HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APQLitAdCt INFO MUST BE COM4U.TED FOR APPLICATION TO BE ACCEPTED
Date:, SCANNED' Permit Number. \40S-6609,_
BY
St. Lucie County
RECEIVED
BiJilding Permit Application
Planning and Development Services MAY 2 2 (11.8
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie Counter _Effmj!ti0 -
Phone: (772)46.2-1553 Fax:(772)462-1578 Commercial K Residential
PERMIT APPL - ICATION FOR: To $plect from dropbox, click arrow a� the end of line L:I,
PROPOSED WO ROVE Ni%tidt,�Tl
Address:,,;-_,,�-..�J�1400 —5 OCC-AW _D/L 0-401 -r�e*G,4-
(Dr_AAriJ -FDVJe-l2S &A (00 L/tv t-r LJO I A-?.) 0
Legal �tii!rn t'i-i Ot V/ 5144AC
AA rA) 1,or-2 t_ L4-i - i Li -76- 97,e- 24A,-f 2MY-16
PropertyJTax4D1:3_t-7.01 -C202-y
Site Plan a , m . e:
Project Name; , t' .
Right Sidet`/Ad- Left Side: -
z Fr. qp " I Setba CM �1t !VA- Back: _.._
QETALEPM,51ZRIPMOI
-o
4 �rtlonp " =,�r,,o eDertormed un ei is permit- cneCK air [napply:
Ll HVAVS'Ili'; [] Gas Tank L-IGas Piping Shutters
EI E"I e El Plumbing F]Sprinklers OGenerator
C L
Total Sgj;
�r oTe6fistructioil: S Ft of First Floor,
Cost of _C_
6hstruction: $ Utilities.. —Sewer[ISEPtiC
Lot No.
Block No.
XY/517 _1AJ49
�inclovvs/Doors
EiRoof = Roof pitch
Building Height:
OWNER/LESSEE
- 7=�
CONTRACTOR"71rlli
Name
Name: MICHAEL GCODWIN
JENSEH BEACH ALUMINUM
Address;Company:
City: —State:
Address: 'fMNW =EDERAL HVVY
City: STUART State: FL
Zip Co I d Fax-
Phone No ,
YM
Zip Code: 34994 — Fax: 692-9 744
k E-Maff.�'�O
Phone No. -000
Fill in f6eisihhp[6.iLTitle Holder on next pa!�-e (if different
.692 '�OODWIN@YAHOO.COM
E-Mail: MICHAELLG
-
State or County License: CGC 1508437
11 rt 'il�i I..'Pili"
from th6bipiln6i listed above)
If value dficonstruction is $2500 or more,a F LLURDED Notice Or commencement is rev area.
Name:
City:
Zip:
MORTGAGE COMPANY:
Name: :, —,
I Address:
City:
Zip: _phone:
Not Applicable
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: i—
City:
Zip: Phone: = Zip: _ phone:
I certi `rk or installation hascomrri&ced prior to the issuance of a permit.
St u ie u 6snorepresentation that is granting a permit will authorize the permit holder to build the subject structure
w ic is I conflicfwith any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
st ct I It with your Home Ow4ers Association and review your deed for any restrictions which may apply.
In consideration of-thegranting of this requestOcl permit, I do hereby agree that I will, in all respects, perform the work
in cc rA approved plans, the F;�,rida Building Codes and St. Lucie County Arniandments.
The follo�Wir�Vbluilding permit applications are;exempt from undergoing a full concurrenoy uses
room additions,
ry accessostructures, swimming pools, fence!,,walls, signs, screen rooms and accessory 'el�s to another non-residential use'
WARN ING-TO-OWNER: Your failure to Record a Notice of Commencement ni resu our paying twice fo
r
or
improviiinents-to your property. A Notice of Commencement mus be recpr �oposted on the jobsite
r
before:ifi6 fir�.t:inspection. If you intend to obtain financing, c u it e r an attorney before
commericIWw6rk or recording you r'Nbtice of Commence n.
