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HomeMy WebLinkAboutBuilding Permit Application 4 ' ALL Aep�l.E m mu sE CO APPLICATION"�- ��� rr��`` Date: o Permit Number: (� v 1� \DO,l__�' RECEIVED Building Permit Application Ptmaning and Development S�eadces JAN 2 2017 - Building and ode Regulc rhOn Dmsian Permitting Department 2300 VirgJnh7 Avenue,Fart fierce FL 34-QV st. l.0 "ounty Phone-(772)462-:1553 Fax:1772)4€'2r -1578 Commercial Re sid2ntial PERM T APPI"ICATION FOR: To Select from dropbox, crick arrow at the end Of live T->em PROPOSED !MPROVEME T I OCA€[ON: Address:2S 'M.,e c'�,�e-�r-r� rn s�.� �n r � Fort St,L€ 3462 Legal£ses riptitsn:part of 3414-WI-1701- -spa Lakes One f Property Tax ID Lot. . Site Plan Name: Sok No. Project Name: Setbacks Front Back Right Side Left Side: i DE TA3LEF ) DESCRiP,iO€+� OF WORK: � f Demoli ioct of mobile home CONSTRUCT 10N lNEORMA T ION: AddMorialworktobegertormedun ert ispermit-check e a aPFY= LIHVAC Gas Tank E]Gas Piping Shutters �Iffindows/Doors I~lectricL..�Plumbing Sprinklers Generator Roof Total Sq.Ft:of_Constru alon: Sq.Ft.of First Floor: Cast of Construction:$ �� 3.'tlties Serer I~:,—leptic Suildssg Height- OWNER/LESSEE: CONTRACTOR: NameWinm BUkI g COTOration Name: Matthew Lyle WYnne Address:84€l#3 South US 1.Suite 402 company VWMe Development corporaon Cfty_ Port St Lucia State: Address:813813 South US 1,Su e402 Zip Code:34952 F=772-878-0224 may'Port St.Lucie fie;Ft- Phone No 772-878-5513 Zip Code:-34952 Fac 772-8784))224 E-Mall:sue nnabc-c Phone No. 772-878-5513 Fill in fee simpleTide Holder on next pie(If differaft E--Malin. �r�c- fr�rn awe) State or County license: CGCO&9M tt`vatue of construction is$2500 or more,a RECOMED Notice of Comntencemeatt is regssired. SuPP_ENI N±-AL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MOI TGAGE COMPANY: __._Not Applicable Name: Name: Address- Address: City: State: City: State: Zip: Phone= Zip: Phone: EEE SIMPLE TITLE HOLDER: �Not Applicable BONDING COMPANY: Not Applicable }� Name: Name: Address: Address: I City: City: I Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit St Lucie Cou akes no representation that is granting a permit will authorize the it holder to build the subiect structure whidm is in.co�snict with any appricable Horne CTwfiers As§Dcsatian rules,bylaw or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for any restrictions rich may apply- In consideration of the granting of this requested permit;I do hereby agree that I iMfl,in ail respects,perform the work in accordance with the approved plans,the Florida Building Godes and St.Lucie County Amendments. 'The fallowing building permit applications are exempt from undergoing a full concurrency review:room addita'ons, accessary structures,syAn naing pools,fences,walls,signs,screen roams and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Rem a Natke of Comnaencement May result in Yam 'rrg take for I improvements to your property.A liloticr�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 rdlng your Notice of Commencement. s _ Signature of Usavvn2r/i�.s /Agent Signature of Crsntractor/tscecsse Elold r STATE OF FLORIDA STAVE OF FLORIDA COUNTYOF st-ulcie COUNTY OF a-wa The fo ;�Ing instrument acknowledged before arse She fmrgo'stag instrument was ackno dged before rase this��` V5-y of •� 28 CLby W*Qs L `�da3r Of 0 20 why .;i9;rlEt7rewL;'�N++ym'trAfctiihcvLgteYsyrme {Imams of person aXg%,,ng} (Dame of parson ackifowi ng 7 --rSigrFa1667of rota Pubfic-Sts arida) 15119 re mf Notary b i tate a ricfa) Personally Known x OR Produced Identification penally Known OR Produced Identification Type of IdertifcaType of Identification Produced SUSAN Mt?GEE Commission i3o_ mt MY COPAMlSSi�bl 187647 commisscon No. -; 4 EXPIRES;February 23,2019 !SAN,�4A.G[E I ' Bonded Tluu Natar;Potic Undanwitars =kc *- '"'1h415SI0Pv x EF 187647 i :r �,; t e�,7tary 019 Revised.D7115121014 �,9P„ Bcnded Tirrtr Notary Pubtic Undenvrters " REVIEWS FRONT ZONING SUPERVISOR PLANS VEGEiATI©!� SFATtIRTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVD REiYIEW BATE COMPLETE INITIALS