HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL API�LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7Q I_ SCANNED Permit Number: I U
M BY
St. Lucie County RECEIV�1)
Building Permit Application AUG 2 12019
Planning and Development services
Building and Code Regulation Division �T. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
LP��ATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION,:
Address: - *-7 5-o 5 oc6A-A) V12- A797— 23-?
Legal Description:
15L40�0 A or---r 793 A" A001, (441.- e_,Y�
Property Tax ID #: Lot No.
Site Plan Name: I toe. ri T'- 5 Block No.
Project Name:
Setbacks Front t//t Back: f-/� Right Side: Left Side:
F-�
CQ;N
_STRUCTION INFORIVIATION:�
Additional wo rktobenertormed under 1his permit checkall a apply:
0HVAC Gas Tank 0Gas Pip- - Shutters Windows/Doors
0 Electric Plumbing []Sprinklers Generator 'Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ /W 4 of 0 ?P
S Ft of First Floor:
Utilities'cn Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name -Z_((�61-JFUS 1. g6gCMA- 4_Q35-�E
Name:, MICHAEL GOODWIN
Address:- A-1170 vo Pft- PRC TO
company: JENSEN BEACH ALUMINUM
City: &�� —State: _EL--
Zip Code: P5�--7 Fax:
PhoneNo.. 01�') -/Y(,- _q(._91
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail:
Fill in feesimple'ritle Holderon nextpage (if different
from the Owner listed above)
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: GGC 1508437
ii vaiue ot construction is $z5uu or more, a RECORDED Notice at Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
U�aiuimanl Limulimccn; — NO1 APPlicaDie nIORTGAGE COMPANY: Not Applicable
Name: FL-440A AfurvitwAt eV6t^iz-WA)& me:
Address: S_L(YO ddress—:
City: State: r-L- City: —State:
ZIP: 3?(ao-^; Phone: �-3 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address!
City:
Zip: —
ne:
— Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
—Not Applicable
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 appli at' re exem Fit from undergoing a full concurrency review: room additions,
s
accessory structures, swimming pill", 'ons�3 s, sig
001s, fe es, wall ns, screen rooms and accessory uses to another no - esidential use
WARNING TO OWNER: Your il �etoR o'd a Motice of Commencement may result I paying twice for
0
I' '
N
N c
improvements to your prop V. A ce of Commencement mus, rcle2ra ted on the jobsite
u in nd to obtain financing, cons
u I rl
in nd �c n
before the f* t in0e2c n r attorney before
11 Vo/ S
it r No ic
c ec
commem"R to or e av r Notice of Commencement"
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �G' 7- 1 C 0 U NITY 0 F 9;� ", /_ /
The forgoig instrument was acknowledged before me The forgoigg instrument was acknowledged before me
th62*24Way of 2V-9 by the d? -6)e52— 20 by
I e25 y of 1�7
(Name of person acknowledging) (Name of person acknowledging I
(SignatuFe—of Notary Public- State of Florida (Signature oT-Notary Public- State of Florida I
Personally Known V/ OR Produced Identification
Type of Identification Produced
Commission No.
(Sea])
Personally Known P---' OR Produced Identification
Type of Identification Produced
Commission No.
ANN M. GAUMOND
- MY COMMISSION# GG 269714 1 ... ..... 11 -------
Revised 07/15/201411-*;--'.'., December 7,2022
EXPIRES: December7,2022
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