HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO KAUST BE COMPi: Tb FOR APPLICATION TO BE ACCEPTED
Date: 5 ara _ SCABNNED Permit Nu,nber. +3S-6%
St. Lucie County ECEIVED
LF
AY 2 2 2i118
Building Permit ApplicationPlanning and L)evelopnientServices County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498?
Phone: (772) 462-1553 Fax: (7,,2.) 462- L578 Commercial L Residential
PERMIT APPLICATION FOR: To " lect from dropbox, click arrow attheend of line i ti �d
PROPOSED IMPROVEMENT L6CATION Uf h_s :. " .+ F' " :
Addressntr::>:::o I.b S 0060W 02 fl--Z031 'rausErV
Legal Description:
Property_±Tax ID,#:
:.: Site Plan Name::
Project Name;
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Awo LiAi4(✓
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Back: N�d Right Side: N 4 Left Side.
UiUAA.0rJ �r7r/y-r^t / Zy /
Lot No. J
Block No.
DETPIL'ED DESCRI�TIt`JU OFIh�il= ,,_: , :,S F y,#
CONS-TRtl�llPN}iNFOf2MATIOIJ j4
i
ACICII
bona Wor _to De e o—� �medunues tfiispermit-Check all apply:
�HVAOt Gas Tank 11C Piping LJShutters EWindows/Doors
Electric' L� 'Sprinklers Generator Roof Roof pitch
Total Sgt.F,ti o 'Construction; ______,.Jj S Ft. of First Float
Cost of Co14
nstruction: $ � O Utilities: Sewer Seatic Building Height:
OWNEaR/LESSEE
CONfRACIOR
y
Name/LfD(-✓-
Name: MICHAEL GO'JDWIN
Addres s,._ '�`: ( iL" oS_�[✓ /
Company: 3ENSEN BEACH ALUMINUM
City: S�_Q�VS — State: 4
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code' _ Fax: _,j
'lNU 9 z _ 9y� r
Phone N_o. � �'
34994 692-9744
Zip Code: Fax:
_
41`.r. 'i' r.( T
E-Mail :.i -.
Phone No. 692-0090
:r' "
Fill in feet 1T'Pfe;Title Holder on next pa„e (if different
' "'
MICHAELLdOODWIN YAHOO.COM
E-Mail: @
from the�Owner listed above)
1
y ; CGC 1508437
State or Count Lic•�: se:
If value of eo, trpction is $2500 or more, a RMORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUC7, iAIENLAW`INFORMATION
F `
---------------
DESIGNER/,ENGINEER:
_ Nc?. Applicable
MORTGA E CO
Prl :
N t Applicable
Name: ""!�'JA/eeASi
kLlll4ilr✓Niti �l�fYll
Name:
_
Address`.=—:=iV- n
•r of
Address:
Ay 2 2
2018
City: f :"''"
State:
City:
State:
Zip: rl S7 Phone:
532_ y odT
Zip:
B QRAht
Permitting
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Applicable
:" Name
_
Name:
_Not
Address:``.: ;•
Address:
City:
City:
Zip: - Phone:
Zip:
Phone:
I certifyy1ll2Tthpl," grk or installation has coni'gehced prior to the issuance of a permit.
St. Lucie Countyymakes no representation tha is granting a permit will authorize the permit holder to build the subject structure
which is in'conflict with any applicable Home : wners Association rules,'b'ylaws or and cm enants that may restrict or prohibit such
structure;Ple_seeonsult with your Home Ov Hers Association and review your deed for.any restrictions which may apply.
In considerAti6npfthe granting of this reque: ted permit, I do hereby agree that I will, in all respects, perform the work
in accordartce\vith.the approved plans, the Fr7rida Building Codes and St. Lucie County a nendments.
