HomeMy WebLinkAboutBuilding Permit Application ALL APIA"SLE it"MW BE C0WLUW FOR APPUCA11`10%TO BE ACCEPTED
Date- Permit Number:
mECEDN"mVEW
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.. ,. Wading Permait AoplkatiOn
Planning and Deve ►ertt5ez�ces MAY o� 2018
Building and Code Regulation Division 'Permitting
a"vrginoAvenue,Fort'Pie�Fc349V Department
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Phone.X772}4521553 Fax:(772)4621578 Commercial_____.__ IZ sid?�t � I ty, FL
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line
PROPOSED I�.fIPROVEMENT LOCATION:
Address:_ mac- L ��i-- Z-_ Port St.Line 34952
Legal D pbon: of 3414-Ml-1701-OW-.Spanish Lakes One
Property Tax ID Lot N4'—�-----
Site Plan Name: Block No.
Project Nam:
Setbacks Frosts Sack: Right-Side--_Left Side:
[DET=AILED DESCRIPT ION Or WOR/K:
Demolition of mobile how
CON TRUI ION INFORMIATION:
A ttiona wo c to a performed un er t is permit--c ockall t=appy:
E3HVAC U Gas Tank '[:]Gas'piping _Shutters F]Windows/Doors
EElectdc C]plumbing OSprinkfers 0 Generator O Roof
Total..Sq..Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ ��e Utilities [3Sewer[JSeptic Building Height
O E LESSEE: CONTRACTOR:
NameWynne#3ulddi q Corporation Name: Matthew Lyle Wynne
Address:8000 South US 4,Suite 402 Company:ane Dejak4 merit Corporation
City: Port St.Lucie State- - Address: 8000 South US 1,Suite 402
Ztp Code- 34962 x:772-878.0224 y!Port SL Wde FL
Phone No_772-878-5513Ztp Code:349'52 Fax.772-878-0224
E-Mail:sueovqnixtc-°om Phone No. 772-878-5513
Fill,In tee sknple Tftle Holder an next page(if d'dt E-Mail:!!�- -
c Eom
from the Owner limed-above) State or County License: CGC O359M
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
F—
SUPPLEMNIFENTAL CONSTRUCT ION LIEN LAMFINFORMATION;
D ES1GIVERIENGINEER.' Not Applicable MORTGAGE COMPANY: loot Applicable
Name: Mame:
Address: Address:
City: State: City: State*
Zip: Phone: Zip: Phone
FETE SIMPLE TITTLE HOLDE!t: J Not Applicable BONDING COMPANY: ___Not Applicable
Name: name:
Address: Address:
city: City:
j Zip: Phone: Zip: Phone:
I certify haat no work or installation has commenced prior to the issuance of a permit.
St.Luse Courrte�yr snakes no representation�that.isgrantinga permRt will authorize the it holder to build the subject structure
which is in.coriltict a�sith anti applaabte Hreme Owners,Association rules,bylaws or and cov Mnts that may resWct or prohibit such
structure.Please consult wcth your Hosie Owners Association and review your steed for any restrictions Whichmay apply.
in consideration of the granting ofrthis requested permit,I do hereby agree that I villi,in ail respects,perform the work
in accordance with the approved plans,the Florida Suilding Codes and St.Lucie County Amendments.
The followaing building permit applications are exempt from undergoing a full concurrency review-room ad ' ns,
accessory structures,swirfcming pools,fences,walls,signs,screw rooms and accessory uses to anodes n esidential use
WARNING TO OiNNEf h Your failure to Record a Notice of Cona�ment may result in paying twice for
improvements to your property.A Notic, of Commencement must be recorded and ed on the jobsite
before the first inspection. f you int fo obtain financing,consult with lender or a .attorney before
commencing work or najWWing votWNotice of Commencement.
.� s
: Si ature.ofowner,I /Ag Scgrta bf rlUcenseHGWer
A.
STATE OF FLORIDA STATE OF FLORIDA
COUNff OF sLuo-- COUNW OF ss uoe
The fthis��day of instrumenting was a�acrvi� 1��ore rise tt�isaThe ng instrument was of��C aticntswl�gp�lsefore sne
M2llh3w Ly6e by
MOW—Lyle avy�
{iVanae of person ekrsowledging} {}llama of pens: clrnowsledging
cgnai6e of Notary Public--State of Fiord sgna ure of Notary Public- of=1dentilimfien
Personally Known x OR Produced Idenditation Personally Known x OR Pra
Type of Identifscadon Produced Type ofIdentlfication Produced
commission ,Q>W; E SUSAN'MAGES Cone ra P+ia , � ~_ .; aI
i_ IREtif�tSeION#FF PRO !
EXPIRES;February 23,2019 `.:.,:'
48"a' ;,,Y COMMISSION#FF 187647
8anoe N w a y u }
j `' 7;": EXPIRES:February 23,2019 IR
�� %;cr iti?:•`' ESonded Thru Notary P,b;ia Undonrd—
FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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