HomeMy WebLinkAboutBuilding Permit Application ALL AP CABLE INFO MUST BE COMPLEM FOR APPUCATM TO HE ACCEPTED7S � -9
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Date: it Number.
_ ���•� � Perm _
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Building Permlit Application NAR 1,6 2018
Planning and DevetopmentSerdtes
Building and Code Reguld6on Division
236D V1-rg1nitr Avenue,cart Pierce rt 34352
Phone:€772)452-1553 Fay(Tn)46-2-1578 Commercial kesit emit
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PERMIT APPUC:A ION FOR: To Select from dropbox, cock arrow at the end of line
PROPOSED IMPROVEMENT LOCA-110N:
Address: `mssc,'POrt St Lucie 34a52
4 egal Desaipbon.pwt of 3414-501-1701-0"-Spar&-4i Lakes One
Property Tax ID##: Lot No.
Site Plan Name: Bionic No.
Project Narme:
Setbacks int -Back: Right Sides Left Side:
DE FARLED DESCRIPTION OFWORK:
Demolition of mobile holne
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Ct
ICTION INFORMATION-
epet
Additiona
NFOR A T ION-
itiona woritto a pertorme un Art �s permit—check a apply:
H1lAC --{Gas Tanis []Gas Piping _Shutters D iffindows/Doors
EjElectric U Plumbing Sprinklers ElGenerator 0 Roof
Total Sq.Pt of Construction: SQ.Ft.of First Fkmr:
Cost of Construction:$ ;S —O ,cic-) Utfliiies Sewer Septic Suilding Helght:
OWNER/LESSEE:. CONTRACTOR:
NamevOirm Buil Corperrabon Name: Matthew Lyle Wynne
Address-.SOW Satith US 1,Suite 402 Company:Wynne D tyloprnerit Corporation
City. Port St.Lucie Stater Address:8€00 South US 1,Suite 402
Zip Code:-349W r=772-878-=4 city. Port St Limue
Phone No.7722-878-5513 Zip Code:34M Fa�772-$784)224
E-Mali:3lre@NVnnebo.c vin Phone No. 772-878-5513
RIE in fee simple Tale Holder an next page(if&fferent E-Mail:scar .c
from the Owjw fisted alp) State or County I_icense: CGC O35M
If value of Construction is$2500 or move,a RECOMED Notice of Commencement is required.
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SUPPLEEDOEENT-AL COP-151rRUC-1110N LIEN! LAW INFORMATION:
D-FS[GjVEP/ENGINEER- Not Applicable MORTGAGE COMPANY:NY: —Not Applicable �
Name: Name:
Address: Address:
City: State: City.. Mate:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: �Not Applicable BONDING COMPANY: _—Not Applicable
i Name: Name: f
Address: address: ;
City: City:
Zip: Phone: Zip: Phone: f�
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I certify that no work or installation has commenced prior to the issuance of a
St.Lucie County makes no representation that is granting a permit will authorize the it holder to build the subject structure
which is in.conflict with ar�r app€Seahle Home O ers AS§Dcaatron rules,bylaws or an ca tes that may oreswct or prohibit such
structum Please suit v h your Home Owners Association and review your deed€ora ctions Which may apply
In consideration of riling of this requested permit,t do hereby agree that l vrili,in ail r ,per€aeEe�the work
in accordance with the roved plans,the Florida Building Godes and St.Lucie County Amend encs.
The follosirigllitpding applications are exempt irarrt undergoing a full concurrency reari atom additions,
acceaso3y structures,swiirszrt pools,fences,wilts,signs,screen roams and wry use to non-residential use
WARNING Try OWNER:Y r~=inure to Record a o f C Y i yj turas for
improvements t ur pro ertY.A Notioi of Commencement roust be recorder#an pasted on the jobsite
before the first in on. f you intend to obtain financing,consult with le r or a attorney before
commendrig wo o recur ing your Notice of Commencement.
Signature of Owners eefAigent Sgnature of ContractorfU ier
STATE IF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF st cute
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The forgoing instrument was acknowledged one The t€�r�ofir instrument yeas admowledged before me
this of.` \ c ^-� = 2� tris Say'o€ 20 by
Mamtesv Lys 4:ysmc w-iuvCwLyfe V4,MW
(Name of person acknowledging) (Name of person acknowleci ing)
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Signature of Notary Public-state of ) a re of Notary Public-State of Flori
Personally KnGwn x OR Produced Idem€€"cation Personally Known x OR Produced Identification
Type of Identifikation Produced TYPe of identification Produced
Commission No_ "y"Y% (fW*MAGEE Comritission No_ [Seal)
MY CC.idrIMISSION#FF 187647
%.V•. :C.*,` 23 2019
•Jpi13:Y?&{,,. SUSAN MAGEE
�,}��„�;�5"'• Banded Thru Notary public Undarwciter& =* - :*_ � x" 1 6 7
Revised 071151210 o1 EXPIRES:February 23,2019
R; °••' Bonded Tluu Notary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR FLANS VEGETATION SEA TURTLE MANGROVE
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