HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLIXED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permi
t Number:
I. BY
St. Lucie County
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D1,11111.11ing Permit Applicati.0
Planning and Development Services
Building and Code Regulation Division
4, 1)70
2300 Virginia Avenue, Fort Pierce FL 34982 X C0litk vie
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
I' PROPOSED -1 MO, ROVE M tl\lt LQd1TT'(6N
Legal
Property,Tax4l) #: (f S-71 �t
Site Plan ame
Project Name:
Setbacks "_`-Front NA' Back: i
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Right SidAZ14 Left Side"
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Lot No.
Block No.
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111-I'v"Alt" Gas Tank ElGas Pip
apply:
Shutters
E]Windows/Doors
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plumbing
QSprinklers
DGenerator
EiRoof Roof pitch
Total sqt,FMf Construction:
N
S Ft of First Floor:
SamUtilities..
Sew'erE]Septic
Building Height:
Cost of Construction: $
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Name
Name: MICHAEL GOODWIN
A r
dd es�.,--
Company: JENSENBEACH ALUMINUM
City �5e7qcx+ State: T
Address: 1720 NWFIE'DERAL HWY
City: STUART State: FL
Zip Code�' Fax:
92
Phone No. A29- 1-71-1,
Zip Code: 34994 Fax: 692-9744
E-Ma
Phone No. 692-0090
Fill in feesimple Title Holder on next pa- ' if different
'Fli
E-Mail: MICHAELL �OODWIN@YAHOO.COM
I
State or County Licunse: CGC 1508437
'�: tt�ft
from theGOrner listed above)
is $2500 or more, al ECORDED Notice of Commencement is re.culred.
DESIGNEt{JENGINEER: _ N.ot:Applicable MORTGAGE COMPANY: _ Not Applicable
Name:;''' `t $u Ll/M iU N Name:
Address:.- 0 Sul 101 Address:
City: 41.,Ezajol tm -L-V_ State: �� City: State:
Zip: 3 - Phone' -12n_AC:% 1 —9 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name:.'"" ` Name:
Address': Address:
City: City:
Zip: ,e,+Qz;f c Phone: _ 4 Zip: Phone:
In a
in ai
The
WARN
COUNTY OF
work or installation has corttrrienced prior to the issuance of a permit.
.makes no representation tFiat"is grantirg a permit will authorize the permit holder to build the subject structure
ict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
a consult with your Home ON.I,Ers Association and review your deed for any restrictions which may apply.
of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
ith the approved plans, the Florida Building Codes and St. Lucie County Amendments.
iilding permit applications are exempt from undergoing a full concurrency'review: room additions,
ures, swimming pools, fencer; walls, signs, screen rooms and accessory uses to another non-residential use
1 OWNER: Your failOQd a Notice of Commencement may result in y ur ingtwice fs to your prop rtyf Commencement must be rded an on the jobsite
st inspection.�eoobtain financing, consulith I rlera rney before
Owner
The f,�or�goi' "j irstrument was acknowledged before me
th; v.'r°y of _ f�Pi2.l� . 20/,:Lby
M
(SignatuY�otary Public- State of Florida,j;1-y'
Personal)y(Knawn f/ OR Produced Identification
Type of Iderrtification Produced
Commissio0.
1r4.v' 9 -
1',x;,y;,_ ANN M. GAUMOND
` .. •'r'` �1yGGMMISSIO
',tji�-: EXPIRES;f)ecember7,2018
Reviseda07/15/2014'"";v Bonded rhNNotary Public wdeM,aem
STATE OF FLORIDA�� f
COUNTY OF S_tr rLUC/E
The forgoLiM instrument was acknowledged before me
thiL,W aWof 20 ZC—by
(Name of person acknowledging
�f-No`
(Signature tary�Public-Stateo FloridaI
Personally Known OR Produced Identification
Type of Identification Prpduced
Commission No.
,Q'-'✓?; ANN M. GAUMOND
MY COMMISSION 0 FF 173007
Bonded Thm Notary Public
REVIEWS`.;,
FRONT
ZONING 'i
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE 1�:i44 r•
COMPLETE `•'-'
INITIALS`y ry'r-