HomeMy WebLinkAboutMcGuire Permit app pg 1DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY:
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.
fi
Z5
X Not Applicable
State:
x Not Applicable
St. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLOR;�L�A&r�
COUNTY OF VVUU
The mg instr ment was knowledge before me
this ay of 20 1by
�C � Y►� V� 1,���4Y1
(Name offp�
person acknowledging)
0 -
LO
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced -
Commission No.CRYgs a) A QUEVEDO
My COMMISSION # FFW400
EXPIRES July 31, 2019
Revised 07/15/201),,--1984)'W FI0rMNoca•y3avh6.CW
Signature of Contractor/License Holder
STATE OF FLORIDA �r I, '�
COUNTY OF `Cl
The f ing instrument was a knowled a before me
this ay of �Cif*ll�, 201V by
1�tIm NJ _'v _'v ►_1
(Name of personacknowledging )
• uAkq-dz
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. iV CRYSTAL(_4QyL'/LLDO
'•OWY COMMISSION # FF904048
EXPIRFA JuiV .-Al io,
OC!)39"153 Fk*W4 -y8xvkr.=r
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
S
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �" 1 - 0' 1 (4 Permit Number:
"" '°"'1' °° 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 -W-Residential V
Property Tax ID #: 65eF-) to a C) t :51 DDO b Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: y�� L ;g
� � ,.z, V
Uk-e- +cr Plc, khan e Udc' 3-7z)N .Noje(- '-'ou)Ccer
Rena No K4�
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit- check all apply:
HVAC F] Gas Tank []Gas Piping Shutters a Windows/Doors
aElectric 11 Plumbing 11 Sprinklers Generator 11 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 2500.00
S Ft. of First Floor:
Utilities:[]Sewer 0Septic Building Height:
OWNER/LESSEE:
NamelbucaQ 4 \J►4j_i MC6UUriZ ,
Address:'SB-,06 6, V0-to—n _1�- Lini+114{7
City:, yr ft/5e.h TV li,(H State: �.
Zip Code:2W15~I Fax:
Phone No. ON • �gS 4'
• J�
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Kim Wilson
7 Company: Premier Plumbing & Air LLC
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No. 772-692-2500
E -Mail: preplbgac@gmail.com
State or County License: 25222
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.