HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date:. SCANNED Permit Number: i T " (0 0 1
BY
St. Lucie County
BlAding Permit Application RECEIVED
Planningond Development Services APR 2
Building;dod Code Regulation Division Z�je
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phonez(7,72)462-1553 Fax:(772)462-1578 Commercial Residential St''O�IeCounty
PERM1T.rAPPLICATION FOR: To'*;elect from dropbox, click arrow at the end of line
LegalDQQrrption: I A4,11,E 4V ._aM:) 6^,C -UMTf C-/ T*V IC UNrr'S 1
ors.
PropertyTaXID#: qyl-501 -=I - 6EQ Z-7
Site Plan' ::Na;ine:
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Project N6r6e: I v[�LifiE %• rfiGer^
Setbacl�s-_vFront N 4- Back:= Right Side:Left Side:
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Lot No.
Block No.
AoomonarworKLooe
IIHVAC.'
errormea unoer.uus Penua-cnet:Kdu
Gas Tank %+ Gas Piping
apply.
In
Q Windows/Doors
_Shutters
0EtI cYlc Plumbing
35 USprinklers
El Generator
Roof Roof pitch
Total Sq`F,tofConstruction:
it'nS
Ft. of First Floor. _
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Cost of Construction: $
Utilities:
Sewer Se•3tic
Building Height:
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OWNEffl fSSEE: v r �"
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Name i> '�r.L ✓---rf-C F
Name: MICHAEL GnODWIN
Company: JENSEN BEACH ALUMINUM
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Address',.',%I Sn(3S n C=J t7 D %L-
City �vSer �r-'t`�t State: _F!J,
Address: 1720 NW FEDERAL HWY
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Zip Code: %G� lax r_
City: STUART State: FL
Phone No. Z?q-- 1%-7Z
34994 Zip Code: Fax: 692-9744
Phone No. 692-0090 '
E-Mail:,r"-`+=t
Fill in feessiinple Title Holder on next page.t if different
E-Mail: MICHAELLt�00DWIN@YAHOO.COM
y CGC 1508437
State or Count Lic� nse:
from the:Ov�Iner listed above
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If value rit&Astruction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER.
—Not, Applicabl
RTGAGE COMPANY:
Not Applicable
Name: At-Aw/✓u/Y
ZA&N&00
_
ame:
Address:: 1,12�Y[j�F�N
Jul
Address:
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City: :
State: pj�-_
City:
State:
Zip: 2?4 Phone:
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Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not -Applicable
BONDING COMPANY:
_Not Applicable
Namer;3' z
Name:
Address",-
is
Address:
City:
City: t TA
Zip: ;4 Phone:
Zip: Phone:
I certify 1p;7ro work or installation has commenced prior to the issuance of a permit '
St Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is hVtontlict with any applicable HomeOwners Association rules, bylaws or and covenants that may restrict or prohibit such
structure, Please consult with your Home 0m aers 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 followmgbuildirig permit applications are t from undergoing a full concurrency review: room additions,
accessorystuctures, swimming pools, fences'; s, signs, screen rooms and accessory uses to another non-residential use
WARNINGTO OWNER our fadur o ecord a Notice of Commencement may res It in y r ing twice for
Improvements to yo r pe ice of Commencement must be record a d os don the jobsite`
before-t.' m 4y�tlgf� I� endao obtain financin , c su with le er/9y�j n or
before
commeii"' ¢ wo dr7�o' r�R Uce of Commenceg nt.>` // / y
as
STATE'OrTLORIDA
STATE OF FLORIDk
COUNTY, OF
COUNTY OF�'� /9G1F
The forgo[ - instrument was acknowledged.before me
The forgoin instrument was acknowledged before me
thiof q"&— . 20y
the of6f✓g�L ,20Zr—by
(Name o♦4j' 'tson acknowledging) '• "
(Name of person acknowledging )
•�S;Ssi -
(Signat " .. otary Public- State of Florida.),"
(Signature ry Public- State of Florida )
Personally k own '• ✓ OR Produced Idertification
Personally Known `/ OR Produced Identification
Type of.ideptification. Produced
Type of Identification Produced
Commission No. (Seal f
Commission No.
,?--
Amnm GAUMOND
s ANN M. GAUMOND
* = MYCOMMISS10N#FF1
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x y, as EXPIRES: December 7, 2018
FXPIRESDecember 7,2013 Jf ''%eNPn Bonded Thm Notary Public Undewiters
Revisgd1O,J15/2014 ,dedTh%t Ptarrebar I -
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