The followi'r)'g,buuifding permit applications ar, exempt from undergoing a full concurrenc•,T review: room additions,
accessory sftucfuies, swimming pools, fenca:.' walls, signs, screen rooms and accessory u,es to another non-residential use
WARNINGT,C+ CIWNER: Your failure to Record a Notice of Commencement mey result in ur paying twice for
improvementsto your property. A Notice of Commencement must be recorded a/ osted on the jobsite
before the frr5tinspection. If you inte A to obtain financing, consult, 1 and/e/t n attorney before
commemclne work or recordine vour'Totice of Commencement. /r
The
this
as Agr nt for Owner
a
was acknowledged oefore me
20 --_by
:i.
`l
n.
r=
(SignatuE e gf,:Nota_ry Public- State of Florida
PersonatlyiKn t n3� OR Produced Identification
Type of
-_
"on
"on No. (Seal)
6,
STATE OF FLORIDA"
COUNTY OF �4Ti [f)r1E
The forgicio instrument was acknowledged before me
th' day of'i�y/� .20'/1—by
(Name of person ackn6wledging )
(SignatureaoLNotary.I.ljblic-State ofl�rida )
Personally Known -4 OR Produced Identification
Type of Identification"?roduced
Commission No. (Seal)
REVIEWS. �'i,
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
'-COUNTER
REVIEW "`'
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
�4.
DATE
COMPL&, ,+fir
\$OS- C5C.
j , tVJ_ _AUUxW �
SUPPL6tj L COIVSRUCTIQP
'Wwtidki
fi 4
':_i+{o 3-tx 9tC�.,�s'*
DESIGI1iE}2/E11LGINEER. — Nor Applicable
MORTGAGE COMPANY
_ Not Applicable
Name: ;., ,id ler iHGldtrnn.r,- 04E9&4Ab L44-
Name:
Address;ai,s i : o+�?H-STH.r�I� /ww1'IY loi
Address:
City::. GCs` " " Stag
City:
State: '
Zip: Phone: 721153.Z.-9orin
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
_Not Applicable
Name:, s;; =
Name:
Address"
Address:
City: yG`: ^'
City:
Zip: = Phone: =
Zip: Phone:
a
I certify,Jl)at-palnrork or installation has commenced prior to the issuance of a permit. -
.r3. re,.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in-dontiictmith any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structuredPlease e6nsult with your Home Ow igrs Association and review your deed for any restrictions which may apply. _
+,:'
In consideration of -the granting of this reque., tgd permit, I do hereby agree that I will, in aRl respects, perform the work
in accorda(icgvwvjti„the approved plans, the F;nrida Building Codes and St. Lucie County Amendments.
The folio "wingb iirding permit applications afe;exempt from undergoing a full concurrenty'keview: room additions,
accessory strUciOres, swimming pools, f nces,""walls, signs, screen rooms and accessory uses to another non-residential use
I
WARNI)\1G7Ci`OWNER: Ygpre
to Record a Notice of Commencement may res our paying twice for "
improvem 'to ur pNotice of Commencement mus be rec, rd posted on the jobsite
before:f `. #i. ;i s e • tend to obtain financing, csu rt e ran attorney before
comm n'eirt' r or ecur Notice of Commence nt.
Signature 6 hOwner/Less Contractor as Agent for Owner Sign Lure of Contractor/License Holder
STATE
Theforgppe.irigrume as acknowledged :,efore me
this, y'Pdaynf-t it 20--by
Al-
11MUMBIT&HEY
Public - State of Flori
im. Expires Nov 15. 21
odsifon # FF 165316
14` \56r--rack
STATE OF FLORIDA`
COUNTY OFFS_. t /E
The forgoliinstrumen) was acknowledged before me
thftugofA1641/ .20ZSEby
,A/. A4
(Name of person acknowledging)
(Signal of Notary Public- State f Florida )
Personally Known � OR Produced Identification
Type of Identification Froduced
Commission No. (Sea[)
(Seal)
r
ANNM.OAUM0
6 73907
A•.
'•:%'••"ry
FJ(PIRES:Oecember7,2018
BonOed TNe Notary PuNlcUrdee12.
REVIEWS,
-FRONT
ZONING •
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
, ,
!:> •`=.
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE'
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