HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County RECENED
Building Permit Application NOV 26 ems
Planning and Development Services
Building and Code Regulation Division Pent. Luo a Counepartty
rent
St. Luole County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ZVI Residential
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RMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lineOPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name: _
Setbacks Front
q&ro S 06ew-, h
6
G.2 7006 - /0 3T/
Lot No.
'5 vs r.r=✓L— Block No.
ura2. 6/o_7r�-o�—y
Back: /`/o' Right Side: H c Left Side: ti/.n
DETAILED DESCRIPTION OF'WORK:
CONSTRUCTION INFORMATION: r
Acid itional work to Be nertormed un er t is permd— check all t apply:
❑HVAC Gas Tank []Gas Piping Shutters ❑ Windows/Doors
❑Electric OPlumbing ®Sprinklers ❑Generator ❑Roof ❑ Roof pitch
Total Sq. Ft of Construction:
p��.,� CSC
Cost of Construction: $ ,��p —
S Ft. of First Floor: _
Utilities: Sewer❑Septic
Building Height:
OWNER/LESSEE:
-
CONTRACTOR: -
Name rf r L�Cez MRN o
Name: MICHAEL GOODWIN
?g
Address: CiLs}tigIy Ja/
company: JENSEN BEACH ALUMINUM
n l..rNO
City: cm&,kA.SbVlC-IL State:
Zip Code: 068/(. Fax:
Phone No. 7 �iZ 0� 3L �QJ
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.
1
SUPPLEMENTAL CONSTRUCTION LIEN:LAWINEORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: &%/vib240 PC
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: q,?&r (oorH- C-0,4nr
Address:
City: n cr0. State: V7�
Zip: 3,9d9&-l_ Phone: 2 „ _
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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
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 mvur
oolsfences walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: YouRecord a Notice of Commencement may result' paying twice for
improvements to your propice of Commencement must be r rded an sted on the jobsite
before the ' st I spe tion. d to obtain financing, consult h ender attorney before
commen n wok rec rotice of Commencement.
i
s
Signature or Owner/Lesse Cont ctor as Agent for Owner Signature of Con ct&/Li nse Holder
STATE OF FLO!{Qt ,� ^ STATE OF FLORF�I�A
COUNTYOF VI�C / COUNTY OF (/��
Thp4pronng instr nT I' I gerj j�fore me
this Ctday of 0 y
person
Personally Known
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced
The forgoing instru ent was a )cnowl dge efore me
this2zday of �20 14
/ ^ by, ,�
: Y)I�,Q� G�W vim-'
(Name of person acknowledging)
of
Known V OR Produced Identification.
of
235102 1 fommission No.
Public state
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