HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: oltf - SCANNED PermitNumber:
BY
St. Lucie County RECEIVED
Is,
Building Permit Applicatiorf0v 2 0 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. LMCIQ County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEb IMPROVIEMENTLOcAmN:
Address: 30 LAKE VISTA TRAIL 207, PORT ST LUCIE, FL 34950
Legal Descriotion:
VISTA ST LUCIE BLDG 30 UNIT 207
Property Tax ID#: 3422-500-0420-000-0
Site Plan Name: THUM-GEBRIAN
Project Name: THUM-GEBRIAN
Setbacks Front NIA Back: NIA Right Side: NIA Left Side: N/A
-DE�TAILED-DESCRIPTION�OF�WORK--',
Lot No.
Block No.
CAT 11 SUNROOM/1 60MPH EXP B/EIXISTING CONCRETE SLAB & ROOF/ SHUTTERS/ NO
ELECTRIC y-No VNCANJ GCjIrp'V 1 pi � 2-ACI uy\-k t
[CONSTRUCTION INFORMATION:'
Aaafflonalwor!(Wbe�pertormecl
under
this permit - cneCK
all appiy:
1]HVAC
0
Gas Tank
DGas Pi. -
[na
—
Shutters
E]Windows/Doors
11 Electric El Plumbing
[]Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
S, Ft of First Floor:
Cost of Construction:$ 11,000-00
Utilities.,
Sewer E]Septic
Building Height:_
OWNER/LESSEE:
',CONTRAC:Tok�
Name THUM-GEBRIAN, Q&&RkhN 15-11del)
Name: MICHAEL GOODWIN
Address: 30 LAKE VISTA TRAIL 207
Company: JENSEN BEACH ALUMINUM
City: PORT ST LUCIE State: FL
Zip Code: 34950 Fax:
Phone No. 302-6888
Address: 1720 NVV FEDERAL HWY
City: STUART State. FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail:-
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUCTION LIEN
Name: Di
Address: 112 COLEMAN RE)
City: WiNTERHAVEN State: FL
Zip: 33880 Phone: 863-299-1048
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
City:_
Zip: —
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 ap
accessory structures, swimming
WARNING TO OWNER: Yoi
the
Signature
it from undergoing a full concurrency review: room additions,
signs, screen rooms and accessory uses to another, non-residential use
Record a Notice of Comir
tice of Commencement
id to obtain financing, c
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF .':;7- 1
COUNTYCIF �S7
FAour paying twice for
cl posted on the jobsite
an attorney before
The for J 'instrument was acknowledged before me The forgoijing instrument was acknowledged before me
t is�3*
y 20 thisz2wof yz'� 20/
h of lt,�51 I 0-Dy I - - _,f by
(Name of person acknowledging (Name of person acknowledging
(Signatu-re-of-Notary Public- State of Florida (SignaturB`cfNotarV Public- State of Florida
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced � Type of Identification Produced
Commission No.
Revised 07115[2014
(Seal)
�ommission No.
(Sea[)
Ulff
EXPIRES: Member 7,2018
Bonded Dni Notary Pubkc Undem6ters
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