HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPI:L'TED FOR APPLICATION TO BE -ACCEPTED Date: 2;•�(. 1 0 ` Permit Number: aos "v OY9
Building Permit Application MAR -2 2010
Planning and Development Services
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 Siqlect from dropbox, click arrow at the end of line
PROPJSCUIMPROVEMENTL-0, 'aTiON
Address: 1031 ID S
Legal Description: pt��kr�(Qrt�._ LQIUDA kPT CIO It-aO JaprJ $'01+rW jr.)
9_7 R V \
Property Tax ID#: `S�X— SN6—
Site Plan Name:
Project Name: :u _ LS
Setbacks Front Back-.-- E
. 1 F
Right Side: 1 r A- Left Side: _i=
WLWODIAI It DXiiL 7�farQ, o
Lot No.
Block No.
JgbP6Al1/V(.} \
7_Sc.i4fNb GLASS SioArG
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MUU I LIU11d I WU I K LU UC CIIUI IIICU WLUCI LIIID rIC111 I I L—LIICLR d1i dpply.
Tank_'- �GasPiping 11HVAC Shutters
Windows/Doors
_Gas
Electric
0 Plumbing Y-
Sprinklers
Generator
_ Roof Roof pitch
Total Sq. Ft of Construction:
S
Ft. of First Floor:
Cost of Construction:
$ j L tXIO
�' Utilities:Sewer
--
Septic
Building Height:
OWNER/LESSEE,
GONTRACTORLj
Name LA-yKj2 g-gW y ;
Name: MICHAEL G( ODWIN
Address: 10110
Company: JENSEN BEACH ALUMINUM
---State:—F<(=-Address:J72_0_NW-FEDERALHWY___
STUART State: FL
Zip Code: 345 i:7 Fax: r City:
Phone No.
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail:
_
Fill in fee simple Title Holder on next pays (if different
E-Mail: MICHAELLGOODWIN YAHOO.COM
State or County License: CGC 1608437
from the Owner listed above)
If value of construction is $2500 or more; -a nFCORDED Notice of Commencement is required.
'T
AI .
SUPPLEMENTAL CONSTRUCTIJ",'V IEN LAW INFORMATION;:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: SAca4yr iAtwl,-Jomi -- Name:
Address: /,3 L30 SPS'f k 4qry1R_ or l o l Address:
City: State: ✓i. City: State:
Zip: 'fn7n_ Phone: fi Zs% Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING
Name:
Address:
Zip: Phone:
_Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation Cr.- 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 Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,,Wd ereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Bu' ing odes and St. Lucie County Amendments.
The following building permit applicati s re a pt fr m undergoing a full concurrency review: roo ci'ions,
accessory structures, swimming pool f ce , w s, s' cis, screen rooms and accesso s to ano n -residential use
WARNING TO OWNER- Your i re' o ec d a Notice of Commencem t m res paying twice for
improveme s to your/�ro _ N sic of Commencement mus a re de sted on the jobsite
before t it i} sl p tig . If o Int nd o obtain financing, con It wi en r attorney before
signature OT uwnerpesseelLcritractor as v.gem ror uwner �ignamre or �onuaccgq�¢ensernnnec—
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _ST / ! / v' COUNTY OF �'T it LL 1F
The forgyi g instrument was acknowledged before me The forgoin instrument was acknowledged before me
tl _Maoy of rc5 . 20%,by th'� ayof �� , 20,� by
r' Ft
(Name of person acknowledging ) '
'l`r,: c
(Signature —of Notary Public- State of Florida
Personally Known OR Produced Iiletltification
Type of Identification Produced
Commission No.
ANN M. GAUTAOND
Revised 07/15/2014
(Name of person acknowledging )
(Signatbre-ef-Notary'Pgblic-State�Forida) '
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
PRN M. GAUMOND
EXPIRES: December7, 2018
Bonded Tin Notary Public Undew item
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
DATE
_
COMPLETE
INITIALS