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HomeMy WebLinkAboutBuilding Permit Application ALL APIKKABLE INFO MUSE BE CA14fil'LETEQ FOR A!'pumnoN To BE ACCEPTED I �r- � Ae 1
Date: )�— Permit limber.
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Building Permit Application iv,,Ay c 4 2011 3
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Fkmmg and mwdopmentSet wes
BuM ing and Code Regulu on division Pe rri-O Utt n U`, UE-,-),3 MPnt
2300 IFrgin&Avenue,Fort'Pierce FL 34987 C I t' county,
"�`'f. $-
Phone.('J72)4621553 Fax:(772)4621,578 Commercial �_. 4esi n �
[PERMIT"APPUCATION FOR: To Select from dropbox, crick arrow,at the end of line
PROPOSED IWIPROVEj4l EN T L OCATIOIN:
Address: c" <� Port St.Cut;ie 34952
Legal Desciiptioa:part of 3414-501-1709-Df9-.Spanish UkeS CIM
Property Tax ID#: Lot f4o'
Site Plan Name: Block No.
Project Name' r
Setbacks Front Back: Right Side Left Side:.
[--niwLEDIDESCRIPTION OF WORK: �
Demofi ion of mobile home
CONSTRUCTION INEORNI.AT)ON:
Additionalwort to egem
rforeci under this permit—check 51Vt appy:
HVAC E—]Gas Tank Gas Piping _Shutters O Wlndows/Doors
DElectric Plumbing OSprinkiers ID Generator 0 Roof
Tota[:Sq..Ft of Construction: sq.Ft.of First Floor.
Cost of Construction:$ z Utilities Sewer 1_!Septic Bulldmg Height:
0+NNER/1 E SSEE: CONTRACTOR:
Names itig CorPo dame:Matthew We VVynne
Address:8000 SOuth US 1,Suite 402 Company:ane Development Coqvrafton
city. Por#St,Lucie State: Address.80U9 South US 1,Suite 402
Zip Code:$4952 Faw?'122-8 8-0?24 C1W Port St Lucie 5 ;FL
Phone No.772 878-5513 Zip Code:8 Fes.772-87&U224
E-Mall:auxeI==n Phone No.772-878-,W13
Hilt in free simple T#tie Holder an next page(N di E-Mart: suet§ yrtnebe cwt
from the:owner listed.above) State or County license: C CICW5999
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
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y ..
[[EPPI MENTAL CONS TRUC7
DEESIG At CE RIENGIN EER: Not Appiicable MORTGAGE COMP, ^NotAppii+cabie
Name: fume:
Address: Address:
City: State. City: State:
Zip: Phone: Zip-, Phone:
FEE SIMPLE Ti U HOLDE.R: _Not Applicable BONDING COMPANY.: Not Applicable
Name: Name:
Address: Address:
City: City:,
Zip: Phone: Tip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St facie Cou�i makes no representation i hat.isgranting a permit will authorize the it holder to build the subject structure
whirl:is in_cor>tlict with'any appfcabpe Horne owners Association rubs,bylaws or and lin%nts that may restrict or prohibit such
structure,Please consult with your Home owners Association and review your deed for any restrictions which,may apply
Iry consideration of the granting of-this requested permit,I do hereby agree that i vdII,in ail respects,perform the vrork
in accordance with-the approved plans,the Florida Building Codes and St+.Lucie County Amendments.
The follov+ring building permit applications are exempt from undergoing a full concurrencyreiriew dditions,
accessory structures,swimming pools,fences,smalls,signs,screen rooms and accessory uses to a m aemir-residential use
WARNING TO 131A1Wh Your failure to Record a I afte o$Conurwricement may cess, your I ngltwke for
improvements to your property.A Notice of Commencement must be recor&r3 a posted on the.jobsite
before the first inspection. ou in d to obtain financing,consult with I der r an attorney before
corrtrraeng work or . r r.Notice of Commencement.
"",X-J/ s
signature.of Surer,/teswWAgent Signa df C6pfrfictorlUcense Holder
A
STATEOF EFL,OWDA STATE OF R.OP DA
COUNTYOF sLRcicia 'COUNWOF,StLm-'a
The forgoing Instrument was admowledged before me The for oing-instrument was acknowledged before ore
thiQV-Cayof��G' �_, �►Y #rr i` ay of ��. -ZO by
MafttMWLyl-V*McAu lrtE.saLyleVVI—
(Name of perso cknawtedg!n/g);-' {iltarrre ofpe clulowiedging)
Signature of Notary Pubric State of Flo ' L4t re of Notary Public-State of Florid
Personally Known x o Pr t n teatiosr Personally Known x �} OR Produced Identification
Type.of Iden i5catran CI ie Ahi tkAP_CC Type ofIdentification Produced
=,r1#`,'� MY COIdMISSION#FF 167647 F��'�� -
commission No. =4•= .,:�<. EXP4RE� t{1ary 23,2419 Comm ,: s^i%� SUSAJI MAUEE �S t
Bonded Thor Notary Public Underwriters t ',r_ PAY COMINAISSION#FF 167647
� EXPIRES:FeUntaT 23,2019
':,RPt��` onae ,Ern olar;+ c !c n orrar.ars
Revised 071151213.14 '
REVIEWS FRONT ZONING SUPERVISOR PLA14S VEGETAITON SEA-ruRTLE MANGROVE
COUNMR REVIEW REVIEW REVD REVIEW RMEW ROVIEW
©ATE
COMPLETE
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