HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I ) Date: SCANNED Permit Number:
BY
St. Lucie County RECEiVED�
JUN 9 7 2018
Building Permit Application
Permitting Department
Planning n 'DevelopmentServk& St. Lucie County
Building and Code Regulation Division sion
2300 Virginia Avenue, Fort Pierce FL 34982
-Residential
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial �
PERMITAPPLICATIONFOR :.-!.—.
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PROPCSSED ,Q IRN
TUX kw,
Address:. qg5.ig1f)nz1q _T /)r-_A9h*V
Legal Dds3t-wL4i±,,05 riptl6p: 2-0 7 Ion 3'4 9-7 IT —
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PropertVjTakdD,#: qn7 Off/Lot No.
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Site Plan N,-" Block No.
ProjectNarfie:-X,
Setbacks-F robt A.' Ar, Back'N Right Side: N A Left Side
AX!
�PT�R
i A/00Ld
i $E�itrU �5,vg.W
A11064, mt IONINFORM
- 77 701 U
t--cneCK all
Adcfitiora�, apply:
be nertormecl uncle 1pis
perm
Tank' ]Gas Piping Shutters ZIwinclows/Doors
Gas —-
Ll E`1`M('tTP El Plumbing" Sprinklers Generator Roof Roof pitch
- �'L — 1. ,
Total S%'-! 6f_.to'nstructi.on: S Ft of First Floof -
cn
Cost of.CoifstfE - ittion: $ Utilities.. Sewer osEptic Building Height:
q� `F &i
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bW4-� LESSEE: VSyCONTRACTOR
ut
Name
Name: MICHAEL G1 ICIDWIN
-7,
Address 'TF /-dvt;,
Company: JENSET -BEACH ALUMINUM
City:_ .3241A I X State: r7D<-
Address: 1720 W, FEDERAL HWY
City: STUART State: FIL
X�
Zip Code, Fax
Phone No.
Zip Code: 34994 Fax: 692-9744
Phone No. 692 -00qo -
E-Mail .
Fill in f6e:lftpleMtle Holder on imge if different
E-Mail: MICHAELLGCODWIN@YAHCO.CCM
State or County Lic!nse: CGC 1508437
from the b an;i listed above)
If value Pt�60n&i�cticm is $2500 or more �,-a PECORUED Notice of Commencement is rev wired.
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SUPPLEM�NTALCONSTRUCIIONtrLIENLAININFORMATION,
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name,,v, AWI
I iv ru : O�Ib1nu Y/a��
Name:
Address:
Address+'+Mn S::a-rtk
City: _ - w
`+_`
State: �
City:
State:
Zip: 'Phone:
�I '"` �ioo
Zip: Phone:
FEE SIMPLE=TITLE HOLDER:
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address>`- °":.`
Address:
City
City:
Zip. ^: .p -Phone:
Zip: P4jone:
I certify;frk or installation has cc rt menced prior to the issuance of a permit.
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St Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in+cronfiicC,with any applicable Hone Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structur@;?Pleasd_consuit with your Home.QWners Association and review your deed for any restrictions which may apply.
In considthe granting of this reg6ostgd permit, I do hereby agree that I will, inall respects, perform the work
in accorda0ceytith the approved plans,.theFlorida Building Codes and St. Lucie County Amendments.
Y
The folloi q 1,6piltling permit applications;a[e-exempt from undergoing a full concurrent'review: room additions,
accessory structures, swimming pools, fences,_walls,signs, screen rooms and accessory t:aes to another non-residential use
WARNIN-GTO OWNER: Your fail/telt�c
ecord a Notice of Commencement may result in y paying twice for
improvements'to your pro pert'ce of Commencement must be recorded nd sted on the jobsite
before the frrst;ins ecti Iffy to obtain financin consyft �rith nd or attorney before
�,r.,. , t� ,y
STATE OF FLORIDA STATE OF FLORIDA, h
COUNTY,COUNTY OF 1I Gl¢rily
The for irjg tnstrume was acknowledged before me The for instrum-er t was acknowledged before me
thi ariday df •' UC i203k i_by thiso�2 day of �XiUU� 20 to by
(Sign ui'gP }ary Pu c- State of Flprid- ,.� (Sig ure of Nota Public- -ate of Florida I
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Pers nallyyKnQwi;1 ON Produced•'Identi ica ion Perso Known OR Produced Id ification
Type I'dentifica .'on Produced - +. enti ication - roduced
JOHN LEE TIN EY �� I
Commission f o 7 LS o""Y o��s.Notary Public - Slat Od'i MN n No: ,� EE TINNEY
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tlEi��j..4kln" - �,: is My Comm. Expires N v 15, 2018 ao�atP °o;`� Notary Public - State of Florida
is ' F 165316 _
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x.r r0 'rjor noo- N i . ,
Revised 0'�/,1§/2014 l'-_ Bondedthrou,�Naiional Notary AsVa W, o-e Commission#FF 165316
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Bonded througn National Notary Assr
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