HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLI TED FOR APPLICATION TO BE ACCEPTED q
Date: Permit Number: cis ,
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FED 20Z010
Pe Partment
Bu ldina Permital Pi"-11i �otis>r, St.tti
Lucie
Planning and Development Services i
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To,,.', lect from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT10tATION:
Address: q&5b 5 ry_;,t�_4 tcn/ �rAPJr}
Legal Description: ^TF �%i2WlESS UG }4Vru1 iNSc�N SS t�3�/) UN rt 10 )
6V2, _: P
Property Tax ID #: — dp/o L— cob, _ Lot No.
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Site Plan Name:�7G� t � Block No.
Project Name:_ U
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Setbacks Front /- Back:;,__._- �" Right Side: /�A Left Side: N �—
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DETAILED DESCRIPTION OF"
0P&_n/iA/GS
6v17--//- axtf1r/N6 5NkTTE- s
CONS�R>1CTION,INFORIVl' TIO Ni
mcnalwor to eve orme 'Ind n t!is permit—iall
UGasTank ]Gas ing Shutters 2� Windows/Doors
_apply,
rs❑HVAC
❑ Hectric ❑ Plumbing 'I L� Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sc. Ft of Construction: :., i� 5 Ft. of First Floor:
_
Cost of Construction: $� Utilities: Sewer ❑ Septic Building Height: _
OWN`-R/LESSEE'.t�Mi
CONTRACTORr
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Name �[ 1 (? Name: MICHAEL GCODWIN
-Addres _= yt Irk- ✓E - - - Company: SENSEN SEACH ALUMINUM
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City: Ar�r(,,Q , _ State: lw4 Address: 1720 NW =IHDERAL HWY
Zipcode:l_lLll(�sy Fax: _yCity: STUART State: FL
Phone No. (�/�— 'J'C()— Zip Code: 84994 Fax: 692-9744
E-Mail: Phone No. 692-0080
OODWIN
Fill in fete simple Title Holder on next F•a;;MICHAELLt>YAHOO.COM
e (if different E-Mail: _ @
from the Owner listed above) State or County Liamse: CGC 1508437
If value of construction is $2500 or more. a F •-CORDED Notice of Commencement is rer,uired.
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Name:
Addres
City: —
Zip:
FEE SIMPLE TITLE HOLDER: --Not Applicable
Name:
Address:
City:
Zip: Phone:
I)JIORTGAGE COMPANY: _ Not Applicable
me:
Address:
City: _ State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has'ci�i i a-Fnced prior to the issuance of a permit. .,
St. Lucie County makes no representation ti,e: isgranting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable 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 Fld'Fida Building Codes and St. Lucie County An 2ndments.
The following building permit application's'are ex mpt from undergoing a full cgncurrency.review: room adcjitions,
accessory structures, swimming pools, nic2s` s, signs, screen rooms and accessory uses teanotr residential use
WARNING TO' OWNER: Your dur. rd a Notice of Commen e t reayng twice for
improvemen o you pro rt . `ice of Commencemen ust r cordd on the jobsite
before t Irst i sp f eitd to obtain financi ,cons tJ� I rney before
STATE OF FLORIDA F STATE OF FLORIDAa*
COUNTY OF 47-- COUNTY OF !'.!r /L-1)C �
The for g instru n�was acknowledged taefore me The fory}of��g� instrum�i as acknowledged before me
thi�� d� of J 2q%gby th��"'d'ay of � � 20Le by
(Name. of person acknowledging) _ ?�
i
(Signature oMootary PPuu ' —State of Flori3.?)
Personally Knownd OR Produced ldertiffcation
Type of Identification Produced .•
.Cnmmic<inn Nn_ _ _ .(Seoll
M. MUMOND
.ERE:_Decernbr7,2018
Revised07/15/201BondedThmNolnWcUnd
(Name of person acknowledging )
(Signatureb"otary Puubblf>�ate of 'Fro—nda
Personally Known _v!_ OR Produced Identification
Type of Identificatior Produced
Commission No. _ (Seal)
ANN M. GAUMOND
EXPIRES: December 7, 2018
Bonded Thm Notary P&I, Uodlwhrs
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