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HomeMy WebLinkAboutBuilding Permit Application Date: ` — Pennit MbkLI
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Bua8al�� l�eII° a APPOeCate� MAY 0 4 2018
pkrmmgrandMUMOpmentsemces Permitting Department
Building and Code Regrttution DMsion
2300 Virginia Awnue,Fort-Re=FL 34M S t. L u i� County FL
Phone:(772)4621553 Fax:(772)452-3578 Commercial
PERMfr APPUCATlON FOR: To Sekxl from dropbox, c lull WOW Ot ft end of RM
PROPOSED I-PA 'ROVEN4ENI T L OCA 10INI:
Address:-, 1 C� ��'� :_\ ��C. Port St. Lucie X952
Legal Description:.partof 3414 14701-OCM-.S Lakes one
Lot
Property Tax ID##; ft.
Site Plan Name: Block No.
Project Name: g
Setbacks Front Sacic RightSide• Left Side:
DE TAILED DESCRIF 71,10H OF VVORIK:l
Demolition of mobile hoMe
CONSTRUCTIOhl
Additionatworktobe oei norm dS un er t ss permit—c ec c a t a' aPA Y
0HVAC �-�•—�#Gas Tank [DGas Piping Shutters LIWmdowsfDoors
IlElectric LJ PIumbing OSprinklers E]Generator 01100f
Total Sq.Ft of Construction: .Ft.of First Floor
-
Cost Construction: �`Z*�'`� Utilities: er[jSeptic Build Height:
Cost r $
Imamev!rMe Ouyoing Corporadon Narne:Matlhaw Lyle Wynne
Address- South US 1,Suite 402 Company:ytlltnr�DeMopment Cogx aFcetn
�; Port StL:ucie State: Address:8080 South US 1,Su a 402
Z.p Code:34952 F=M 78-0224 ClyM Port SL LudO St at ec�
Phone Ro_772-878 13 Zip Cade:'34952 Fax T1 -8784=4
E tlall:s -�rebar. trPhone No.772-878-5513
Flitin Im duple Tide Hoerr ori next page(if dHIbnmt E-Mali: mptTc.,cx�t
tbamew Usted AVU4 State or Ounty license:
if value of construction is$2M or more,a RECORDED watice of Commencement is required.
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SLIPPLEMEEK AL CONSTRUCTION LIEN LAW INFORMATION:
I ES�fER EiRI€,rtNEER: Not Appl`cable MORTGAGE COMPANY., _ NotApplicable
Name: Name:
Address: Address:
City: State: City State:
Zip: Phone: Zip- Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable $UN©MG COMPANY.; tot Applicable
Name: Name:
Address: Address:
City-, City:
Zip: Phone' Tip: Phone:
I cerffy that no work or installation has commenced priorto the issuance of a-permilt,
St.Lucie Couc�yr makes no sepraes�ta#ion tt�al isgrafiga perts�Ig�nnil authorize the holderto build the s::bject strurre
whdc h rs in cor Iict with-arrj applicalzte Hr3me Owners dation rules,bylaws or an�venants that may restrict or prohibit such
structure,Please consult u th your Ham Ownem Association and review your deed for any restrictions which may apply.
in consideration of the granting oMm mmquested permit,I do herebyagree that t will,in all respects,Perform the work
in accordance with the approved plans,the Florida Surodirrg Cozies and SL Lude-County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:zoom additioM
accemmy structures,swimming Pools,fence sails,signs,screesr rooms and accessary uses to arartimr non-reddential use
WARNING TO OWNER:Your failure to Recod a Notim of Comawr4ement may result,in your I+ong uvke for
improvements to your property.��lotic�of Commencement must be recorded and pasted on the jobsite
before the first irtspectio .
if
y irlten�# a abtain ftrtanc[ng,consult utith tenderor an.attQr�t3,ey befbre
coMMgpci. work or rdi our.Nci ice of Commencement. �
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_signatureof owrrerlABerst Signatureof Contfa 7 ' Halder
STATE OF FLORIDA STATE OF FLORIDA
CDUiNWOF siw* COUNTY OF st u,ae
The fMing icrstrumer t seas adarrowtedged befomme Theforgoing instrument was admowledged before me
thi �iiay of 21\C' ,20 1Sa r
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.w+ cyia vuyca� �ry�e wy„� _
(Name of rx admowledging), - (Name of person,aidmowledgdrrg•)`��
r(Signature ofr lliotary Public--State of Florid-0 -((ature of Notary Public-State of
Personally Known x OR Produced lder�ca€ton Personally[Known x OR.w�ed ider0cadon
i'ype of Identtfipation Producers .Type of ldentiliication Produced
ComrrrrssxrnM.,
atfayNEy2R6EE� Il £orrrmrssso � (Seal)
`e6PY C0IARISSION a FF 187647a 9 T = �'~ •a�. SUSAN WOEE
'` x 1;R'' Bended nnu iJcta,Publ c Undun r lets lip =n :;• i r
i�i►iS�t fi ry = EXPIRES:Febr[lay 23,2U13
—i.;;s '~ Bonded T1uu ivctsr,•PuS6c Undsn.,iters
REVIE1l5 FRONT ZONING SUKRVISOR PLMS VEGETATION SEA-TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REMEW REVIEW
©ATE
COMPLETE
INITIALS
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