HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: �� \\ SCANNED Permit Number:
BY RECEIVED
St, Lucie County
Building Permit Application AUG 66 ^' 19
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
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 - Cane
Address:
Legal Description:
,n L4V7 r I S 14 V 1 __rK S.Nor Vti(f 2,jl Arm ,2a 12�t
Property Tax ID#: 1/3'/1— 00/<-- 060-9 Lot No.
Site Plan Name: Si-1 f-[_ M }e—) Block No.
Project Name:
Setbacks Front NIA Back: r I P Right Side: NJ (� Left Side:
Pq91A<e4&-7 - I LVEMq,{,r 6TtcT/ti r6 S -I)r LJ
Slil7/i�L
CONSTRUCTION IN
rtiona wor to e e orme under tispermit—check a a apply:
�HVAC Gas Tank ❑Gas Piping _ Shutters ndows/Doors
Electric 0 Plumbing Sprinklers n Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 7iDoCis Utilities: _ Sewer [] Septic Building Height:
OWNER/LESSEE; u-
CONTRACTOR:
Name t
Name: MICHAELGOODWIN
Address: A*4z_ &M 640ISS liiL
company: JENSEN BEACH ALUMINUM
City: tzne_A- VaisnA State: f't'i
Zip Code: -Z v Fax:
Phone No. rod 8(�— I fZo
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.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER:
Name: rLo2r00 AW w,,wv
_ Not Applicable
Oybin ,WWNb
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: &5�NNo /n/MGirHt
!2 .� r//J
Address:
City: it ,0,4
Zip: Phone: AfvZip:
Stag
City: State:
Phone:
FEE SIMPLE TITLEHOLDER: k_
Name:
Not Applicable
BONDING COMPANY: _Not Applicable
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
inaccordance with the approvedplans, theFlorida-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: Your failure Record a Notice of Commencement may resul i ur paying twice for
improvements to our prop
. j otice of Commencement must b recorded osted on the jobsite
p y940N�y A
before the first ins,ppect n. f o I end to obtain financing, consu it lend attorney before
commencin t PWor ec ur Notice of Commencement.
Signature of Owner/ ssee/co ractor as Hgentror owner �igndwte ui wnu duo �=
STATE OF FLORIDA aQ-Cru COUNTY OFORIDA
COUNTY OF
The for oing instrume t wa acknowledged before me The forgoing instrum t w s acknowledged before me
this day of u ar 20 Ltby this LMday f l�/ N wS/�/�I 20 by
i,4 a _ /o�ddc�(,J //�GLCdte I�AJ�f� rA)
(Sign ore of Notary ub' -State of Florida) (Signatur of Notary Pub' -State of FlorlddT
Personally Kno OR Produced Identificatio Personally nown OR Produced Iden ' ' ion
Type of Identification Produced pe of Id tificaattiion Pro/ducted
Commission No. (oC U
' ' (SeIII) NLEE TINNEY Commission No.`s UO.W`; i YOre" (SealpOHNLEETINNEY
t :';k Notary Public - State of Florida
Notary Puhlic -State of Florida P; Commission d GG 268344 y of Commission r GG 268344
Bonded through National Notary Assn. Bonded through National Notary Assn.
Revised 07/15/2014
REVIEWS
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ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
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VEGETATION
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SEA TURTLE
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MANGROVE
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DATE
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INITIALS