HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONV . 1 V\;
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lY' i ,pI SCANNED Permit Num
BY
St. Lucie County
Building Permit Applicatio
JUN 18 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count F 2300 Virginia Avenue, Fort Pierce FL 34982 yr L-
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
PRC npnkOn IMPRLI\iFMFNT I nrATIOKI- .
Address: lb(9Cb s 0temN^itvt tzoq
Legal Description: bcE�a S�,rrw ea, Oo it- U(-%r 1'2zj A,yo J1v0 ✓ S
i N C oMM-N W �c�
Property Tax ID #: q5-1 / —5—/ 7 — of z-& — coi --7 Lot No.
Site Plan Name: and' !:- Block No.
Project Name: rLrwj_ c
Setbacks Front Back: � Right Side: 7_ Left Side:4
DETAILED DESCRIPTION'OF "RK:
5.
q oP�vv✓Gs Nora.
to 1r-//- Cx-7f17;0-6 �ilGTlz��'
SP TAP—
CONSTRUCTION INFORMATION:
Additional work to e e me un ert ispermit—checka apply:
11HV, 0orGasTank DasPiping_Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1 1 Tbof Utilities:Sewer OSeptic Building Height:
OWNER/LESSEE.
CONTRACTOR:
Name %Lf CaVWZ A /t u'2 A
Name: MICHAEL GOODWIN .�
Address: 104,00 S i%(dRbo t 71!_ O—lZor'i
Company: JENSEN BEACH ALUMINUM
City: ga��w 4+� State:
Zip Code: 34rir? Fax:
Phone No. 3au
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
rz vame or construction is >zbuu or more, a ntcuitutu Notice or commencement is required.
,-I
EER: Not
Name: sK4_)Mf44 4,4
Address: NNU A44-alove-AS
City: M91�H
Zip: z�4a4 Phone: /Gf7)f7)
FEE SIMPLE TITLE HOLDER:
Name:
Address: -
City:
Zip: Phone: _
INFORMATION:
Ipllcable MORTGAGE COMPANY: _ Not Applicable
41A�&4 Uri Name:
T ✓r7 [[ Address:
Stater City: State:
. i5;1 6/v F Zip: Phone:
Not Applicable I 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 another on -residential use
WARNING TO OWNER: Yovigaur
Record a Notice of Commencement m resul our paying twice for
improvements to your pro;.reotice of Commencement must b r r 1]10 +ed on the jobsite
before th rs in ➢ectii>nd to obtain financing, con r r an a�forney before
comme Ine ocdliior�iff oNotice of Commencement 1
as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF <:Zr /jC1,,S COUNTY OF SS
The forgoi g instrument was acknowledged before me The forgoing instrument was acknowledged before me
this/ of �(�/!�� 20/Qby thVg22 'ay of �%L�/J%F 20�_Z1' by
(Name of person acknowledging) (Name of person acknowledging )
(Signaturere ofNotary Public- State of Florida) (Signature o Mary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
ANN M. GAUMOND
a: y EXPIRES: December7,2022
Revised 07/15/201411 `•: r ;� ,d , ,,,u ,,„
Personally Known r� OR Produced Identification
Type of Identification Produced
No.
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