HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INEq MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l IVA SCANNED Permit Number:BY
St. Lucie County
Building Permit Application AUG S 2",;
Planning and Development Services PER',111 Si. Luc:n C,,.T..—
Building and Code Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982
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
P,RnPOSFD IMPROVEMENT I CICATION
Address: 23 LAKE VISTA TRL APT 206, PORT ST LUCIE
Legal Description: VISTA ST LUCIE BLDG 23 UNIT 206 (OR 3898 -2514)
Property Tax ID #: 3422-500-0321-000-6
Site Plan Name: FAMIGLIETTI
Project Name: FAMIGLIETTI
Setbacks Front NIA Back; NIA
Right Side: NIA Left Side: NIA
DETAILED -DESCRIPTION, -OF WORK
HURRICANE SHUTTERS (40PENINGS ACCORDIANS)
Lot No.
Block No.
CONSTRUCTION' INFORMATION " s
rtiona wor to e e orme un ert ispermrt—c ec a apply:
❑HVP Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric Plumbing Sprinklers 0 Generator 0 Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1800.00
5 Ft. of First Floor:
�
_
utilities. Sewer Septic
Building Height:
OWNER /LESSEE: �i
;CONTRACTOR
Name MICHAEL FAMIGLIETTI
Name: MICHAEL GOODWIN
Address: 23 LAKE VIST TRL APT 206
Company: JENSEN BEACH ALUMINUM
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 882-2146 —
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 $2S00 or more, a RECORDED Notice of Commencement is required.
SUP,PLEMENTA,L CONSTRUCTION,LIEN LA' -IN FORMATION ri
m
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
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 Ownl 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, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your fa' re to ecord a Notice of Commen ent ay res It' ur paying twice for
improve to you pro e . A otce of Commencement st be ord posted on the jobsite
before a fir insp do . I ou i end to obtain financing, nsult le o an attorney before
com encin rk r re or, i ur Notice of Commence ent.
s
Signature of Dwner/LesseQCcYntractor as Agent for Owner o ontractor Li nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 9,— /_ COUNTYOF--!:;17—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thdy of SUy E 20/by tlday of TUHJE 20`Z by
(Name of person acknowledging) (Name of person acknowledging)
(Signatu f-gotary Public- State of Florida ! (Signatdre—ef4etary Public -State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
'`.' "'•. ANN M. GAUMOND
•::= MY COMMISSION d FF 173907
f:.•• EXPIRES: December 7, 0
'1'`$' Bonded Thm Notary Public Undeiwmem
Revised-07/15/2014 '"P^F�`'-
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
ANN M. GAUMOND
EXPIRES: December 7, 2018
Bonded Thou Notary Public Undeiw hers
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