HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCANNED
Date: BY Permit Number:
St. Lucie County
RECEIVED
Building Permit Application APR 27 2018,
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462 1578
APPLICATION FOR
Address:
Legal Description:
Permitting Department
St. Lucie County
Commercial X Residential
from dropbox, click arrow at the end of line
Property Tax ID#: ?42-2-Soo-01,7( _ (0 00—`/
Site Plan Name:
Project Name: IN ooYJG '
Setbacks Front Back: _'N/� Right Side: A` Left Side:
Lot No.
Block No.
DETAO ED DE5GRIPTI6 OF W tt r s ° •s�
TGvUI/}�/�
CONSMUCTIOtd INFORII/IATIOR4/�
Additioha wor to e e ormed uArJerthis permit—c ec all apply,
❑HVAC Gas Tank ❑Gas Piping _Shutters 2S[UVindows/Doors
❑Electric El Plumbing []Sprinklers El Generator ❑Roof ❑ Roof pitch
Total Sql Ft of Construction: %v->1 S Ft. of First Floor:
Cost of Construction: $ 7ZSt, - Utilities: _Sewer ❑Septic Building Height:
OWNER/(ESSEE: >f+,Ia"�
.aH4� �ti�
CONTRACTOR„M1..
Name t4_1 /nh7lOS i
Name: MICHAELC-00DWIN
/l
Address; ��g � G/4'ES S%
� 1 BEACH ALUMINUM
Company: JENSE_
/V
City: �, LD/" (,' I�Ciy�Ci%� �.�State: �
Zip Code: Fax:
Phone No
Address: 1720 NW, FEDERAL HWY
City: STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Malh,f
Fill in feFe simple Title Holder on next pa 0 if different
from the Owner listed above) —
E-Mail: MICHAELL.,OODWIN@YAHOO.COM
State or County Lict:nse: CGC 1508437
If value of construction is s2soo or more, a RECORDED Notice or 9ommencemenc 15 req nren.
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DESIGNER/ENGINEER:
_`Wibt Applicable
MORTGAGE COMPANY:
Not Applicable
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Sr Name:' aC-OPIS - rW&jNyM
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Name:
_
Address: /3G3y 5-ST4-
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Address:
City: " r,wA-I-L-✓L
" State:
City:
State:
Zip: 3776u Phone: ?27-f3Z-J'DwQ
Zip: -Phone:
N
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
N
I certifyahat no work or installation has A! ma anced prior to the issuance of a permit.
St. Lucie County makes no representation tl a-f 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.Qw-lers 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, iRall respects, perform the work
in accordance with the approved plans, theF.lorida Building Codes and St. Lucie County Amendments.
The following building,permit applications"bile-&empt frcm undergoing a full concurrericy %eview: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your
improvements"urArope
before the fi'Fst Insbe;vc nA
'cord a Notice of Commencement irl result in
e of Commencement must be r�erIrd "d a90
to obtain financing, consult h/(/E/ttQer
tice of Commencement.
STATE OF FLORIDA
COUNTY OF sT rAsi�
The forgoi instrument was acknowledged"i;efore me
tof ,�i �/C
• '201�y
(Name ofperson acknowledging)
•-L•
(Signature of Notary Public -State of Floiidai}-yt.
Personally! Known ✓ OR Produced::•Idehtification
Type of Identification Produced
Commission No.
-
"�?.
�1FPIJN M:.GAUMOND
?1*•Pr"Si:,
V.,ppgtmZClnNUFF
17390
,.t•.•e
EXPIRES: December 7, 201819
Revised 07/15/201
eanaedu_nmenPemwaemem ID
Signature
for
re
STATE OF FLORA Z _,Z`F
COUNTY OF ��
.rc
The forgomstrument7was acknowledged before me '
thi5�?y in of 1!i�i�L . 20 ,ek by
y
(Name of person acknowledging )
(Signature offietary Pub ¢-State o lorida)
Personally Known ✓ OR Produced Identification
Type of Identification. Produced
Commission No.I P (Seal)
EXPIRES: December 7, 2018
Bonded Thou Notary Public UnderNdteoe
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