HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a.5 SCANNED Permit Number:
BY
St. Lucie County RECEIVED
• Building Permit Application JUL 2 5 2019
Planning and Development Services
Building and Lode Regulation Division ST, 6ucla C94nCy, 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
PROPO$ED,,IIVIPROVENiENT'IQCI,ON,
Address: IonZ�n S DC�AfJ ✓2 Q� �l�
Legal Description:
�F/' l o pgAn Pry 2M�r SFh►rtE I N tonn�o
Pr-rK (11 lr 1iII� P1'
Property Tax ID #: ' �11 — - b� — Lot No.
Site Plan Name: A c�N�Ar+Zfk Block No.
Name: 1
Project
Setbacks Front � Back: Right Side: N
Left Side: N
EL? DESCRIPTION OF WQRKt " {Ii 4; I 3� x ;-
;
1!bET
1 �d rl /00�(.IaJh�,�
777 l
;s..' r ti.i `°P :;
CONSTIUCTfO!_INFOtiMATION. ,oA
Aacionai WOrK to UC],.....Ied under tIspermd—c ec a appy:
m
�HVAC GasTank ❑Gas Piping Shutters ndows/Do
❑_ Electric 0 Plumbing :jSprinklers Generator _Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
$ 1-00 Utilities Sewer � Septic Building Height:
Cost of Construction: �66
O,W ER 1 S- EE ' rs . , `
0 „
--^.�
Name 1 bbONDAT/ZA- ta/IS!f
Name: MICHAELGOODWIN
Company: JENSEN BEACH ALUMINUM
,f
Address: r R05KAul t.. C12 l
n O State: &A)
City: WOo✓i 'yl� � nib
Address: 1720 NW FEDERAL HWY
Zip C:H 1—odeLle, Fax: G/1t,14 0 '
City: STUART State: FL
Phone No. 17
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail: MICHAELLGOODWIN@YAHOO.COM
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CGC 1508437
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION EIEN LA1A1' IN1) PTI �.r f` '(' siI
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY _ Not Applicable
Name: r' � hA A41nh fly ,,,�, //�IIV�'�li. A
Name:'
Address:
Address: S igyQ Mtm+M&h, S Jl I!O
City: State:
Zip: Phone:
City: k State:yli
°� hone: 17Y
Zip;
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
Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
which is in conflict with any applicable
structure. Please consult with your Home Owners Association and review your deedforany 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 a ditions,
to on -residential use
accessory structures, swimming pools, fen a „walls, signs, screen rooms and accessory u another
WARNING TO OWNER: Your f u Record a Notice of Commencement result i our paying twice for
of Commencement must b e r d a posted on the jobsite
improvement your pr pe y otce
before the ' st i spectio . I y ntend to obtain financing, consult it 1 d an attorney before
commen ' w r r r o f our Notice of Commencement.
S
Signa re of 9 ner/Lesse Contra for as Agent for Owner ignature of Con tr or/License Holder
STATE OF FLORIDA STATE OF FLORIDA � �UC1
ST COUNTY OF .S/
COUNTY OF .LUClE
The forgo' instrument was acknowledged before me The forgot g instrument was acknowledged before me
Uy T�G�, 20Y thffiOsL/d3Y of /!)� 20/� by
thi of
(Name of person acknowledging) (Name of person acknowledging
(Signature o-(Notary Public- State of Florida) (Signatu otary Public- State of Florida )
Personally Known OR Produced Identification Personally Known o/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. oa Commission No. (Seal)
ANN M. GAUMOND ;.�o:••.,, ANN M. GAUMOND
s # GG 2o'. `.; MY COMMISSION # GG 269714
.�.• .�_WN
' ` EXPIRES: December 7, 2622 : EXPIRES: December 7, 2922
Revised 07/15/201 `� '•;,; Bor Thnt N• PuMbUMervrtllem '•'•�'aFti°" Bonded Thm Notary Public Undemrilem
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