HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCAgN1NED Permit Number:
St. Lucie County aECE��
Bia'slding Permit Applicatiob o' oeQa ry°`
Planning.and Development Services
and de Regulation Division peSt.
Bo�cJ
2300 Virginia Avenue, Fort Pierce FL 34982 \r
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT il APPLICATION FOR: To cWlect from dropbox, click arrow at the end of line
PROPQSED°IMPR'OVEIVIENT LUC_l ION `9 _ _ : ` y -• , ,n I
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Legal Deseiption: '1'I�:F
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PropertyTax'ID Nr '/-f�b�Z"-6/0 - 01,9 7 - W0 -� Lot No.
Site Plan Name: (R7TE0 Block No.
Project Name: c
Setbackt" .,Front Mir Back: _ _A//R Right Side: PZ&- Left Sider Ma
DETAIL'* ESCRIPTION;OF WOI 1C ,°, ° fit(
<I _ (tip sNvf re72- aOZA- rt��,
CONSIitiJCTION INFORMAT-10
Additiona wor to e Derforme uncier't ispermrt-c ec a appy:
❑1:1 �j
HVAC Gas Tank E]Gas Piping S ice{ Windows/Doors
11 Elactric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq",Ftof Construction: nd jj S �Ftj. of First Floor:
Cost of Construction: $ 0 Utilities: LJ Sewer Septic Building Height:
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OWN
R%LESSEE `fi t+Ia4 t ;_h
:GONTR'ACTOR
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Name `+` GMM%i �7L0✓!i!%
Name: MICHAEL GOODWIN
Company: SENSE\ BEACH ALUMINUM
Addressf7koilr , r`
Address: 1720NW,FEDERAL HWY
City +% /A/CSf7`U%% Stater
City: STUART State: FL
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Zip Code 4: Fax:
Phone NO. i9?il— �iNi /'�Z/
Zip Code:34994 Fax: 692-9744_
Phone No. 692-0090
R" L
E-Mail:;*t--^
Fill in fe�si� ple Title Holder on neM page (if different
MICHAELL300DWIN YAHOO.COM
E-Mail: ae
State or County Licunse: CGC 1508437
from the Owner listed above) _
If value dfcqffistruction is $2500 or more, a.RECORDED Notice at commencement is requirea.
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Ifie;.p,
SUPPLVI NTALCONSTRUCTIONtLIENfI AW INFORMATION:
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DESIGNER/ENGINEER:
_ Not.Applicable
MORTGAGE COMPANY: Not Applicable
Name:'. ' >�'tjfv
_
Name:
Address',;''/363� r"9
I— ST;2t1?r AA io
Address:
City: G�7s � ✓sr�'
State:
City: = State: _
Zip: Phone: 22a-S3Z_5I�
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:';",. "
Name:
Address:.
Address:
City: `' "'
City:
Zip: n = Phone:
Zip: - Phone:
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I certify,thatlio work or installation has coo -fenced prior to the issuance of a permit. ,
St. Lucie Countyy makes no representation th. ^is, granting a permit will authorize the permit holder to build the subject structure
which is tfi cdgtlict with any applicable Home Jwners Association rules, bylaws or and covenants that may restrict or prohibitsuch
structure;'fPJease consult with your Home 0w.ke7s Association and review your deed for -any restrictions, which may apply.
In consideFatjon of the granting of this requeiieed permit, I do hereby agree that I will, in'alrrespects, perform the work -
in accordadEe.with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The follotwiRg'building permit applications are•exempt from undergoing a full concurrency,review: room additions,
accessory sfructures, swimming pools, fence::; a s, signs, screen rooms and accessory uses to another non-residential use
WARNING`TO OWNER: Your fail t cord a Notice of Commencement may result in y ing twice for
before ertri?nt your 10 . Ice of Commencement must be recorded and on'the jobsite
before tfie:firs in
pooee✓✓�zfYio f rid to obtain financing, consult leRder or rney before
cnmmencfn o re r r Piotice of Commencement.
as
STATE
The forgo instrument was acknowledged before me
the of.- 20/�_•vy
14
d.
(Signat6Td, otary Public- State of Floridal:,gr„
PersonalJy{KirownOR Produced Identification
Type of Idjotjfication Produced -k
8 FF 173907
.�i
STATE OF Fl
COUNTY OF
The forgoing instrument was acknowledged before me
thj;l�!y of �ZL . 20�, by
(Name of person acknowledging)
A
(Signature ry Public -State of Florida
)
Personally Known y� OR Produced Identification
Type of Identification Produced '
Commission No.
�I ,••�ti?:'era. ANN M. GAUMOND
EXPIRES: December 7, 2018
Bonded ThN Notary Public Underwntei
i''r'"
REVIEWS'),,,
FRONT
ZONING'; F' SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
1 `
COUNTER
REVIEW.! REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE • =:Ws _
_.
COMPLETE'?;i.
St!y/f
INITIAI:51'iug�:
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