HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONmay,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a'' �. SCANNED Permit Num
BY
St. Lucie County
Building Permit Applicatim
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
M p I .
FEB 2 12019
Permitting Department
St�leCounty, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEDximp' ROVEMENT LOCATION.
Address: 9650 S OCEAN DR1608, JENSEN BEACH FL
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1608
Property Tax ID #: 4502-610-0148-000-5
Site Plan Name: LOMBARDO
Project Name: LOMBARDO
Setbacks Front NIA Back: NIA Right Side: NIA Left Side: NIA
WINDOW & DOOR REPLACEMENT(5 OPENINGS IMPACT /2 DOORS/ 3 DOORS)
�HVAC Gas Tank
❑Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 15850.00
Lot No.
Block No.
Sas Piping
IJ
Shutters
Windows/Doors
Sprinklers
11
Generator
E]
Roof
=
Roof pitch
S Ft. of First Floor: _
Utilities:Cn Sewer O Septic
Building Height:
01NNER/LESSEE TGONTRACTOR::_.'
~
Name LOMBARDO, YVONNE & KEVIN
Name: MICHAEL GOODWIN
Address:733 N 97TH N AVE
Company: JENSEN BEACH ALUMINUM
City: NAPLES Stat6:-FL
Zip Code: 34108 Fax:
Phone No.239-571-0333
Address: 1720 NW 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.
SUPyPLEMENTALGONSTRUCTION CIEN'IAW INFORM4TIQN' s
c, t
_
_.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING INC
Name:
Address:5440 MARINER SANDS 110
Address:
City: TAMPA State: FL
City:
State:
Zip: 33609 Phone: 613-374-2403
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not
Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 another non-resi ntial use
WARNING TO OWNER: Your Miter
Record a Notice of Commencement may result in y r ng twice for
improvements to your ro eotice of Commencement must be recordVed/do on the jobsite
before the fir spe to . Ifd to obtain financing, consult leorney before
commenci w k r or Notice of Commencement.
Signature of Owner/Lessee/L.ontractor as Agent Tor L)wner ) I ]Igndwre aI wnu dLLUI/ LMU1I�c nmuo
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S% X
COUNTY OF 5 i
The for o' instrument was acknowledged before me
20/p—by
The forgoinginstrument was acknowledged before me
this of G�J 20 � by
this;W of
y ,
(Name of person acknowledging )�
(Name of person acknowledging)
(Signature o Notary Public- State of Florida)
(Signature otary Public- State of Florida )
Personally Known V" OR Produced Identification
Personally Known 1/ OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. (Seal)
Commission No. rpa
- ;. ';';;'•.; ANNM.GAUMOND
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EX_ PIR_E.S :De_c. December .z`,...x.,
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^.` EXPIRES: tuner7,zoz2
Bonded ThruN Public UndemlerRevised07/15/20
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