HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE c6mOikTED &OR %TION TO BE ACCEPTED
BY ['6b
Date: Permit Number:
St. Lucie County
RECEivED
ME
BItfliding, Permit Application JUN 2 7 2018
Planning and Development Services
Building andkode Pegulation Division Permitting Department
Couf1ty
nia
2300 virgi �enue, Fort Pierce F-_ 34982
Phone:. (Z72)462-1553 Fax:1772)462-1578 Commercial ,Residential
PERMIT APPLICATION FOR :♦.:.To Salect from dropbox, clic)tarrow at'fhe end of line
PRCP6Hb'IM'P u,�!E E, %
Addressv�_'19 7>2_ 3or -3-(3q5ej --Bt�o�
Legal D "nption: _-9. 5 Qolvo 0 A79-r
Propeoy,T,a)c,IDt#: Lot No.
0A
Site Plan Name: Aug" Block No.
ProjecZ N
Setba� si_Fn7nt ILI 3z,ck: Righ tSide: P4.4 Left Side:
x e,
41
AP1415,174e7-�
/VOO 1,V
71
C9 STR �,Pq ;
Aciclitiona•l Work to oe_pei1orrnco unlai r.....; permit — Cne-k all apply -
-
I L�JGas1,
. Gas Piping Shutters �&Vindows/Doors
"
L --- j PI11VrI;..iri Sprinklers 'ElGenerator k) Roof Roof pitch
Total SqlPf;pUC&,stwction: 17ff! - So. Ft. of First Floo �':
Cost ox Const.ruc'ion, Utilities: Sewer �4, stic Building He: ht:
OW K_R i'CONTRA&O 4!
La IM
Name__(Ze��� M,a Any Name: MICHAEL,?,f .-)DvVIN
Addre Company: JENSE?; BEACH ALUMINUM
77
City: C: State: Address: 1720 NW':'EDEFVI_ HWY
Zip Code: ?o City: STUART State: FL_
X.
Phone 14_K'81L_ Zip Code: 34994 Fax; 692-9744
E-Mafl:lef Phone No. 692-OC-10);
Fill iv I'msiMple-Vitle Holder on ki6t (if different E-Mail: MIC�iAEL!.�j�,'.'DDWIN@YA,HOO.COM
from tile owner listed State or County CGC 150843"
If value of cqblf fit';cl ien h; ZS60 a: ib Ca re" iJ� L,",ORDFD Notic;D of Commencement is re,:.-Ared.
SUPPLEMENTAL-CONSTRijCT�OPLIEN LAW INFORMATION
E TA *h s?.,.
DESIGRE.R/,ENGINEER: Not Applicable
Name '`SuNcoASi rerN]2trv�_ Gl
MORTGAGE COMPANY: Not Applicable
Name:
Addressi:n-.;I ( S"3'Ttt- Sr+2i%n IaN
Address:
Cit'c' .. , w
y:. ;�A•State:
Zip: Phone: ��Zy-�i000
City: State:
Zip: phone:
FEE SIIVIPLErTITLE HOLDER: — Nc:c Applicable
Name:'
BONDING COMPANY: _Not Applicable
Name:
_ _
Address; ''
Address: _
City: ''' =s 'r
City: -
_
Zip: _ Phone: -
Zip: PFione:
_.
t $' 'S. a i1 -`
I certify thdtir�io,Work or installation has cd�i-aenced prior to the issuance of a permit
can;
St Lucie Countyy makes no representation Mit is granting a permit will authorize the pe ait holder to build the subject structure
which is imcontlict with any applicable:Home Owners Association rules, bylaws or and cw• enants that may restrict or prohibit such
structure?;PI-ease'iconsult with your Home OWnt2rs Association and review your deed for S oy restrictions which may apply.
In conside ation',of the granting of this requested permit, I do hereby agree that I will, in ill respects, perform the work
in accordabce with the approved plans,.the:florida Building Cedes and St. Lucie County A,hendments.
The follo�vijl .bjbilding permit applications are -exempt from undergoing a full concurrence,• review: room additions,
n ..:.yq .vt . I
accessdry,structures, swimming pools; fences, walls, signs, screen rooms and access .,;es to another non-residential use
WARNIiVG'TO'OWNER: Your *a'sl e' — ecord a Notice of Commencement m:ey result in your aying twice for -
improvemems your pro rt ;` ice of Commencement must be rec' rded arld po on the jobsite
before ttief" tin pe io . If u' rid to obtain financing, consult w' I ;n r t rney before
commeri ' ' wor re rd". '` '. Iotice of Commencement. �"
Signatureof,p�ager/Lesseei.-o tr ctor;as,AgpntforOwner ignatureofC ntractor/L ens older
STATE,Qfy`fLORIDA ''I,;�P " STATE OF FLORIDEi
COUNTY=UFO-,+ r�`'t.+c ,t COUNTY OF
The for ing Instrume t was acknowledgedherore me The forgping instru was acd nowledged before me
this %'�'dayinf; �'20d i by thisd2 day of it L, .20 I S by
Rn,
(Name p per onackno ledging) (Name f pe „k,1 i_'led i
(SigCnaj'1;jK
rg;o Nfofary Pubji-State of Flpr�d�, , (Sign ure f Notary rUbli tote of Flor' ,-
Persn �,n. V. axon Pers pally Kn wn OR Produce tion
Type is@�tion Produ A-1...... __� Identi icaatti/ion irodu _
+ ( public -State of FI r' -C1 I St� JOHN LEE TINNEY
Commission No. -"' • d® fission No. ° a l��t�Iy public -State of Flori
--?WAmm. Expires Noy 15, 018
- ' ``
1tt Capimisslon # FF 1653 6 My Comm. Expires Nov 15, 2
,,.r ;- aaghidat na Assn. ��lssle
Bonded through National Notary As
Revised,Q7/,15/2014
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