S
ignaturq Own of er,/Lessee/Contractor as Agent for Owner Signifture of ContractQr/License Holder
j
Olt;
STATE STATE OF FLORIDK
COUNTII OF = COUNTY OF
The for0ifid,ingr6ment was acknowledge,.!!,efore me The forgoine, instrument was acknowledged before me
this clayu.lrE 20 -.by thi&&�,K of zzzf71/ 20 Lct by
-(Name offperwn!acltnowleclging (Name of person acknowledging
(Signat6re—
�pRNoT6'ry Public- State of Florida) (SignatuTa-cif Notary Public State bf-Floricla
PersonallyyKpftq''�; OR Produced Identification Personally Known OR Produced Identification
Type of. &nilfiraiicm —Produced Type of Identification FSoclucecl
Commission No. (Sell) Commission No. (Seal)
FREVIE �'V I
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
IOUNTER
REVIEW
REVIEW
RE VJJEJ
W
REVJJJE�
REVIEW
REVIEW
AT
INITIALS`,"r�,-,;Iw
06 k_3
S(C-J-J Le Aqw—OF
SL-d- tce"
gWE
,nrp ;
,gmott,i
"UMW.�kRv0_N1P
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MM
F
DESIGNERF'NGI
le
MORTGAGE
COMPANY:
Not Applicable
—NotApplica
Name:,
Name:
Address?) dries W efil
;,d f rs- /01
Address:
City.
State: W
City:
State:
Zip: Phone:ftg:?)
rF60.,Q
Zip: —
phone:
FEE SIMPL . E TITLE HOLDER:
No? Applicable
BONDING COMPANY: —Not
Applicable
Name:..
Name:
Address.
Address:
City:
City:_
Zip: Phone:
Zip:
Phone:
I certify rk or installation hascom-fienced prior to the issuance of a permit.
St. Lucie Countr makes no representation the' is granting a permit will authorize the permit holder to build the subject structure
which is in don lict with any applicable Nome Owners Association rules, bylaws or ancovenants that may restrict or prohibit such
structure: P !4sd consult with your Horne OA-16rs Association and review your deed for any restrictions which may apply.
In consideration of the granti6g of this reqitested permit, I do hereby agree that I will, in all respects, perform the work
in accorclarito witKthe approved plans, the Florida Buildin'g Codes and St. Lucie County Amendments.
The followirig"bpflding permit applications are exempt from undergoing a full concurreno,!, review: room additions,
accessory.'sMqurds, swimming pools, fer ces.walls, signs, screen rooms and accessory uses to anotber non-residential use
1- .1 .
WARNIN , GTO-OWNER: Your it elo Record a Notice of Commencement rrit . y res It ur paying twice for
impro�vp'ments to your propP/Nc rice of Commencement must be ref,'Ird X osted on the jobsite
the first i pei—'o otylAteTd to obtain financingcQns I (vyitlt' , er
before th ;en iattorney before
rnmnriiihi>�' U� /J �'d nvre r ino'Vourr-ioticeofCommenRL!rmenl.
STATE OF FLOR
COUNTY OF;,
The forgWrig instri
ConWactoraSAgeqtTor owner
is --knowledged 'iefore me
ir 26 L!�y
rging
State of ri
OR Prod�ication
STATE OF FLORIDA!
COUNTY OFe3�
The fo . rgoin in trument was acknowledged before me
thi a of ,20Ze by
dging)
(Naive of person acknowledging
(Signatur-Notaryftblic- State of FlbMa)
Personally Known _ZOR Produced Identification
Type of Identification "rocluced
JUHN LEE TINNEY
'0_
iss No. - 4 ��' � Notary TS6119)- State of Florida Commission No.
'0
�%-ex p1g., ANN M. GA
io
-nz_ Y-cornin. i4lies Nov 15. 201 a UMOND
f
Fomm "oz �11 comp!!Sslon # 6DIR W COMMISSION# FF 173M7 15
E�_.-w EAF111ttWecentriert,2018
filandedthrouliti National Notary Assn,
8WdedThmNo1wyPub00Underwftm
Revised 0*7/ i.�/ 0 T4
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
T
VEGE JION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPL�W''"