HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa. .
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ALL APPLICABLE INFO MUST BE COMPI I TED FOR APPLICATION TO BE ACCEPTED i p 2 q y
Date: 2)1%5( t9 Permit Number: 10 U J d 0
RECEIVED
Bi d1cling Permit Application u'ie FEB 1 5 1018
Planning and Development Services 31v� f/'J'�
Building and Code Regulation Division Permitting Departi
st. Lucie Couni
2300 Virginia Avenue, Fort Pierce FL 34982 �/
Phone.: (772) 462-1553 Fax: (772) 462-1578 Commercial /� Residential
PERMIT APPLICATION FOR To Select from dropbox, click arrow at the end of line III
PROPOSED. IMPROVEMENT Ldt,,,4TION: "
Address: St— E—kkICW_ V151-
Legal Description: - JtG-M S'C �� �� O(' 0N17 o'>a`► 0t23bp1 0
3G68—IZ�I
Property Tax ID#: 347,1-- co- by4C:-000 Lot No.
Site Plan Name: U`40VJ _ Block No.
Project Name: C u'fP^};
Setbacks Front 1 � Back: __N�A- — Right Side: NJR Left Side._
DETAILED DESCRIPTION OF WORK: 3;
0i0711(1G eblw.rGt-fe sun -f40r,
CONSTRUCTION INFORMATIO,r'J+ f
Minna wnr to P ne orme unr a, ffiiis oermn —check all thaappiV
E1HVAC LJ Gas Tank: 0Gas Pi
Electric El Plumbing CISprW
Total Sy. Ft of Construction: ilp
Cost of Construction: $
ng II Shutters
.rs 11 Generator
S Ft. of First Floor: _
Utilities: Sewer 0Septic
Ln Windows/Doors
0 Roof = Roof pitch
Building Height:
OWNER/LESSEE: i-'
CONTRACTOR,.~-�
Name
Name: MICHAEL G(ODWIN
Address:
Company: JENSEN BEACH ALUMINUM
City: State:
Zip Cade: 61,%I Fax:_
Phone No.o2(2 - 691— 'I�pOr _
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
34994
Zip Code: Fax: 692-9744
Phone No. 692-00P0
E-Mail:
Fill in fee simple Title Holder on next pa„ e ( if different
from the Owner listed above)
E-Mail: MICHAELLO'OODWIN@YAHOO.COM
State or County License: CGC 1508437
If value of construction is 5Z5ou or more;,a r tLUNUtU Notice or Lommencemem n oeyullcu.
SUPP,LEMENTALCONSTRUCTIb�i,LIEN LAW INFORMATION: u:
Name: Lditi0 A
Address:_19
City: u•
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:
one:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING
Name:
Address:
City:
Zip: Phone:
_Not Applicable
I certify that no work or installation has c`omi fenced prior to the issuance of a permit.
St. Lucie County makes no representation tha=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.Owt_ers Association, and review your deed for any restrictions which may apply.
In consideration of -the granting of this�equested 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 applicatioris.aralkempt from undergoing a full concurren[y-review: room additions,
accessory structures, swimming pools, fences; walls, signs, screen rooms and accessory uses to another non- esidential use
WARNING TO OWNER: Your failu/641
ord a Notice of Commenceme may result i paying twice for
improvements to ur prop y of Commencement mus a ecordec ted on the jobsite
before the first' s ection tip/o obtain financing, con It wenrd attorney before
rommencine or or re r ce of Commencemen .
STATE OF FLORIDA "` `. r " STATE OF FLORIDA
COUNTY OFf52�— COUNTY OF..S'T I_Lr_AF_
t L )c
The forgoi g instrume t was acknowledged G✓aSbefore me The forgoi g instrument was acknowledged before me
yof �%
th��� 20/p_by this/of_<A 20% by
i Rom; )
(Name of person acknowledging I (Name of person acknowledging )
(Signature -of Notary Public -State ofTloricla ; �t. (Signatu f-Notary Public- State rida I
Personally Known OR Produced+jdeotification Personally Known —Z— OR Produced Identification
Type of identification Produced Le Type of Identification Produced
Commission No. =+"'
_'•.=
'"
MYG" d 'FF 173907
Commission No.
'
(Seal)
P.
o
EXPIRESi Decern er7, 2018
, � ^
" "°v"•
ANN M. GAUMOND
�•'•'
Bonded ThruNotary h�j.c UrWemraers
"NIY
eONHISSI6nh'tf-F173SB7—
,y;
EXPIRES: December 7, 2018
ReVISOd 07/15/2014
Bonded Tow Notary Pubrc Undenmlers
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