HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLicAgLE.INFO MUST BE COMPILLTED FOR APPLICATION TO BE ACCEPTED
Permit Number: Date:
SCANNED
BY
St. Lucie County RECEIVED
Eftiflding Permit Applicati6n JUN 2 7 2019
Planning and 06velopment Services
Building and Code Regulation Division Permitting Department
St. Lucie co,,tv
'niq.'Ayqnue,
2300 Virg( Fort Pierce FL 34982
Phone: (772)1462-1553 Fax: (772) 462-1578 Commercial Residential
[�PER:M1,T�-;'k-F--'F�-l-ICATION FOR: from dropbox, click arrow a' the end of line
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I PROPQSED, INIPACIVEM 4
Ad d ress: LI c3: 00 f//O/ 7t j�7�V
Legal Dascriptio,:
0 221NE _S�(z �✓Ci Co/-4b 0" D C
Property,T-dx4DEft: Lot No.
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Site Plari' Kia mQ: Block NO.
Project Name'
Setbac Right Side: Left Side
ks�Ffont_A�A-_Back:� -
tOET IL� 7fOtSCRIKTIOWD AAI 0+
�'2
014AW 4, 06�
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- 11 � 0 " ' I 'K' " I I " 11
-Addtinyobep,rtoir p'rce, 'Ms permit -ckall app
EIlA6P)_GasTank.GasPiping Shute rs Windows/Doors
`> - V I
r ❑6ct-ri Plumbi-igk__ 1�]Sprinklers El EIRoof Generator Roof pitch
Total Sq; Fif,of C&hstruri.i(n, S Ft. of First Floor:
_tCost
of, Uction$2Zc6d—VIrtjeSewerQSAi—BuildingHeight:
OWNER/L.
n' :?
CONTRACTOR,).44
Name- Name: MICHAEL G(;ODWIN
�,,.
Address: --,'A2', ':.�p&uc-ic Company: JENSF'BEACH ALUMINUM
I- . * - State: Address: 1720 N,=EDERAL HWY
-� _7R_6L4:4?'EVL'fJ 1 City: W W
Zip Cod'e':_"' Fax:- City: STUART State: FL
Phone No 4R� 9ye- Zip Code: 34994 Fax: 692 -9744
E-Mail.1c1r.4L-Kill Phone No 692-0oB"-
Fill in f e� 11pOILITItle Holder on 1113kt,pal;t. (if different E-Mail: _MICHAELL.�OODWIN@YAHOO.COM
from th '6 listed above) State or Count,; Lic..!nse: CGC 1508437
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If value %jq-0qtiuctic111 is $2500 or mtire, �Fk ECORDED Notice of Commencement is rEC, Jred.
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SUPPLPMENTAL C(/hSTRLkT'_'_"
DESIGNE /ENGINEER Nc
Name:
Addres
City: _
Zip: _
FEE SIP
Name:
Addre!
City: _
Zip:
0
State
TITLE HOLDER: Not Applicable
one:
IRMATION ='
-q
MORTGAGE COMPANY
Name:
_ Not Applicable
Address:
City:
Zip: -phone:
State:
BONDING COMP)1NY:
Name:
_Not Applicable
Address:
City:
Zip: Phone:
I certify i641 work or installation n6's'2 T1Pnced prior to the issuance of a permit.. '. ',
St Lucie Countymakes no representation hFit:ls granting a permit will authorize the permit holder to build the subject structure
which is iYt-eonfiRtwith any applicabble Horne Owners'Association rules, bylaws or and covenants that may restrict or prohibit such
structur�i=Pl2.ase`consult with your I'ome.Owriers Association and review your deed for any restrictions which may apply.
In cohsidecation-of the granting of this requested permit, I do hereby agree that I will, in -ill respects, perform the work
in accordance'QKthe approved plans,.thefl&ida Building Codes and St. Lucie Countyf.-nendments.
The follpW(2g;b�J[ding permit applicatlons;afe—exempt from undergoing a full concurrencgeview: room ad itions,
accessc ry4Vr`uctures, swimming pools, fences, ails, signs, screen rooms and accessory ,yes to anot r n n-residential use
WARNING TO; OWNER: Your ail - e ecord a Notice of Commence nt may res n ur paying twice for
%improvements pro + tice of Commencement m be rd n osted on the jobsite
before >he f sp to If o end to obtain financing, co suit w i o an attorney before
commen a- wo r r or In i"n-Notice of Commenceme t. _
STATE Rlf)A STATE OF FLORID/ ` t n
COUNTY OF i > COUNTY OF I 1 Ila,Bt"i t.I
t The for in instrun e:i'was acknowledged before me
The forpagmginstrum t was acknowledgE'd before me g� g J� g
thisAXrciayoti'i�-. >; .20Xv_by -thi xl2u�dayof__ 20 18 by
vs� - � oQtaii�.I I I1�Q.L'4- 10�rna'
(Name ofYp r� nti owled ing) fr (Na a of er n acki , ± ledgin
y I
(Signat ofif�o Publi State of Flond'a ).� ignat re of Notary ;=,u ' -State of Flor'
rfi� J+ t p �•,
Persona KflOWn'' OR Produced Identification P onall Known _T OR Prods cation
T I, is H LEE TINNEY
Commission,Nol F' . n- .(Q� tx��,Public - State of A21
mission No. I `a�% rr��
+-:°- Notar�-I�GAl - State of Florida
+.e,MyjCbmm. Expires Nov 1u ;r�i�s' , p �'Lor' mission # FF 16My Camm. Expires Nav 15, 2018
onde t uy� ational Not�•,�eoF F�o?��
Revised 07/1,5'/2014 Bondedthrough National Notary Assn.
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