HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APP LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie Count�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResidE
AUG 2 1 2019
ST. Lucie County, Permitting
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:'
Address: -7 S 50 "51 C) Ceti-)
Legal Description:
Property Tax ID #: (�o t - 00-1 !>
Site Plan Name: ZA-ZIeF:5
Dmiect Name' cl,-- 7, AVCL-.)
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Setbacks Fron Back: j-,1A RightSicle: Left Side-
11-DETAILED DESCRIPTION OF WORK''j-
Lot No. —
Block No.
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CONSTRUCTION INFORMATION:" %
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Additionalwor o e Be -E ec a [nappy.
11 HVAC Gas Tank []Gas Piping Shutters 4LWindows/Doors
DElectric Plumbing OSprinklers Generator 1:1 Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ a
S Ft of First Floor:
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
MR:
CONUAC
Name— 70o1u-z1-4,6eg
Name: MICHAEL GOODWIN
Address- -010 A161-1 //�-71 AV;E
Company: JENSEN BEACH ALUMINUM
City: A�T_A State:
Zip Code: 2 Fax:
Phone No.
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 I 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 RECUKULU Notice Or LOMMenGeMeM 1b UCLIU11CU.
SUPPLEMENTAL WNSTRUICT119N.P�N, LAW INFORIVI)�TIQW
DESIGN ER/ENGI NEER: Not Applicable
MORTGAGE COMPANY: )4ot��ppiicable
Name: — r-1cw4oA DL&/40w�6
Name:
Address: 5jk� 44-/Io
4�95A?
Address:
City: State: rT
City: State:
Zip: ?Z0(4,' Phone: M_Z97 _z4y
( ", y y
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 that
or and covenants 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, w Is, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your fai ure rcord a Notice of Commencement may result in your paying twice for
improvements to your pro E t ice of Commencement must be r or dan posteponthejobsite
'�r
irspq tio f nd to obtain financing, consultWith I
before the fi i ip tlrh, e a rney before
71re Rd, r/
co m m e n ci In ig-(vo rk r Notice of Commencerri
-ent
Signature of Owner/Less
Signature of Contractor/Li rise Holder —5
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF _97—
COUNTY OF —
The forgo" instrument was acknowledged before me
I W"of
The forgoirig instrument was acknowledged before me
th 4"_?ea— 2G/,a by
th!&25� of 20 z!�9 by
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State of Florida
(Signature—ofNotary Public- State of Florida
Personally Known V__�OR Produced Identification
Personally Known f� OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. (Seal)
Commission No..
ANN M. GAUMOND
GALIMOND
111yrAU11111 -
-COMMISSION # GG 269714
WOOMMISSION#GG2 22
EXPIRES: Deoember7,20
Revised 07/15/2014 IRE$: Dow 7,2022 80n&-d RVU Notm Pubile Underwbm
;W odThfublaq Undembis
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS