HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPL'ICABL'E INFO MUST BE COMPLET_D'F.OR APPLICATION TO BE ACCEPTED I 97\
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Date: 1 . _ SCANNED Permit Nu-nber: Du
e St. Lucie
County INNT T 4-01
11u.i.1ding Permit Application� V1
Planning'and Development Services
Building and Code Regulation Division
2300 Virginia''Avenue, Fort Pierce FL 349,?2
Phone: (772)L462-1553 Fax: (772) 462-1578 Commercial )4_ ,'Residential
PERM ITAP,.PLICATION
FOR: To Select from dropbox, click arrow at the end of line
PROPOSED':IM'PROVEMENT'LOC,�TION
Address JQbJ+A S QCeP17-4 7)2 6,01 Te-wSA-�, 15Ez,4
Legal DeScnpton`
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Of— /9e
Properly,,Tax)lD,#L,:c Liiaz -�oy _ l —D _' Lot No.
Site Plan N'amg:_�! D_G.1._ _ _ Block No.
Project Name:•;S_L
Setbacks Ffontl� Bark __. n/ Right Side: by Left Side
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DETAlL1 p`i}ESCRIPTtUt+Iiy`cel+�
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CON""' Ut A 1NFORMA I Nr J„ r, t
ittorla�Wpr to- elme tmue r:hispermit —crec a apply:
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❑HVACC' T:0 �Gas'ir,nc l lGasPiping Shutters Windows/Doors
❑F.I,ectilC'E;,; ❑Plumbing 1]Sprinklers ❑Generator ❑Roof Roof pitch
q Total Sk',6t,Cobstruction: S Ft. of First Floor:
Cost of Construction: $ C2C7 _ Utilities: Sewer LJ Septic Building Height:
sOWNER/Lt SSEF fCONTRACTOR'S
_{�,���.�-
Name t� rvysx. 4, Name: +.h^,HAELr DDWIN
2� T'1_ Company: JENSE'i -£EACH ALUMINUM
Address ,Wbr/I,J /y_. �_
I /l __ EDERAL HWlCity �1720NW
Zip Code:_ Faf:City: STUART State: FL
Phone No. 31��%�— ONI Y Zip Code: 34994 Fax: 692-9744
Phone No. 692-0057
MICHAELL.;OODWIN YAHOO.COM
Fill in feesimple;Title,Hoider on next uag}e� (if different E-Mail: .: ca
I
from the:Owner fisted above} State or County Lie !rise: CGC 1508437
If value df;ii n*V tion is $2500 or more., a ,,E(CRDED Notice of Commencement is re)':sired. -
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SUPPLE(i9tI4.L CONSTRUC IGPaLIE1V+LAVV INFORMATIQ,N
DESIGNE�JENGINEER: _ 14c4pplicable
MORTGAGE COMPANY:
Not Applicable
Name .`cSJNGo/k6T �/�hfA/E�1l��
Name:
_
Address:, e._ S:l ST�?e�r 0.1.o/1T}I / of
Address:
City: State: f=-C..
City:
State:
Zip: °7���, >;Phone:_ 2 2-gbh&)
Zip: Phone:
FEE siMPLETITLE HOLDER: NofApplicable
BONDING COMPANY:
_Not Applicable
Name:: -=
Name:
Address: �; _.
Address:
City, ;
City:
Zip: ,:�: Phone: -
Zip: Phone:
In consh
in actor
The foil{
accessoi
WARN
oigua
STATE
COU�N' Q
The
rl
this e;i
(Name
Type of
i
'or installation has commenced prior to the issuance of a permit. r
'.s no representation th, t is granting a permit will authorize the pennit holder to build the subject structu:e
th any applicable Home Swners Association rules, bylaws or and co,:!enants that may restrict or prohibit such
;,plt with your Hor.r.: Uv, lers Association and review your deed for.f..ly restrictions which may apply.
e granting of this reque,ted permit, I do hereby agree that I will, in � J1 respects, perform the work
e approved plans, the F:Farda Buiiding Codes and St. Lucie County Ai. endments.
,,permit appl?cations a �. ex pt from undergoing a full concurrent 'review: roo additio s,
swimming po s, Fen .: Is, signs, screen rooms and accessory •* ,yes to anot r n-r idential use
INER/prert
ail a ecord a Notice of Commencement /,'nd
sul n Ke
yfng twice for
y r . otice of Commencement mus ared n on the jobsite
ttend to obtain financing, cl ult w th or ey before
4
y_
dged-�)efore me
20 LS Eby
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Notary Putillq�'- State of Florida
Ay Comr( 'NAres Nov 15, 2018
Commission # FF 165316
STATE OF FLORIDA'-'
COUNTY OF ;1
The fo,,�rr*_Uing instrumgf;`
this dqday of _�' �
(Name of
Type
nowledged before me
20 15 by
(xQC.� l r
I Lk
ub' -State of
OR Produ
u
No. ? : A, Notary P(JAbbQState of Florida
•_ My Comm. Expires Nov 15. 2011
Commission # FF 165316
REVIE
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIFW
REVIEW
REVIEW
DATE
COMPLETE i Yr
F Y'
INITIALS'3,