HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: KJ`3 1 \� SCANNED Permit Number:
BY
r�-•�-�=w -�_°��--}�� St. Lucie County
Y
Building Permit Application
Planning and Development5ervices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
,�N rz>S-0150
MAY 31 2019
ST. Lucie
Residential
PERMIT APPLICATION FOR: at" 'III
To Select from dropbox, click arrow at the end of line
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Address: idD i d cew� 7.z 4 17, 'a
Legal Description:
15c,Ar/��A I� C'oNAa UN 11210 or2
Property Tax ID #: Lf f 0 2 - /GoZ - 011 q - O b - 3 Lot No.
Site Plan Name: 15RA LLO/VC Block No.
Project Name: SPA-( Uep/l•'
Setbacks Front N I Or Back: N r4 Right Side: t-(O Left Side:
DETAILED DESCRIPTION OF;WORK
W t MOow t rD..2 4"..,
f'L251-0, R2g3-R2i.A26,U
- -7 obi lmo s --t7`Ph1C (-
CONSTRUCTfON'INFORMATION:
iIonaa to e e orme under
EIHVAC 11GasTank
tis permitter
❑Gas Piping
all �atappy:
Shutters
Windows/Doors
11 Electric ElPlumbing
[]Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
2+P1
S Ft. of First Floor:
0Septic
Cost of Construction: $ era
Utilities:CnSewer
Building Height:
OWNER/LESSEE:,
-
CONTRACTOR;
Name q'L(.Onit✓ I:�rW X- 70A-NNL:
Name: MICHAELGOODWIN
Address: I hf r t4Toni AVt
Company: JENSEN BEACH ALUMINUM
City: 50 U M. t4- State:
Zip Code: -3 93Fax:
Phone No.iv
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.
SUPPILEMI
DESIGNER/
Name: r
Address:<
City:
Zip: 36
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
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 1 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, wallsosiVs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to
improvements toy property. A
before the first ipspeotion. If. '
Signature
as
;s(a Notice of Commencement
if Commencement must be r
obtain financing, consult wit
of Commencement.
It in youppalying twice for
and p ed on the jobsite
ovw ttornev before
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST COUNTY OF ST Ix'QE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this?'%of�Y 20/�by thiZ�yof�20 by
Gl�ff9�L r_ra5!%LC)1, J
(Name of person acknowledging I (Name of person acknowledging )
(Signature o Notaf�e of Florida) (Signature o Notary 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
Commission No.
ANNM.GAUMOND
EXPIRES: Decembar7,2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
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DATE
COMPLETE
INITIALS