HomeMy WebLinkAboutBuilding Permit Application (I
lttl.APPUCABI.E IW*MW SE CoMpLETED FM APPLICATION TO BE ACCE� I
Me: Permit Number: i `= d
3ding Permit Applicatio n
Planning arnd DeveropmeaSeences
Building and Code Reguldddn Division
2W Virginia Avenue,Fort-Pierce FL 34W I t
Phone:(772)462-1553 Fax:(772)462-1578 Commercial I Reoden-oal
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the§,,,
rMe
x;Ind-of
PROPOSED IMPROVEMENT LOCATION: k
{Address \Q `ter•. yU"�` gL-� Port St.Lucie 349
. 52
Legal€lescriptaott:part of 3414509-9711-Oi1 /9-.S�Lakes One
Property Tax ID#: i' Lot No. _
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side.-_Left'.ide:
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[DETAILED DESCRIPT ON OF WORK:
DemollUon of mobile home
CO�iS3i L3Ct`ION INFORMA1 �
ION-
Additionalwor c to tens m
ored under this perm it—c ec i a appy.
HVAC 0-Gas Tank DGas Piping _Shutters ,Windows/Doors
Electric _Plumbing OSprink[ers EJ Generator Roof
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Total:Sq.Ft of construction: ,Ft..of First Hoar:
Cost of Construction:$ � Utilfties�Sewer QSepticil Building Height:
z,
OWNER/LESSEE: CONTRACTOk: . s
Named Name: M 'W Lyle�l ne ;
Address-8000 Soulh US 9,Suite 402 Company Wpuie Development Corporation
City: !Fort St,Lucie State. Address: 81=South US 1,Stilts 402
Zip Code:34952 772-878-0224 may;Port SL Woe I--.' .
Phone No.�-878-5513 Zip Code:34ORt Fax:.772-8784224
&Mail:a ebc- Phone No.772-878-551,3
Fill in fee simple Tide Holder an next page(if diem E-Mail:sue *n
from fhe Owner lisp.above) State or County;License: C.Gq035M99
If value of construction is$2500 or more,a RECORDEDi Notice of Commencement isfrequir6d.
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SUPPLE CONSTRUCTION LIED LAW INFORMATION: �
DESIGA Eft/ENGINEER: Not Applicable MORTGAGE COMPW—, � Not Applicable
Name: Name: ! i
Address: Address: ! i
City: State: City: i State:
Zip: Phone: Zip: 'Phones'
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMP,ANY.,; _ Not Applicable
Name: Name:
Address: Address:
city.• City:
Zip: Phone: Zip: :Phone:
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I certify that no work or installation has commenced prior to the issuance of a permit
St Lucie caurty makes no represerrtation that is granting a permit will authorize the it holder to?build the subj structure
which is in.co�ict with any applicable Home Owners Association rules,bylaws or an�venan is that may resttrict or rohibit such
structure Please consult with your Hoche Owners Association and review your deed forany reslarcctiosrs which may a ply.
In consideration of the granting ofthis requested permit,I do hereby agree that i will,in all reopects,perforce the
in accordance with the approved plans,the Florida Building Codes and St Lude County Amendments.'
The fallowing building ? i `
permit applications are exempt from undergoing a full concurrency revidw:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses tajanotker non-resid . ' t use
WARNING TO OWNER:Your to Reco�in
of may. li th.en�ytatnr twice for
improvements to your prope .A INotice cenwnt must be recorded and:posted n the jobsite
before the first inspection_ u intend ancing,consult with lender'' or a atto ey before
commencingwork or our,N ce of Corimmencement.
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Signature.of Signature of Contra /i1c Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF s.c.-le . COUNTY OF s-l�
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The fo Ing instrument was admowiedged before me The forgoing instrument was acknowledged before me
het r day of .�se ���by �8y of �- ,` 70 �.by
,
MaMTew
I
Lyte Martumv Lve Wymm
(Flame oZ/'
f perso. owledging) (Name of pe acknowlridgi
( " afore Notary Public-S Flo ' egnature of rotary Publrc-State o rlda
Personally Known x OR Produced en0cattion Personalty Knowni x ;i OR aced identification
Type of Identifi Type of Identfic ation Produced
�Rs�r SUSAN MAGEE
Commission N =<: __ MY COMMISSION# 147 Com (Seal)
_IT rte., EXPIRES:Febn±ary 23,2013 �teN SUSAN MAGEE
Bonded Thor Notary Pubrc Underwriters i MY COMMISSION J FF 187647
Rimed 07II5J2014 yiF °t Bonded Thry Notary Public Undervatens
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAij ?N SFATtIRTi,E MANGROVE
COUNTER REVIEW REVIEW REVIEW Rt:VIEW l REVIEW REVIEW
DATE i .
COMPLETE i
INfIiAIS
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Planning&Development Services ASBESTOS NOTICE
Building&Code Regulation Division !
2300 Virginia Avenue
I Fort Pierce,FL: 34982
Fhone:(772)462-2172 Fax:(772)462-6443
Asbestos Notice to Contractor
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December 26, 2017
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE I
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
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I RE: Building Permit Number 1712-0609
It is your responsibility to comply with the provisions of Section 469.003, Florida Statute's and!to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
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I Signature
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Date
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12/26/2017 12:30:30 PM if'