HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA-374, TOV-110
I -
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: CANNED Permit Number: 190q -o33(0
By
T
St Lucie County
Building Permit Application.
Planninq and Development Services I
Building and Code Regulation Division �. -
2300 Virginia Avenue, Fort Pierce FL 34!Z8?
Phone:_(*772) 462-1553 Fax: (772) 462,1578
RECEIVED
APR 2 7 2018
Permitting Departmenf
St. Lucie County
Commercial Y Residential
PERMIT APPLICATION FOR: To,Select from dropbox, click arrow at the end of line
Add S_ bit-:r'V4 --r—vz-
Lega I De§'cription: 5Zrn
Property Tax ID #: 804/- "-03s-- O=p - Lot No.
I ' i ..
Site PlaRName: Block No.
ProjectName: /WV
Setbacl(! Front N* Back: AI
Right Side:IA- Left Side:
11HVAC Ll Gas Tank
El6ctric El Plumbing
Total Sq�Ft of Construction:
Cost of bonstruction: $
.1
3as Piping
Sprinklers
Shutters EWindows/Doors
Generator 0 Roof
S Ft of First Floor:
Utilities: Sewer 11 Septic
Building Height:
Roof pitch
.OWNER/,LESSEE
77
Name E.1pryton Duit�d
Name: MICHAEL GC ODWIN
company: 3ENSE?4,BEACH ALUMINUM
Address:)C304-iLy S rEw�A_✓C O�3
City: State: (--t-
Address: 1720 NW FEDERAL HWY
City: STUART - State: FL
Zip Cod : q�. 1 Fax:
Phone No. /010-
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail:
Fill in fgisimple Title Holder on next page (if different
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
from the owner listed above)
If value of construction is $2500 or more, a PELUKDED Notice Or LOMmencement 1b lv� ...
Name:
City: _` CU_-Pr WA'r9_A-- "' State: _Pt -
Zip: Phone: '7 Z7T�m,
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address -
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING
Name:
Address:
Zip: Phone:
_Not Applicable
I certify tat no work or installation has commenced prior to the issuance of a permit.
n , v:. r.
St. Lucie: County makes no representation that'is granting a permit will authorize the permit holder to build the subject structure
which Win conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure 'Please consult with your Home Cwr ers Association and review your deed for ry 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.
�y
The foll%11 ing building permit applicatioris:aie exempt from undergoing a full concurrencyieview: room additions,
accessory structures, swimming pools, fences; walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your Y.vA
a to Record a Notice of Commencement may result in your paying twice for
improvement o r p p Notice of Commencement must be recorde d posted on the jobsite
beforetfl! rst in ct n.nterisl to obtain financing, consult with !'an attorney before
rnm mari'"rna won or r mir'Notice of Commencement.
e
S
S' tureof wrier/Lessee/Contrac r as Agen4for Owner
5Ignature ot ContrLicense Ho er
STATE OF FLORIDA _
STATE OF FLORIDA
COUNTY OF Sr
COUNTY OF
The forgoi instrument -was acknowledged before me
th of 19XeJ2_ �, 201Sby
The forgoing instrumen�i� was acknowledged before me
thm77 y &fsof y/QJ� , 20 by
(Name oE:person acknowledging) - --,
(Name of person acknowledging) .
(Signatur, Notary Public- State of Florida)-li,
(Signature�dFfdetary Public -State ooFloorida )
Personaly Known. -e-' OR Produced Identification
Personally Known OR Produced Identification
Type of Icjentification Produced
Type of Identification Produced
Commission No.--y�� a •.
Commission No.—t (Seal)
'j3 8 a�"'" "'• ; ANN M. GAUMOND
rs ,v.r illyI
e1.. I; ANN M. GAUMOND
EXPIRES: December 7, 2018 a. EXPIRES: December 7,2018
Revised:07/15/2014 Bonded ThNNobuyPumloundem+here 3 •,• dc' Bonded POW Undemners
,4„R.•
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW "
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE n:,
COMPLETE
INITIALS