phone No. 6952-0090 �(�' .�� V
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
from the Owner listed above)
If value of construction Is sz5uu or more, a KtWKutu nonce 01 1a ...... a:�.
SUPPLEMENT AG CONSTRUCTION,LIEN LAW INFORMATION;;
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: STEVENMORGAPE Name:
Add re SS: 1363058TH STREET NORTH SUITE 101 Address:
City: CLEARWATER State: FL City: State:
Zip:33760 Phone:727-532-soon Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count
yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 xempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, f s, w s, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWN R: Y f ' to ecord a Notice of Commence t a�resuVX/noorney
ur paying twice for
improvemer�t�t r p . A ice of Commencement n e r�drdste othejobsite
before th it i e n. u - tend to obtain financing, co ult en rbefore
STATE OF FLORIDA
COUNTY OF
The fo going instru nt was cknowledg
this day Of /2210
1 1ar+)r., l o
OR Produced
Commission No:
STATE OF FLORIDA
COUNTY OF
d before me The ting instr er
1by thisda of D
IM
(Na a of a on ackn
LEE TINNEY
Com
Notary
1 "7-1, rJ
i5 acknowledged before me
20 �% by
I,
tate of F rida )
OR Produced I -cation
iced
JJC14N CEE TINNE(Seal)
ry Public - State of Flonla
5 My Comm Expires Nov 15, 2018 j ao•` Commissirr d -� 165376
Revised 07/15/2�, a Commission # FF 165316 Bonded mrde�a 'rntary Assn.
"•iR�F!°o• o,..,nen m.,.,:n uminml Nm�ry 4ecn .y..�
REVIEWS
FRONT
COUNTER
SUPERVISOR PLANS
REVIEW REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
ZONING
REVIEW
DATE
COMPLETE
INITIALS