HomeMy WebLinkAboutBuilding Permit Application r '--
ALL APPf.It'.ABLE IM MUST BE COMPLEM FM APPISCATIoN To BE ACCEPTED
Date: Permit Number- (D 17 0
R Y'V E D
ES.'011.0 L
Building Permit Application MAY 0 4 2018
PTarurrrrgtrrtdikvelaprrenrsWn`es Permittin Department
Building and Cae dRegulation iTWsian . p
2M V%rgrnraAvenue,Fvrr Pierre FL 34982 St.. u c i e County, FL
Phone.X772)462-1553 Fam.(772)462-3578 Commercial R
PERMIT APPUCATi0id FOR: To Select from dropbox, dick arrow at the end of MW
PROPOSED IMPROVEMENT t OCA ZION:
Address: l Sc l _ �� r�- Port St.Lucie 34952
Legal Description.hof 3414.501-1701--C19-.Spertit LAS one
Property Tax ID#: Lot No.
Site Plan Name: No_
Project Name:
Setbacks Front Rack RiahtSide• f eft_ de;
DI`i ILED DESCRIPTION OF WOAK:
Demolition of mobile home
C;�IttrTRi ICs ION IIS FORA./lA T)ON-
ttiona worts to ee Frorme un er t is permit—Check a t appy:
QHVAC l—�.#Gas Tank Gas in _Shutters �Windows/Doors
CiElectric �Plumbing sprinklers Generator Roof
Total Sq..Ft of Construction: Ft.,of Fit'M- Floor:
Cost of Construction:$ Utilities Sewer USeptic Building Height:
OWNER/1 ESSEE: CONTRACTOR: .
Nam6ftm Btumky corporation Name: llmamew Lyte Wynne
Address.-SM South US 1.Suite 402 Company:ane Develgirnent Corporation
may. Pct St L:ude Stater_ - .Address:8000 Som US 1,Scute 402
Zip Code:34952 x.772-878-0224 may_Port St.Lucie Ste:F�
Phone No.772-878513 Zip Code:34952 Fac,772-878-0224
E=MaFl:sue@wrnebo.carrt Phone No. 772-878-513
Fill In fee drnpie Title Holder on next page(V d'>>f<€+er+errt E-Mail-scce�siyrirtebc cx�rtt
froria�#he:Eh listed.abiEvre) State or County license: CGCO35M
If value of construction is$2800 or more,a RECORDED Notice of Commencement is required.
SUPPLEMArENTAL CONISTRUC TION LIEN LAW INFORMATION-
DEQ Gi EVENGINLER: Not Applicable MORTGAGE COMPANY: � NotApplicable
Name: Name-
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE THU HOLDER: —Not Applicable
BONDING COMPANY; Nvt Applicable �
Name: Name:
Address: Address:
city: car:
Zip: Phone: Tap: Phone:
I certify that no work or installation has commenced prior to the issuance of a permIL
S ae Cou makes no rep tion that.isgranting a permit will authorize the permit holder to build the subject structure
whi is in conflict wlitkanyap Home owfiers Association rules,bylaws or and ovenantsthat may resect or prohitift such
structure:Please consult with your Horne Owners Association and reumv your Gleed for any restrictions which.may apply.
In consideration of the granting of this requested permit,IOo hereby-agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida SuOdira Codes and St.Lude County Amendments.
The following building permit applications are exempt from undergoing a full conctwe€tcy review.room addrtio ,
accessory structures,swimming pools,fences,walls, ,scsem rooms acrd accessory uses to another n ential use
WARNING TO OINNE,R:Your fa" to Reotrrd a Notaoe of may resod"in your twice for
improvements to your grope .A Notice of Commencement must be recorded ar}d post on the jobsite
before the first inspection. u int d bo obtain financing,consult with leader or n.a rney before
11
cot�ntnenci. work or . 190rNotice of Cgmmencement.
s
_.Signature.of Owner,/LesseWAgent Swrrature,ofCo r! nse Holder
�1}� spy 9.
TATE OF FLORIDA SKATE . FLORIDA
COUNTY OF s;ew,dw . COUNTY CSF sL ucL-
The forgoing Instrument was ackmmdedged b °re Tree The'�ing instrument was adwowledgpd before me
thi� ay of�� C -.,k , 20\Kby thi� day of ZQ W.by
a+xuftwiysevv— aesrn.LYeVV0M
(Name of acknowledging) (Name ofperson r�lorowledging)
i
ignature of Notary PubI16-state o€Fl } ature of Notary Public- tate of Flor'raf .
Personally Known x OR Prodd ed Identification Personally known X alt Prod::ed`8 entifrcatign
'type of Identification Produced Type of Identification Produced
o CommissionN
o_
Commission No _ °USA.hi Mp,r.k�a (Seal)
o:
*: v_ M"t t10h,U!SSION.`FF187547
PX21APn.P.hrilapt 051 91110i*., SUSAN MAGEE
2; Sonded Thru Notary Public Underwriters s a�';4: My COMM031UN it rt-W041
Revised 071 't - y' EXPIRES:February 23,2019
Sonded Thru Notary Public Underidlers
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