HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTE;)'
a
Date:-..., , ,'.-. Permit Nu!nber:
SCANNED
erveD BY
- 8 2 a18 St: Lucie Count ,
4plicati6n �"d`«0-'
er 91uildin'g Permit "
®m�l'tt`i'n' p m T F�
Planning and Dev2roprn2lffi4,KP.Pt
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578 Commercial Residential
PERMIT APPLICATION FOR: 7oYCelect from dropbox, click arrow atthe end of line
tt.Ast,c ii',
PROPOSED,([VIPROVEMENTLOCATIOIV
Address 'f i•O So S OC•FA'r.', �D/L 'TEHtH.. �.ei4t rr�
,,
Jsori
Legal Descaptl, �1
t
15(ANr� &Ae6 CON+JJ.UrlI— �u A-&,q OfU01V SF Aac
PropertY:Taxill)4vi L4 ( ` SI &— toL4 S'—cx Lot No.
Site Plan N'am' a i-I vz-e-tA H-vgT—Et2_ Block No.
Project Nome Ott -e— a l*oE'GG ✓L
-
Setbac s'�=;@f nti-= A- Back: J; A Right Side: P- LeftSide • 1
N. J r v ('ith rd < Yr fti yM i .}ff
4 S M
'DETAltF�D Q�5GRIP1'IONat�r/U�Vf��� K � '+ -"�s�'�" i `.�" 'd'�'
r:`ilet z. �Nt�l�r''' �`•Y/u'cL—�/�,�— Zo(h7�/sN6S
�z �'^�✓ifiT—
_ � 1
CON STRICti0�1'�; INFQRNIATiOMI?}.
Addit war,to a ertormed mcovthispermit —c ec all apply:
❑HVAC ") ?: Gas Tank [,]Gas Piping Shutters E Windows/Doors
n r;
�Elrfct�iLt'.r i? Plumbing Sprinklers Generator' - EjRoof Roof pitch
Total Sql',Ktoifcbfisteuction: _.__. j =: S F`. of First Floor:
3(oiib l.
Cost of Construction: $ _ Utilities: Sewer Sc 7tic Building Height: _
OWf4 R/LESSEE; ' it ,. ' ,; CQ,NTRA&Oil jj ... __..,
AM
1/-6-5-7
Name Ir2GFi (TuE- _np'�t _rr7+ �E`717/� Name: MICHAEL GOODWIN
Address: -� n.,�4��+Q� L1t%/�Q Company: JENSEh BEACH ALUMINUM
s t i ' 1720 NW=EDERAL HWY
City:_':g7N7 '=-5 State: � Address:
Zip Code: Fax: __ City: STUART State: FL
,.
o. 34994 692-9744
Phone No. � .�f.. Sri ^__ Zip Cade: Fax:
692-011- )
E-Mail �a""-":i- • '' _____ _ _ Phone No. _
' `0` ` ' n MICHAELL(3OODWIN YAHOO.COM
Fill in fete siinpl, title, Holder on next p•r,;e (if different E-hail: _. ac
'' ) y CGC 1508437
from the:QiNne�ilisted above State or Count Lira nsf.�:
LJr�}tt EICT!,
If value of'canstruction is $2500 o nn:! e, a'i 1FCORDED Notice of Commencement is re Sired.
CiS,-ts;?c�Y
IL
:rn^s---- - -
ti
yvxf"i .r ''=::;'ca
DESIRjEIi[.€NGINEER:, _.__. IU,: is Applicable MORTGAGE COMPANY: _ Not Applicable
Name:= J CnAgc. nptM �61N Z/I ame:
Address:5 i9N. Arovr.�H— 1�1 Address:
City: _ , A State: _F City: State:
Zip: 3�Lr�. Phone: 23Z-4taoo Zip: phone:
FEE SIMPLE TITLE-HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name:.. __..__--,- _ Name:
Address: Address:
City: ` _ City:
Zip: Phone: Zip: 4 bone:
I certify ttiat nawoyk or installation has cor i:n6nced prior to the issuance of a permit.
St. LucierCouhtyy' makes no representation tk::_is granting a permit will authorize the permit holder to build the subject structure
which is in contlict-with any applicable Home owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure:; Pleas'e�:consult with your Hor.e'Jv nars Association and review your deed for any restrictions which may apply.
In consideration" granting of this reGue led permit, I do hereby agree that I will, in ;.Oil respects, perform the work
in accord anpe_with the approved plans,,hL )rda Building Codes and St. Lucie County A nendments.
The follmviijg bPJIKfilg permit application aa4:empt from undergoing a full concurrent:; review: room additions,
accessory struc[ures, swimming pools, fenr(ev: ails, signs, screen rooms and accessory vies to another non-residential use
WARNING TO—OWNER:fflollvfey,
u . tc Record a Notice of Commencement m: y result !it yo aying twice for
improvements to your A c `Pre of Commencement mustbe reo �rded an ted the jobsite,
before thefirstinsp 1to id to obtain financing, con it ,tTn attey before
comm i't r : I`o*.ice of Commenceme . _ __
Slgnaturf pfirJwner/Lessee tractor r: Af-i nt Tar uwner �agnarure or Lontractc-ri a noiaer
STATE OF FLOR`IDA 1 / ` STATE OF FLORID! "
COUNTY OF (� tU _ COUNTY OF_-, r)
The gin as cknowled[, « `)efore me The for ng instrum.� as acknowledged before me
thi� 'J'day: f.:r e:.. �Jt. 20 &_by thi day of � 20 ) $ by
(Name Rfr:per d,c' o ledgi g i : (Name of pe s n -r.nvledgi )
Y�
Lx
(Signaty—;pfityOt; y Public estate of Fbrida ), (Sig Lure of No ry tale of Florid )
4
Person 1)y{t<n4v = OR F roduced !de, I Persona own Produced Idertihc ion
Type of ntaficati Produced Type of ;dentification :'roduced
Commission No JOHfAA,Lfjf.TINNEY Commission .; o JOHN LEE
„u
ad'rr — �� �, otary Publ(c ;Slate of Florida ` °'' .i 3+�. .`�; Notary Public - Stateof Florida
F: _ta}`•,. `.•_ R . • My Comm. Expires Nov 75 2018
Commission # FF 165316 s,; �°,o;; Cammisslon # FF 165316
Bonded throw hNalknal Not Assn. "'8,`,R,�`� Revised07/15 9. Notary Bonded through National Notary Assn.
REVIEWS
F..RDINT
ZONIPlG
SUPERVISOR
PLANS
VEGEt ;TfON
SEA TURTLE
MANGROVE
,COUNTER
REVIEW •., .l
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
1 I
;
COMPLETE.
(
. l
INITIALS y, c,.
i, _ .
-.i,�, N�r�:cc