HomeMy WebLinkAboutBuilding Permit Applicationensen
each
luminum
Windows & Doors Since 1976
1720 N.W. Federal Hwy, Stuart, FL 34994 • Jbaluminum.com • (772) 692-0090 Fax (772) 692-9744
December 28, 2017
To whom it may concern,
I am writing you today reF;arding SLC 1611-0301 that set to exp -e on December 29`h located at
10580 S Ocean Dr #510. Can I plea get the permit extended 30 days? Nork has been complete I am
just waiting on the ht C to be re-Av-ned so I can schedule the sinal. Thar.';s for your help in this matter.
Michael Goodwi.i
CGC 1508437
RE:CEIVED
DEC 2 8 2017
Permitting pep
artment
ISt. Lucie County, FL
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %�" Permit Number:
Ra E(21 E�, k! LEEkms-';
Building Permit Application NOV r 3 2016
Planning and Development Services
ING
Building and Code Regulation Division Lucie IT Unty,
St. Lucie County, FL
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 W viAlaU15- (atiJ
Project Name:
Setbacks Front Back: lu M Right Side: a- Left Side: A/
SLIQ/Ni, 6[,4SS L ►?sem. '�1v)IJ ajKl
T�DYZ 7P '�46V�- y o POQ I N 6s ~
0 H VAC
❑ Electric
0 Plumbing
[]Sprinklers
ZLwindows/Doors
0 Roof
Total Sq. Ft of Construction: SFt. of First Floor:
o,�
Cost of Construction: $ (0 1 s� f — Utilities: _ Sewer 0 Septic Building Height:
Name
Address: 10(of3� S c7C.L-�°lr1 �yr t�-S_10
City: State:
Zip Code: �49 f'_% Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: /V« C //V
Company: 1,W14o4rM
Address: /7Zc) /1/4J %9.'2'!,A/_
City: sLdnc State:_EL
Zip Code: ?Y 15!J Fax: G `3 2—S 7W
Phone No.
E -Mail: N/G4619V_C��/''�•y �c,�� 0 6641
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
/1
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: 504"A5T A1u^4tNuwl ENLC.G Name:
Address: l31, 3o SB-rI F ST tvDgAA Address:
City: 0LjEAytA&)ATE12_. I State: V�:L. City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 thepermit 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 pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: ur ailur to Record a Notice of Commencement may result in your paying twice for
improvements to you ro er Notice of Commencement must be recorded and s don the jobsite
before firstnsp i . �� u intend to obtain financing, consult with lender or i�rney before
com enc ne or r r c 1Z vour Notice of Commencement.
s
Signa re of Owner/Less /Contractor Agent for wn r Signa re of Contr or/Li a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5—, -Z— COUNTY OF_ -ST J Uc1�
The for oin instrument was acknowledged before me The forgoing instrument was acknowledged before me
this / y of /%%/�!/ 20/�by this _y of ?a// 20/� by
(Name of person acknowledging) (Name of person acknowledging )
(Signatur f Notary Public- State o Florida) (Signature otary Public= State oTTIorida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
ANN M. QAUMOND
EXPIRES: December 7, 2018
Revised 07/15/201 ��°Bonded Thru Notary Public Underwriters
Personally Known i—�' OR Produced Identification
Type of Identification Produced
Commission No.
ANN M. GAUMOND
EXPIRES: December 7, 2018
Bonded Thru Notary Public Underwriters
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