HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEP.TE') a y
(J
Date:_ l� SCANNED Permit NuF7M
BY
St. Lucie County
e
W.Miding Permit ApplicatkPlanning
and Development services mentBuilding
and Code Regulation Division FL
2300 VirginiaAvenue, Fort Pierce FL 349Y2 ,_
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial_ HLICII
PERMIT APPLICATION
FOR: To SRlect from dropbox, click arrow at the end of line
•i_iF fA{:"�"flat
PftOPQSEDIMPI30Ve,tii'ETLQI y
Address:-, - ._;- 14Z9 S ��� .D2 .-O✓itt"l iwce
Legal Deser p`%5*"+7_0 Vrr t ACHE
Property Tax. ID/Me 3-S�— 000i "t%_AD-7i Lot No.
Site Plani Name °� _MA1✓.CA/(�td� _ Brock No.
Project.NaMe l%iltrr�![.(7UG
-
Setbacks: Front N Back Right Side. Left Side. /✓
4
DETAILEPDES
u44 "��i:+S0,PT101�. ,QFWG)
e/t Y"
r
CONSTRI�ClION-INF�F�M7l(I(�j }j ¢ .. pgi ,: ,v 101
F
itiona.•rwor4toh enersorrnec untre t ispermih�t-check all apply:
" LJ t e s Tank Piping _ Shutters � Windows/Doors
n❑HV'A r�Gas
L IElecfictY'r F,umutng L]Sprinklers Generator Roof Roof pitch
Total Sq;;Ft6IP:oiistr1uction: _ k 5 Ft. of First Floo!:
Cost of Construction: $ ��0�7�_..— Utilities: _Sewer. _ SE utic Building Height:
OWNER/LESSEEti'ti_ CONTRACT,Ofiz
_— ,...
_
Name - Name: MICHAEL GC. COWIN
Address: : : S_u, y9�_ �'T Company: SENSE' QEACHALUMINUM
City: State:Address: ' ' 1720 NW FEDERAL HWY
(i _'.'__
Zip Code;•'fFax:City: STUART State: FL
_
.; q
Phone No: ' I Sri - �! S CO I, o Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
3
Fill in feesjmple,I6,TjTjtle Holder on next F+a ;e (if different E-Mail: MICHAELL00DWIN YAHOO.COM
liv li ) y CGC 1508437
from the Owner listed above State or Count Lir• Anse:
If value ofgn'struction is $2500 or more, a t ECORDED Notice of Commencement is rof tired.
r
•
`r-
DESIGNER/ENGINEER: - Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: _ _ —State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: __ Not Applicable
Name:
Address:
City:
Zip: .Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that po;wo rKpr installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlictwith any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure.. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration -of -the granting of this requested permit, I do hereby agree that I will, in ill respects, perform the work
in accordance.with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The follow g.buildigg permit applicatiomare exempt from undergoing a full concurrency review: room additions,
accessory strucfure"s, swimming pools, fences, walls, signs, screen rooms and accessory uses to another n residential use
WARNINGTO-OWNER: Your f Eto Record a Notice of Commencement may resu in r paying twice for
improve 'mentstoyour p pe Notice of Commencement mus recorde aar osted on the jobsite
before t - Ir nspect}pn.ntend to obtain financing, co It ithn r n attorney before
r/Le see/Contractor as k�gentn
STATE'OFTLORIDA
COUNTY.OF_4 A O e
The forgoin :instrument was acknowledged �cfore me
this of� -_� 20/if—by
(Name of'pg66h acknowledging.)
(Signaryre�p �,.. o ry Public- State of-P ridp.ti i
Persona lly,Known.. � R Produced Identification
Type of Identification Produced
STATE OF FLORIDA'
COUNTY OF --,T' 1JJr/�
The forgoing instrument was acknowledged before me
thisfL�y of �T��I� 20l� by
(Name of person acknowledging I
(Signature€ -Notary Public- State of Florida) '
Personally Known —OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
REVIEWS! `
FRONT
ZONING":`,
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
"°' `
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLET t?`
.'
` ,t•
INITIALS'tf;:'{r.,yt
3a
din fin :'e