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Building Permit Application
ALL APPU IE IUM MUST BE cOWLEM,FW APPLWAI(MTO BE ACCEKW Q Date: Perrnit Number. , 0 1~1� t L Building Permit Applitc It! n i Fkaning and Devabprrtent'S L Lies sulldkw and Code Regulat.on DivisiOn 2.31go Virginia Avenue,Fort.Pierce FL 34982 Phone:x'772}462-1553 t=ax:('772)4621578 �onl��le�cla� .1 Residential PERtV))1'APPUCATION FOR: To Select from dropbox, ick arrow at the,end of line PROPOSER IMPROVEMENT LOCATION: Address: Porgy SL Lucie 3�952 i Legal II iptiun:part of 3414-5014701-OOM-Sganit Lam Orke Property Tax ID I ! . Site Plan Name- i Block leo_ t Project Mame: I Setbacks Front �-- Right Side.- LeftSide• -DE I!'1I3..LD DESClI# !10,N'OF S ORO: _ I Demolition of mobile home � i Cc' ` ST UCTlON INFORMATION: ION: I I I Ada �'iitionatworkto ager Orme s under permit–c ec#:a t appy: L`IlgvU 'C IF—]Gas Tank []Gas Piping OGene Shutters wlindows/©oars 0Electric 1 1 Plumbing [DSprinklers rator Roof I Total Sq..Ft of Construction: Sq.Ft.of Fust Floor: Cost of Construction:$ ?� Utilities. Sewer LJ[Septic Ssrlld-mg height: I , OWNERI ESSEE:- 1-_CON T RA.CTO'R, : ilameWYnrie OuH&V Corp alkm Name: Maffhst Lyle"ne Address-.8=South lS 1.S'uitea 402 Company *D&MO nIOM CorporaUton City: Port S't.Lude Stater address:WOO South CNS 1,ire 402 Zip Code:34952 F=772-87841224 may.Port St.L e ! State fl- Phone Rio_772-878-55513 Trp Cade:34952 i Fac 772-87843224 E-Mail:a nebc.c om Phone No. 772-,'878-5513 Fill in fee ample Title Hilder on next page(If Mf E-Mail:at c�*M i from the Owmw ftted above) State or County Licensa: cGtss9 if value of construcdon is$Z5W or more,a RECOWED Notice of Commencement is required. { DE501 ERIENGIIVEER: _ Not Applicable MORTGAGE CO 9iPAW:` Not Applicable Name: Name: Address: Address: i City: State: City: I State: Zip: Phone: Zig: I Phone: 1 FEE SIMPLE TITLE HOLDER: �Not Applicable BONDING COMPANY: i Not Applicable l� Name: Name: j Address: Address: f City: City: I 1 Zip: Phone: Zip: I Phon€: 1 I certify that no.work or installation has commenced prior to the issuance of a permit�l St.Lucie Cou�gy makes nor tpresentathm that is granting a permit gill authorize the it holder to build the subject structure vdhidt is in.corrllict ovith any applicable Home Owners Assocladon rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult viM your Home Owners Association and review your deed fear any r lsicUdns hhich may apply- in consideration of the granting of this requested permit,I do hereby agree that I will�in all re spects,' m gerforthe work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The folloyAng building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,staisrsrar"sang pools,fence,waI signs,screw roams and accessor,yr uses to arcatiiernese-resldentiall us WARNING TO O ll=R:Yourfallure to Record a i�'otka.of C �may�M your ' for improvements to your property.A Notip� ommencement incest be+�ecflrderl and pasted e;srt ybre bsite before the first inspection if inten - obtain financing,consult with lender or an atto ey commend work or r cur catice of Comrnencemd=nt. � S Signature of Owner/Lessee/Agent Signature of Coact i ctor/Winse Holder ,STATE OF FLOPJDA STATE OF FLORIDA C£9 my of + CoUNW CIF ss.z I The for oing instrument was admovvledged before me The fo oing insS smeast v additowdedged before me this��of—`a c...�� c. 24 1 isy thist�t�o �..�v�r _ .20\1 _by M2lII7s+Y L;yL ViYFaYo k7trFitecav L}ie N.�rnre ,i .� ' (Name of person acknowledging) (Name of person acknowledging'j I graature of rotary Public- tate of Fl da} ( tore of Nf 'Diary Public-State of FloA r I Personally Known x OR Produced Iderffification Personally Known X ' OR Porrodii ldentilim on Type of ldernifdcatidm Produced Type of identification Produced Commission No. oj:': '51 — SUSA �E — Commrssfon Ivo_ Seal _=*' :: MY COMMISSION#FF 187647 a: a nnp m �� � 1 % 2Q' bended Thru Notary Public Underwriters °_ +; t MY COMMISSION#l F 187647 EXPIRES:February 2S,2o19 #�i Aonded Thru 14 1A iiElt# fS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIE1 'REVIEW REVD REVIEW HATE COMPLETE INIT3Al.S I i 1. ' i i Planning&DevelopmentServices ASBESTOS NOTICE Building&Code Regulation Division j 2300 Virginia Avenue j I Fort Pierce,FL: 34982 Phone:(772)462-2172 Fax:(772)462-6443 i i Asbestos Notice to Contractor January 19, 2018 ' I WYNNE DEVELOPMENT CORP MATTHEW WYNNE 8000 S US 1 STE 402 PORT ST LUCIE, FL 34952 i RE: Building Permit Number 1801-0438 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. I' I i � I i I ignature � f Date • I i• I' 1/19/2018 11:04:14 AM I