HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE MCI Must 8E COMPLEM FOR APPLEVAYMN T =bet,.
Bate: � /9,01— �!l�/O
Builiding Permit Applicatibn
FksraathV and Developrnentsetdces
Building and Code Regulvtion Division I �
23W WrginliaAvenue,Fort Plerw R 34982
Phone:(772)462-1553 Fax:(M)462-15e8 Commercial 'I Res'idential
PERMrr APPUC.A-TION FOR To Select from dropbox, crick arrow,;jat 'end of line
PROPOSED IMPROVEMENT ILC T ION:
Address: L C' .a-�.�-.. Part St Luh 3jP52
Legal Description- 1 of 3�4'1a1-5�7 1 t'!L14 - n h L�3�one
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1 Property Tax ID 4h Lot No.
Site Plan Mame: Block No.
Project Name.-
Setbacks
anae:Setbacks int .Back: �
dht Side Left Side:
DETAILED,DESCR#PT lOINCSE VV0.RK:.
Demolition of mobile horqe
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Additional or'to a e, Orme under isPesntt—c check apply: I
E I VACU' Gas Tank Gas Piping 013enerator
Shutater�l i �V3tindkows/Doors
IElectric t t Plc�rnbing SPrinkiers ;Roof
Total Sq..Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ Utilities: Sesser leptic Building Helght:
# OWNER,/ ESSEE:. coyT ACTOR:
Named BuIWftV CoqoraWn name: Madh81 r Lyle V�[yrine
Address:8M Som US 1,Suite 402 Company:V*m Developmerd Corporaffon
City; Port SL Lucie Stater Address:841410 00uM Ot 9,S'ufte 402
Zip Code:34952 F=772-87841224 clw: Port SL Cline State-FL
Phone No.772-878-5513 Zip Code:34M F=772-878 '24
E-Mail:-SUeQVqmwbr_comPhom#+1+x. 2$78-5x93
ill In fee shnpleTrue.Holder on next p (ifddj E-Mall:s ri�,
from the Owzw Hst2d above)
State or Caunt�License: CGCE1359N
If value of construction is 2500 or more,a IMCOMED Notice of Carr Mencernerra es
required-
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j -S-PPP.EEMIENTAL CONSTRUC+ION LIEN LAW IN FORMA I10iI �
€ UMNEk,1ENGINEER: Not Applicable MORTGAGE Cf3MP s �Not Applicable
Name: Name: ) I
Address: Address:
City: State: City: it 1; I State:
Zip: Prone: Zip: ii Ahori* i
it
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING CopApAmy—"; Not Applicable
Nage: Name:
Address: Address: !) t
City: City:
Zip: Phone: Zip: J Phori
I ced*that no work or installation has commenced prior to the issuance of a permit. i
St.Lucie Cou rrr3 es aro representatlim that is grantinga•permit You authorize the III it hi�ider tQ build the subject structure
which is irr ao�ict an applicable Home Owfiers Asstrcaation rules,bylat�s or anrd rosrertai�uts that may cx orprohibit such
structure.Please consult vh your Iiorrre t}sarrrers Association and review your deed for any rxlctioars may aPply-
in consideration of the granting of this requested permit,l do hereby agree that.t tAtil��in all r gemj the work
in accordance with the approved plans,the Florida Building Codes and St Lucie County Amendments.
The f¢rtlortgbuilding permit applications are exempt from undergoing a r'uII concurrency review-mom ,dstiorr
acressos�s strrsst�ssres,s�ar'rrnrrsing psooi;/Aio�
ls,s'>gxss,�rd+ossts and#� uses aaxotizer ' !use
WARN$ TO ER:'Your faila ' of i l i 'rg�for
improvements to your property. of commencement must be,recordled anti sted on thejobsite
before tate first inspection. I€roo obtain financing,consult uvith lerr+der or ' attorney before
corr€rraertca� Boric crr ine of Cdarximencement,
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Signature Owaarj ee/Agent .Signature Wtorytiaciorluc6nse Holder
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STATE OF FLORIDA � FATE OF FLORIDA
COUffff OF sa-umle COUNTYF st!
The€fit. Dingnstrumerst was adcrrawsrledged re rrre The foegoing insi rrnerrt acicrratedl befZrre rrae
tlris'� ay
of" 243 ttris� ?QbY
tMF�.L7>°wri 'a'i'f767.: hrrTtixrsLy�eV`r�rt'r.,s it {''
(Name o€'perso aeknovrledgirrg) {Nance of pe lad mowledging)�
I t
rgnature of notary Public-State ofe ts€try Public State ttf F a)
Persona i4atown x OR Produced Iden ifsdatiorr �I Known" x 1';�
i OR Produced IderiMcation
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Type of Identificad nr Produced }?^ywe o�fnckiee trts��ficafaon Pray3uced,
Commission No-,
� �A1—+ S Commission!tlfl lI KAY?jM y'
=i;.:. SUSAN IdA ( SUSAN MA
': MY
COMMISSION#FF 187697
I I �; - i.Q*` MY eOMMISSiON#FF 187897
nEs
A# ''� .{: Bonded Thn�Notary Pcbl c ttndon nifars ^ ItM�' Bonded Th,NotaryPubMe tlndonvr ers
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REVIMS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW ;REVIEWJ; REVIEW REVIEW
DATE
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COMPLETE
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Planning 8,Development Services ASBESTOS NOTICE
Building&Code Regulation Division i
2300 Virginia Avenue
Fort Pierce,Ft_. 34982 I
Phone:(772)462-2172 Fax:(772)462-6443
Asbestos Notice to Contractor
January 05, 2018
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE I i
8000 S US 1 STE 402 i
PORT ST LUCIE, FL 34952
i
RE: Building Permit Number 1801-0081 1I i
It is your responsibility to comply with the provisions of Section 469.003, Florida)Statutes 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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Signature
Date
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1/5/2018 12:07:53 PM I j