HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONCOMPLETED FOR APPLICATION TO BE ACCEPTED I qo� -0,q �5
SCANNED Permit Number:
BY
St. Lucie county
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 /"(, Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:. 7 -5 5 0 6 0 Cgw&J --/2?, us -7
Legal Description: Y4 lft(
Property Tax ID #: ?T'-2Z —6h:1 - em 60-)-
Site Plan Name: 60'J z.,:, L.E�
Project Name: 7--
Setbacks Front �Jkfir Back: Right Side: t-IA- Left Side:
I - PETAI LED DESCRIPTION, OF WORK:-'
A
Lot No.
Block No.
Ake
tcb NST R-U . CTIO I N INF 0 - RMA�flb_Nl:
Actaitional work to be rtormed under this permjt- check all apply:
0HVAC nGasTank - as Piping Shutters
Windows/Doors
Generator Wof
Electric ElPlumbing OSprinklers Rc Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ e
,20
,
Sc Ft of First Floor:
Utilities' n Sewer 0 Septic
OWNERAESSEE: _JCONITRACTOR:
Address: SOD AhJ AAC
City: State12--
Zip Code: Fax:
Phone No. qs-q - wo - 7/ 3 13
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
Name: MICHAEL GOODWIN
Company: JENSEN BEACH ALUMINUM
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORIVI]ATIOM,
DESIGN ER/EINGI NEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: - EWW64- 19--Wm14qA 91461 Name:
Address: ?4* !tzpjo Address:
City: -r-PN� per State:. et-- City: State:
Zip: -; � ?-1/J -2 1& Phone:
,16D-� Phone: 131 mi?— Zip:
FEE SIMPLE TITLE HOLDERi _NotApplicable 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 Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlylict with any applicable Home Owners Association rules, bylaws or and covenants that ma estrict or prohibit such
yhich may apply.
structure. Please consult with your Home Owners Association and review your deed for any restrictions w
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 non-residential use
WARNING TO OWNER: Your f *1 re to ord a Motice of Commencement may result p6io7ur paying twice for
improveme-nts to your plope A ce of Commencement musi ed �A�rpostecl on the jobsite
before the tj ins ect)6n I d to obtain financing, consu JePIA' attorney before
comme =r7c fec 9 MyNotice of Commencerneril !V1 17
�\ / - --� I -� S
Signature ofbwneees— Signature of Contractor/Li se Holder
s9 !CT,
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_SZ�-�.. COUNTY OF -<7 7-
The forgo' instrument was acknowledged before me The forgolU instrument was acknowledged before me
T
thi W
jt:K4y of 2Q,/_7_by thIZ2?04Wof 20,�9 by
X--(-
(Name of person acknowledging (Name of person acknowledging
� e��,
(Signatur-e-oT-Notary Public- State of Florida (Signatur-e-~ary Public- State o Florida
Personally Known y� OR Produced Identification Personally Known P--' OR Produced Identification
Type of Identification Produced_ I Type of Identification Produced
Commission No.
Revised 07/15/201
M. GAUMOND
EXPIRES: December 7,2022
Commission No.
ANN M. GALIMOND
EXPIRES: December 7,2022
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