HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTS?);
Date: �,/ ,� • 17 SCANNED Permit Number: 1 I• Q
- � S4. Lucieie County RECIEHVE®
Building Permit Application
Planning and Development Services NOV 15 2017
Building and Code Regulation Division !
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1,578 Commercial X Residential
PERMIT APPLICATION FOR. To Select from dropbox, click arrow at the end of line
onntincrn'lniionnvrniicnlr i nrR.rinnl. ' x - r:.,• � . .: .': • a " .. �; 'n � . `
Address: 13505 S INDIAN RIVER DR 203,
Legal Description: INDIAN RIVER LANDING BLDG 2 UNIT 203 AND UNDIV SHARE IN COMMON ELEMENT (MAP 45/09SX)(OR 2837-1774)
Property Tax ID #: 4509-804-0015-000-0 Lot No.
Site Plan Name: CIMITLE _ Block No.
Project Name: CIMITLE
Setbacks Front N/A Back: NP. Right Side: NIA Left Side: NIA
I�DETA'ILED DESCRIPTION OF WOfX: ,_ &• x i� 5w. <e• ,' 1 - ;, C;.>III
WINDOW AND DOOR REPLACENT(6 OPENINGS IMPACT)
(SLIDING GLASS DOORS/ SINGLE HUNG)
CONSTRUCTIQN INFORMATION: ,' s,'S,•
HUUILIU11d1 WU1R LU UU
�HVAC
U11UnneU
Gas Tank
UUUI7 Inb PU111uL—L11ULKdu
., Gas Piping
_Shutters
apply:
Q Windows/Doors
Electric
0 Plumbing
I__ISprinklers
1:1Generator
Roof Roof pitch
Total Sq. Ft of Construction:
_ : S
Ft. of First Floon,
Cost of Construction:
$ 14,000.00
Utilities:ll
Sewer Oseptic
Building Height:
OWNER/LESSEE-�;,l
GONTRACTpR j'
Name CIMITILE, JOSEPH & BARBARA , q_
Name: MICHAEL GOODWIN
Address: 54 REDAN DR, SMITHTOW_ N7 NY 11787
Company: JENSEN-BEACH ALUMINUM
SMITHTOWN "`' NY
City: State: _
Zip Code: 11787 Fax:
Phone No. 516-313-2001
Address: 1720 NW :-EDERAL HWY
City: STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail:
Fill in fee simple Title Holder on nextpagt (if different
from the Owner listed above)
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
IIIt value of construction is $2500 or more, a`RECORDED Notice of Commencement is regaired. II
SUPPLEMENTAL`CONSIRUCTIO��=LIEN
... FA VN?! v
LAW iN,FORIVIATION;`a
'«Y.: .. r', `M:. „_•- - ,,.�_ � £.�{p.
-.. u�".
DESIGNER/ENGINEER: Nor: Applicable
Naive: SUNCOAST ALUMINUM EGINEERING
MORTGAGE COMPANY:
Name: '
_ Not Applicable
Address: 1362058TH STREET NORTH SUITE 101 !'
Address:
City: CLEARWATERi" State: FL
Zip: 33760 Phone: 727-532-e000
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify_that no work or installation has come ienced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conf lict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home O ' 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 applic ionsgreexempt from undergoing a full concurrencyreview: room ad •tions,
accessory structures, swimming p s, ces walls, signs, screen rooms and accessory uses tc another, -residential use
WARNING TO N . Yo f re t611ecord a Notice of Commencement may r ult i r paying twice for
improveme s t y pr p . A NC:ice of Commencement must be recur ;da osted on the jobsite
before th first' cti u intend to obtain financing,cmTs Alt with i. duattorney before
Comm cin¢ w Orr co a vour I lotice of Commencem%nt. / // //
STATE OF FLORIDA '"I;`'° STATE OF FLORIDA
COUNTY OF.S T .tVC1,4'Z_ ` r' COUNTY OF_Sr�_ .C-UC_,6
The for 9 instrument was acknowledged -before me The forgoing � instrumengt was acknowledged before me
this%/`'`"B5y of LM (/ 201�1 y thiy� A3y of ii/ 201—,"r by
/L/CG,�ffl�L �OD%Ju�/� r �DD�cylc�
(Name of person acknowledging) (Name of person acknowledging)
��
(Slgna f-Notary Pu hc- tote n oda j (Si nature public- tote o ndado
Personally Known � OR Produced Idertification Personally Known 4z�_ OR Produced Identification
Type of Identification Produced -- Type of Identification Produced
Commission No. Nly.Niom Commission No. .3. Seal1
MY I&JISS1 DecX�f#'F1'173907 :�*a y•.,,, ANN M. GAUMOND
z= EXPIRES: Decsinbe}7,2018 __+,- 1�
Bonded Than Notary POW eiwr EXPIRES: December 7, 2018
AF
8` Bonded Thro Notary Public Undenadters
Revised 07/15 U11
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