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Home My WebLink AboutBUILDING PERMIT APPLICATIONt ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q J� Date:,! n ITS SCANNED Permit Number: jq BY St. Lucie Count Building Permit Application MAR 2 6 2019 Planning and Development Services Building and Code Regulation Division IsT. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III I rnvrv�[v uyirnuv,[roi�Ivi �t�t.Hll�ty: . -_,� III Address: Q6S-o S UcE-h7, DIz vc -,#- 90? Legal Description: 22, vte' OP 0X)T-yA-(1"0P) (qLa. o f IFO3 62 PropertyTaxlD#: 45aZ.-ft0-0083-CCDQ- I Site Plan Name: 'eJ✓/-1-rdV_ Project Name: '4o✓LrrVI tL Setbacks Front Back: % Right Side: Left Side: Z'L DETAILED DESCRIPTION OF WORK. Lot No. Block No. `l/ttvOa,v — / OP&- li✓L `�% -QtFt%/zv6 Sf>_� I CONSTRUCTION INFORMATION: II 11HVAC u Gas Tank Electric El Plumbing Total Sq. Ft of Construction: t3t7 Cost of Construction: $ Mil Piping "Shutters nklers D Generator S Ft. of First Floor: _ Utilities:n Sewer 11 Septic U^ Windows/Doors Roof = Roof pitch Building Height: OWNER/LESSEE; 5` CONTRACTOR: Name 014 lcg-y" Name: MICHAEL GOODWIN Address:9�y 5 Oa7,r7✓ /Dn- A�r� 103 Company: JENSEN BEACH ALUMINUM T City: e_1l1f&hI N_-r. 4� State: tEE- Zip Code: Ig 9 Fax: Phone No. 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 n vame oT construction is $z:)uu or more, a KKUKutu Notice oT Commencement is required. I `4 Q � � 0 �`1�.- SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: frra2^hp AWruinul-- 8Nbiro(--- tiuAR� Name: Address: SNKo 4'A✓G/AtZ %71tZr #—/i0 Address: City: State: PG City: State: Zip: o Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ Not Applicable I BONDING COMPANY: Name: _ Address: Zip: Phone: _Not Applicable 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 andcovenantsthat 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-residential use WARNING TO OWNER: Yo w fa'lur to Record a Notice of Commencement may result in r paying twice for improvements wtour pr peotice of Commencement must be recorded ted on jobsite before the in ect' n. ntend to obtain financing, con✓✓✓sµ}fN/}ithh/rend n attorne before comme Ing or ec d' our Notice of Commencement s Signature ot Owner/Les e contractor as Agent for Owner Signatur of Contras cerise STATE OF FLORIDA STATE OF FLORIDA COUNTYOF , �(�(�/� COUNTY OF L;i The forgoing instrument was acknowledged before me The forgoi instrument was acknowledged before me thiE,� day of 20/�by thi�Ay of �/�}/}NC �7/ 20/by (Name of person acknowledging) (Name of person acknowledging ) (Signature ofNdtary Public —State of Florida) (Signature otg�y Public -State o onda ) Personally Known f/ OR Produced Identification Personally Known r/OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Revised 07/15/20 MK M. GAUMOND EXPIRES: Decmnber7.2022 Commission No. ANNM.GAUMOND EXPIRES: December 7.2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS