HomeMy WebLinkAboutBuilding Permit Application ACL APPlKABCE INFO MUST BE cOMPLE M FOR APPLICATION TO BE ACCEPTED � SOS
Date: l � . . A. Permit Idu
MAY 0 4 2018
Building Permat
Application Permitting Departr�ent
Plannfrrg aad DevdapmenrSeadbes St. L u.c1e County. FL
suac ing and Code Regulation Mvision
2M VirginiaAveriue,Aort Pierce FL 34982
Phone_[772}4621553 Fax:(772)462-1578 Commercial ' — Residential
1_[PERMIT'APPLICATION FOR: To Select from dropbox, click arrow at the end of Un-,
PROPOSED NPROVEME T LOCATION-
Address: �`ti - � c� t� rti sz_ Port SL Lu W cle,34952' -
Legal De ptian:part of 3419-501-1701- 0f9-Spanish Lakes One
Property Tax ID#: lot No.
Site Plan Name: Block No-
Project Nanta:
Setbatks Front Back RtghtSide:- Left_Side:
I DE AILED DESCRIPTION OF WORK: 1
Demolffion of mobile hoMe
CONSTR )ON INFORINIATION, z
A itionat wor c to eD owned under this permit—c ec c a t Y
app
HVAC ED Gas Tank Gas Piping Shutters M indows/Doors
LIElectric r1 Plumbing [DSprinkters Generator O Roof
Total:Sq..Ft of Construction: Scl.Ft.,of First Floor:
Cost of Construction:$ C�Z7Utilities sewer Septic Building Height.
OPV ERAESSEE: CONTRACTOR: .
NamdWyrm B�Corporation Name: Matthew Lyle!l ne
Address•81}Oi3 South US 1,Suite 402 Company:VWnne Development Corporation
may; Fort SL Lucie Stater Address:8t3gi3 South US 1,Suite 402
Ztp Code.34962 -7?2-87&0224 ,may;Port SL Lucie State:��
Phone No.772-878 513 Zip Code: 34M Fes.772-878-=4
E Mail:stre(ui wrVVNA c.c0m Phone No. 772-878-5513
Fitt in fee stgnple Tithe Holder an next page(if Wfierent E-Mail:sue@wymielmcom
fwm the.i www li ed-above) State or,County License: CGC0358ss
ff value of construction is$2500 or more,a RECOIWED Notice of Commencement is required.
G
SUPIPILLEMIENTA-1 CONS THRUCTION LIEN LAW INFORIMAT ION;
EDESIGNERfENGINEER: Not Applicable ORTGAGE C� MPANY: � NotApplicable
carne: name.
Address: Address.
city: State: City: State:
Zip: Phone: Zip-, Phone:
FEE SIMPLE TITLE HOLDER: �Not Applicable BONDING COMPANY: —Not Applicable �
Name: name:
Address: Address:
City. City:
Zip: Phone: Zap: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
I
St LuciaCoonjty mattes no representation that.isgranting a permit will authorize the it holder to build the subject structure
which is in coriftict with arty applicable Horne Owfiers Assosaatton rules,bylaws or and covenants haat m restrict or prohil3it such
structure.Pleam consult with your Norrie owners Association and review your sired for any restz fictions ich.may apply.
in consideration of the granting of this requested permit,t do herebyagree that 1 VAN,in all respects,P the work
in accordance w�the approved plans,the Florida Building Codes and St..Lude County Arnendnmethts.
The following building permit applications are exempt(corn undergoing a€<siI concurrency review-roo additions,
accessary structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to a non-res`identtial use
WARNING TO OWNER:Your faiitare to Recard a Notke of aw reser.' PaYing twice for
improvements to your property,A otice of Commencement must be recorded a posted on the jobsite
before tete first inspection. if ou i end to obtain financing,consult with len r an.attorney before
commend work or recon ur.Rlotice of Commencement.
- s
_Signature of Owner/tessWftent Signature Contractor-lucense Holder
SATE OF FLONDA TATE OF FLORIDA
COUNTY OF st COUP DF.m roam
The forgoing instrument was acknowledgeo before me Tae lbrgoing instrument was acknowledged before me
this&t-r—of ct�:` , 20 iby thisZLdayof� .20 by
>4 m wf Lyte u4am M8WVMViy§8
(Nance of persona acknowledging) (Marne of person acknowledging)
g
�� / r%'C_
Signature of Notary PtibSe Mate of rich (5tgrta re of Notary Public State of 1=1gin y
Personally Known x OR Produced idend icadon Personally Known x OR Produced Identification
Type.of Ids}nt"sfi. ' aRX04uCed-, __ Type of Identification Produced
SUSANJ%,
Z.orrtrr1i55JLi ItI#2. :. £ L
n OwISSI87647 commission No. _� 1
EXPIRES:February N23,2019 .�iiRY:e,'u'a., SttSAiVAAGEE
_ ended Tn fa. ,=o• y�; =441cMx PP I A-AA7
amo
Revised D7115/2014 � ,��.�� EXPIRES:Febrtlar,�2��279
"'a rr`„° Bontled Thru Notar,,Public Undan'h1af$
t—” �,r.sra�revz
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGEf.4'I"1f315! SEATI11tTi.EFTEW
DATE IGROUE
COUflt' REVIEW/ REVIEW REVIEW REVIEW REVIEWII
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