HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SOT \Q SCANNED Permit Number:
St. Luce County RECEIVED
•
Building Permit Application OCT 18 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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PROPOSED IMPROVEMENT LOCATION:
Address: 1 Ob00 5` UGGAMI I-PK q 0 3 � rbvfFw "�t�9it {
Legal Description: f7LF?YhA SovTt eaNrJo 'tom (Itit-r 103 61volor Slfptne
IN coMnro+v. �p(/j, 57a�t� 2Zao�
Property Tax ID #:gpl - S(7 — )Of O nor,—� Lot No.
Site Plan Name: ��iJLLSo^I Block No.
Project Name: C r/l.f,'or4
Setbacks Front /t/Y Back: Right Side: �/-A Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Aaclitional work to be performed under tispermit—check all apply:
0HVAC Gas Tank ❑Gas Piping
_Shutters Windows/Doors
Electric 0 Plumbing Sprinklers D Generator Roof Roof pitch
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Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ yf ODDUtilities: _ Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:' `
Name Cgi? b sotJ . A-v - o(z
Name: MICHAEL GOODWIN
Address: 1016p0 i 7X_", -D4-
Company: JENSEN BEACH ALUMINUM
City: aCli State:
Address: 1720 NW FEDERAL HWY
Zip Code: 74 91-7 Fax:
City: STUART State: FL
Phone No.
Zip Code: 34994 Fax: 692-9744
E-Mail:
Phone No. 692-0090
Fill in fee simple Title Holder on next page (if different
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
from the Owner listed above)
If value of construction is $2SOD or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW, INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ELwt(OA, 4-WefuNH/% L_7tL uvL t Z1i; Name:
Address: U Q Address:
City: fit _ State: F _ City: State:
Zip: O6ta4 Phone: 4tfiflZ —eyo3 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip:
_Not Applicable BONDING COMPANY: _Not Applicable
Name:
Address:
Zip: Phone:
I certify that no work or 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 conflict with 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 all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anotheresidential use
WARNING TO OWNER: Your fail o Record a Notice of Commencement may res t i Zr paying twice for
improvements to your ope otice of Commencement mus record a d ted on the jobsite
before th ' t inrec X11 ntend to obtain financing, con It i e er r torney before
comm c1n> c r r our Notice of Commence
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S7— �UCl� COUNTY OF
The forgoi instru nt was acknowledged before me The forgoin instrument was acknowledged before me
this/7 8ay of C.T . 20/ by this/ y of 4:9 % , 20/, by
(Name of person acknowledging) (Name of person acknowledging )
(Signatu—MofNotary Public -State of Florida) (Signature tary Public- State of Florida)
Personally Known �—,-' OR Produced Identification Personally Known -'_� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
B FF 173907
Revised
Commission No.
GAUMOND
EXPIRES: Decenber 7, 2018
Bonded Thm Notary Public Underwriters
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