HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED I� �,
BY Permit Number:
r 31 ' 7-7 St. Lucie County RECEIVED
Building Permit Application SFO n9 �119
Planning and Development Services Permitting Department
Building and Code Regulation Division
$t •.iirj, r,,.gty
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 I
PROPOSED IMPROVEMENT LOCATION:
Address: 7530 S C str�l %Z S Z► r fiEASbr �eAc tf
Legal Description: ,
Property Tax IDil: F—A4/L/L Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front 6L WY Back: A /� Right Side: Left Side: N Q
DETAILED DESCRIPTION, OF WORK:
CONSTRUCTION INFORMATION':
Additinnn I wnrk to hp no nrmo un orf m nnrrn,t—c .,
OHVAC
DElectric
Gas Tank
0 Plumbing
i eCK a a apply'
Piping _Shutters „Windows/Doors
nklers D Generator Roof = Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ 9 27� Utilities:"nSewer 0Septic Building Height:
OWNER/LESSEE: -, -
CONTRACTOR: "
Name_FAtUt , i't,{ a e'4A-CL Q 1 e 1 Ar
Name: MICHAEL GOODWIN
Address: 11q q'n AJvj n7TN !72
Company: JENSEN BEACH ALUMINUM
City: P6Ma0_Odf Pnrti r_Z_37W&ate:
Zip Code: Fax:
Phone No. `!t—t4/ Ste— 1(f o 7e,
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
rr vaiue or construction is ,.ZSDD or more, a RECORDED Notice at commencement is required.
k^•Uri—
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name:
Addre!
City: _
Zip:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
COMPANY: _Not Applicable
Address:
City: State:
Zip: Phone:
_Not Applicable I BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 applications arg exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fen wails, signs, screen rooms and accessory uses to anothgenon-rp*ential use
WARNING TO OWNER: Your f ' to ord a Notice of Commencement may result' ur ying twice for
improvements to your pr p e of Commencement m e ecor ed s d on the jobsite
before t it in ect' n. I d to obtain financing, c sult w' h nd torney before
com ncin o or c Notice of Commencem t.
Signature of Owner/Less a/Contractor as Agent for Owner Sign ure f Contras or Lic a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF &E �/ 7G/� COUNTY OF F— T ZLLC-4�
The forgoi g instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,L y of 201g by this -' dy of _ /5U/7 . 20/ 2 by
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature otary Public- State of Florida )
Personally Known JLOR Produced Identification
Type of Identification Produced
Commission No.
Revised
ANN M. GAUMOND
EXPIRES: December 7, 2022
Bonded ituu Notary Public Underwriters
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
2022
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