HomeMy WebLinkAboutBuilding Permit Application s
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:—DO-_0�
--= - �- Building Permit Application
Planning and Development Seadces
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34382
Phone:(772)462-1553 Fax:(772}462-1578 Commercial Residential �_
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: Z�, Port St. Lucie 34952
Segal Description. of 3414-Sol-17o9-ooC!!9-Spanish Lakes One
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Property Tax ID#• Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: left Side:
DETAILED DESCRIPTION OF WORK: j
I.
Demolition of mobile horse
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CONSTRUCTION INFORMATION:
Additionalvi r c to (epe orme under t N permit-check a apply:
C�HVAC L_i Gas Tank Gas PipingShutters F]Windows/Doors
Electric Plumbing Sprinklers _Generator ;0 Roof
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Total Sq.Ft of Construction: S Ft.of First Floor: I
Cost of Construction:$ � Utilities: SewerE—]Septic,i Building Height:
OWNER/LESSEE: CONTRACTOR: j,
Name WYrme Building Corparation Name: Matthew,Lyle Wynne
Address.-8000 South US 1,Suite 402 Company:Wynne Development Corporation
City. Port St. Lucie Stater Address: 8000 South US 1, Suite 402
Zip Code: 34952 Fax:772-8784)224 may. Port St.Lucie State-FL
Phone No.772-878-5513 Zip Code- 34952 Fax 772-8784)224
E-Mail:sue@wynnebc.com Phone No, 772-878-5513
Fill in The simple Tide Holder on next page(if different E-Mail: sue@w/nnebc com
from the Owner listed above) State or County License: CGC035999
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if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL GONSTRUIC LIEN LAW-INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY., Not Applicable
Marne; Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
PETE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: j. Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Trp: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.;
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St ,re Coonttyy makes no representation that Is granting a permit will authorize the holder to build the subj structure
whidi is in conflict wrth any applicable Home owners Association rules,bylaws or an covenants that may restrict or oh!bit such
structure.Please consult wrth your Rome Owners Assodation and review your deed for any restrictions which may a ply.
In consideration of the granting of this requested permit;i do hereby agree that l will,in all respects,perform the rk
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 add"
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to'another de tial use
WARNING TO OWNER:Your failure to Record a Notice of ;may result in your 'ng twice for
improvements to your prope .A Not* of Commencement must be recorded and po on the jobsite
before the first inspection ou int d to obtain financing,consult with lender a
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before
commend work or r l r Notice of Commencement
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_5imature of Owner �jpgent Signature of Ca cense Holder
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STATE OF FLORIDA STATE OF FLORIDA!
COUNTY OF si Lucie COUNTY OF sL row
The forgoing instrument was admowledged before The forgoing instrument was acknowledged before me
The
me this''&fan►of 20 t^1 by
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MLye t � zr�
(Name of admowledgin - (Name rson admowl
Si re-of Notary Public-S Florida) { afore of NotaryPublic-State rids}
Personally known x Produced Identification Personally Known x O laced identification
Type of Identification P Type of Identification Produced
�o ..^ ., SUSfUYMAGES ;Y Fye% ��441�,�(ii�
Commission No. = = MY Ctl( ON#FF 187647 Commission Na. °'' `E"= Y C4M la SS71t ` 187647
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EXPIRES:February 23,2019 , r EXPIRES:Fe ry ,
BondedThruNotaryPublicUndammtors N,. ,, brua 23 2019
'F B rode
Revised-0711512014 j
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEWREVIEW REVIEW
DATE
rCOMPLETE
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