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HomeMy WebLinkAboutBuilding Permit Application s A!L APPUGABLE INFQ,MUST Bf,COMPLETED FOft:APPUCATION OBE ACCEPTED' Qate�_ Pe`mit.Number-_ ®3.61141 f77 - s I Buc[ing Prir».�t Applicatl-ion. Admin gand DevelopmentServieas, I Burfdh7g and`Co 'e Reg-didd n DIVW611' 1 ' 2300°Yirg�niar Avenue,Fort P,e��e FL 3498,2 i ' Phone (77 }462 1553 Fax;(772},X62 7 Comrnerc a[' ! R'esiden.ial°x PERNt^IT APPLICATION'£FOR Other { IS W, 4 I t E ' �" Address ,-O KASSABA LANE 'Lega�Qescripton„SECTION 26/TOVI/N$HIP 36s, RANGEFOer„ 34'f4501 1741 00019, ; I,roperty Tam tot No:. Site PIanIVame: SPANISH LAKES ONE Bloetc.No. Protect Name � �, , 514, ;Setbacks Front 15`. . ... Back i22,3�� Right S[de: 1510. Left Side._1. ; r. ry li Eal"M '�q,KUA�R, R u � a :gym DRIV..EWAY' 2$'6"X27" f 250OPSI KNESS THE DRN."E1NAY DOES-NOTIBUTT UP=,TOT ,JE MOBILE HC1ME rtiona wor to a e; orcne Un er,, Es;permit :c ec a ,:Y appll`.` i - ' HVAC "GasTank ❑Ga5 Piping shuttersi OWE ❑Plumbing ❑Sprinkrs ❑Generator I Ropf T'otaFSq.Ft:af'Canstruct�an 756` SPt;af First loot: Cost of"CanstC,uctlon•$. 1 5870 Ut�l�t�ds SeSe wer pttc Budding Height ❑ 1 rd w W Name WYNNE BUILQIfVG CORPORATION Name; MATTHEW LYLE WYNNE Address.8QQ0 SOUTH US HWY 1 SUITE 402; -- Company.,1M�NNE DEVEL160MENT GORP©RATIQN City PORTST,;I_UCIE-' 5tate:'F� Address_ 8000 SOUTH US,CYWY, I SUITE,402 : ..- IfOtode 34952 Eax 1772)878 7656 PORI ST. LUC[E FL - . Crty , _ State Zi Code �. Phane 1Vo (772}878 5513: .„ 34552 � „ A p-; Fax..-:(772}878-7656, E M.a.il; Phone No. (772}878-5513 Fill m fee simple Title Holder on tYext page fit diffe ent Mai{, h #rom the Owner fisted above) State pr Courty:License If value of ronstrWon K-$25— criore;•a <#Ea`RECORNotice:of`6mmencement istrequired. — i ` ;DESIGNER/ENGINEER:: Nafi'Applicable MORTGAGE.COMPANY Ncrf Appticabl - ' Name sru���ags:ewweru, -w__.. Name: I , Acfcleess= L - GBaty.,sTUA- State: FL' City:' I Staten « Zip �asas. horfietr#,-26T-8zss Zrp horse::` ;FEE SIMPLE TITLE«HOLDER; X_.__NoAppliable BONDING CpMPANYr �NaApplcattle I � - m . Na �e. ....:. ... Mme, eI Address � Oty - cit"? ;Zip Rhone::. Phan .! Zrp - 4 , t certify that rro work-or rnstal(airon��s commenced prrorto the:rssuance of a petmrt , - , =St Lucre ....umakes no representation thgrantrng a perm►t wrlt_authorrze therpemrt hatde'r to?buitd the subiecti,structure >whreh rs rn con st with any applicable,Home Qwne� Assa'cratigi rubs,bylaws ar nd covenaajfsthatmay;rest{�ct Orprol ibrtxsu"ch ` structure Al rn consderdtror of the grarmng of thisTequestecl permit,l do hereby agree that I will,rn,at)YespeCts,perform.the,work' m:accordance'vuith..ttie_ pproved pians,the Floclda Building Codes and,5t Lucre,County Amendrrerits,: f ,,Th following b rldrngperrrrrt apptrcatrons are exemptfrom ur�dergorng a full toncurrenry revre4u room addrtrons, accessdty struqui!p sw!M!nrng pQots,fences,wail ,sign's,screeq rooms and acs, ssor}+iSses to another iron rest, entratuse WARNING Td OWNER.Your facture to Record a Notice of Commencement may result m yourpayrng tuwce;for "Ptovemeiii s to your prc� erfy A Notr e`of Co nmeneemen mutflbe reed"Med end posted on'the id site befare'the first mspect�on If you intend totoEitainlll financing,consult with lender tr an attorney before oainmendn work sir recorim our;Notice of Can%ftrerYcement. - a StgnatureMoOwrter/.Agent/lessee Signature of Contractbrr(Lrcen'se,tiofd'er STATE OF FLO A STATE OF FLOR COUNTY OI= The for"orn rnstr g t acknowledged ef4re,me The f atng lrtstru nt a Wy,ot3 . , Name::of ersorhacki5ouirle m' ` - NaaaL Ila& me.;of s r (Signa o ataryPUbIid State of Ftarrda y (Signator f Notary Public State of Florida) "-' Personally Knowe ersoriallyKnownbR: rodueeclldentificatron Type ofident�f kation Prdu d ` pe of tdentrRrat►on P l�rlle N(nassrAUW mrss�n GC 038 'Z Catt�m-issron No.: S ommission,No Ju NiQQ 1ott6/202d , 4: r ` or:Ero$da �Y Comrniagrgn GG 0389+32 . .w, E�ires t0116l2020 I ` Revised 07/15/20,14 REVlEV1(S FRONT ZONING SUPERVISOR' PLANS VEGETATI01� Sf=AJTURTLI NIANGR01lE ;COUNTER, REVIEW AE-V.IEW, REVIEW ftEM W REVIEW' REVIEW t?ATE 1, MALS, , . I �,