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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt r.. t' Date:' MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED SCANNED Permit Number: \ %6S�6G I3 WIN BY RECEIVED St. Lucie County R3 iilding Permit Applirmt ,rin MAY 2 2 2018 Planningand Development Services Building and Code Regulation. Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 . Phoneg(772)462-1553 Fax: (772)462-1578 Commercial X Residential PERMIT APPLICATION FOR To reI. elect from dropbox, click arrow E#,the end of line W�ha �apr III nonnrTcchpinAoonVcfth[: fiITi4? nr ^::rinat. - :"wi.,`°`' r' rhii«_.x Legal Dggcfjij$loii:._ &�7VXE55 czn,✓o (/ry1'rr Igj2�b✓L /4313' ZZ2G PropertylTax:ID,V: Lot Vz— 6Zo— olot—ooc,—Lot No. c:ie Site Plan Dame: SMAlcA- _ _. Block No. _ Setbacks, Back: / � Right Side: �' A, Left Side:. DETAILEESRIPTIONOF W C 1 D%lvli✓j� �'tf'rrrl 5 CONSTRUCT N INFOR tIATIPA j �idditiona won 3o e ertormed uncler triispermtt—check al appy: ❑_ HVACti �,?' Gas Tank ❑Gas Piping _Shutters __ Windows/Doors ❑c, r lyectr�c.+ ElPlumbing!]Sprinklers ❑Generator DRoof ❑ Roof pitch Total Sq};Et o Construction: S Ft. of First Floor: *_ngtfuction:::.,_ :st. tN Utilities: Sewer EISeptic Building Height: Cost of Co' $ �S _ OWNER/LESSEE t_CINTRACTOR Name: MICHAEL GOODWIN Address' -3 6 _ F>� /c/o Z Company: JENSEi4.BEACH ALUMINUM City jfc7✓ ( _ State: �L Address: 1720 NW FEDERAL HWY City: STUART State: FL Zip Code::.. ` Fax: Phone No. „K �?fo— 2T:- 34994 Zip Code: Fax: 692-9744 Phone No. 692-000-i x" ' • _ Fill in feersimplg;Title Holder on next pall ( if different MICHAELi-"7OODWIN YAHOO.COM E-Mail: °C State or County Lic !nse: CGC 1508437 from tF a Owner listed above) _bilseru..a: If value o!Ji� nit action is $2500 or mai a, a RECORDED Notice of Commencement is req tired. f S pp.... 11 �ALCONSTRUCTI04`tIEIV:`LAW.INFORMATIC7N' DESIGNER/,ENGINEER: Name:, !nlca�ASi' �l�G144t4/a' _ Nof>Applicable 6VO/4ZAN6 MORTGAGE COMPANY: Name: _ Not Applicable Address;£//4w S3rli clYl�r sa /ol Address: City: "ni LeiyuaYi'firy� Zip: ?7 Phone: o State: � ,? F _ City: Zip: Phone: State: FEE SIMPLETITLE HOLDER: Name:- "'' .;c. _ Nd Applicable BONDING COMPANY: Name: _Not Applicable Address: _ Address: City: : .: _ —.: ". City: Zip: Phone: Zip: Phone: I certify;fhatnt work or installation has com-,nenced prior to the issuance of a permit... St Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is,in oinflict--with any applicable From Owners Association rules, bylaws or and covenants that may restrict or prohibit such structureSri !Please:Zbnsulttyith your Hoe Oh;iers Association and review your deed for any restrictions which may apply. In consideratioo.of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordarite'with4he approved plans, the Florida Building Codes and St. Lucie County Amendments. The follo&'Ouilding permit applications are exempt from undergoing a full concurrency, review: room additions, accessory.structiii:es, swimming pools, fences walls, signs, screen rooms and accessory uses to anot er non-residential use WARNING'TO OWNER: Your failure to Record a Notice of Commencement ni?y res It' ur paying twice for improvements to your property. A Nc_ice of Commencement must b rem; rd osted on the jobsite before tfie:first:inspection. If you inte,7d to obtain fmancin nsul it lo-. e r n attorney before commericiri' work or recording your Fibtice of CommeW4menj. as Agent for Owner Signature of Contractcf/License Holder STATE OF FLORIDA -- — COUNTY OF�� AZAC/� .. The forgoing:instrument was acknowledged `,efore me this='dayo%o� _ 20 _._by p,,.i :t �.-cr rca (Name ofpesdn"acknowledging ) (Signature pf,Noqry Public- State of Florida PersonallapKnown,�_ OR Prodlc.."d Identification Type of Identification Produced Commission No. Ism).. 77 Revised 07L15/2014 The forgoinZiinstrument was acknowledged before me thipw i of %L/f% ,20Zby az —•� — (Name of person acknowledging) (Signatur i-Notary Public -State of Flo�i'rda) Personally Known OR Produced Identification Type of Identification Produced Commission No. GAUMOND , REVIEWS-l;`; FRONT ZONING SUPERVISOR PLANS VEGE %TION SEA TURTLE MANGROVE .`COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE'P'"' INITIALSy_r>wt--.-- ...�„tt. i"� .` 2 ,dL� i`x`ih* � r`�}$+s '$ Sa A...ti�i'..,a..-S.z.R -�_ �F• .±.Pl+, _ 264us-e-�ct�.«�i 'an'# .d�, s 4..F: DESIGN R/EIVGINEER: pplicable MORTGAGE COIV PANY. Not Applicable Name''JNr�1ST LGID d� ai fi�l(�rnr�lll Name: _ Address !P:- a r m Address: City: f' State: City: State: Zip: $ y Phone: 532_ 9�dq Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name; ` Name: Address: r : Address: City:. City: Zip: ,, ;' =:....... Phone: __ Zip: Phone: 1 �E Friso I certify ttiat 00-Mofk or installation has corii ;iehced prior to the issuance of a permit " St. Lucie Co6ntty makes no representation thi is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Herne 2wners Association rules,'b'ylaws or and co%enants that may restrict or prohibit such structuret'-Pleese_consult with your Home Cv „ers Association and review your deed for my restrictions which may apply. In consideration of" -the granting of this requested permit, I do hereby agree that I will, in�sll respects, perform the work- in accordance_with.the approved plans, the Fz:idda Building Codes and St. Lucie County A nendments. The following 6uifding permit applications ur . exempt from undergoing a full concurreno review: room additions, ' accessory structures, swimming pools, fencerwtyalls, signs, screen rooms and accessory dyes to another non-residential use WARNING _7Ct",OWNER: Your i to Record a Notice of Commencement may result in ur paying twice for improJemerits t ' ou pro e F c'it:e of Commencement must be recdrded aryosted on the jobsite before the fir in is . I me 1d to obtain financing, consult with I ;nde}�py,�n attorney before commend -wo r o our fotice of CommencemerrN it STATE The Type of (15(2014 intr7ictor as Age at for Uwne hignature of contract© -rt¢ense voider I � STATE OF FLORIDA!'" COUNTY OF acknowledged oefore me The f��org�o�i$ng� instrument was acknowledged before me 20 to ily this "ay of 20 /f— by (Name of person ackriiwledging) - Notary Public - State of Florida My 09W)Expires Nov 15. 2011 Commission # FF 165316 (Signatu Notarylgblk- StatecfFlorida) , Personally Known OR Produced Identification Type of Identification. ?roduced Commission No. (Seal bonded M.GAUMOND REVIEWS ``FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER' REVIEW : ' REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIAL,." .