HomeMy WebLinkAboutBuilding Permit Application a.
ALL APPLICABLE IM MUST BE COMPLETED FOR APPLICATIOM TO BE ACCUM / } �
Permit Humber `
t
lob,am
Date•
HE "TRE
Building Permlt ApplicatiOn
Planning and teuetopmentSeadcm MAY 0 4
Building crud Code tteguhWan Division ���8
.23tit1 Virginia.Avenue,Fwt Pierre FL 34982 p !n
Phone:(772)4sz= s Fax:(7n) sus CQiTti[IIeTGiB _ i _ artmept
PERMIT APPLICATION FOR: To Select from dropbox, crick arrow at the end of Y. FL
PROPOSED WIPROVEMEN T LOCA ION:
Address: �� `.�at\-��c�r� �-_�,` ^ Pori St. Lucie 34952
Legal Description;pad of 3414-5014709-OOM-Sp2nlSh1-ekes One
Properly Tax 1D#: Lot No.
Site Plan dame: Block No.
Project Name; .
Setbacks wont Back: Right-Side. Left Sift:
DETAILED DESCRIP T 10111 Of WORK:
Demolition of mobile home
CONSTRUCTION INFORIMA T)Ofd:
Additional(('' Work to (e De Orme under this permit—c ec c a t apply:
L_'' }NVAC Gas Tank E]Gas Piping �Shutters R Windows/Doors
Electric L1 Plumbing OSprinkleis , Generator C1 Roof
Total.Sq..Prof Construction: Ft..of First Floor:
Cost of Construction:$ - UtiritiesSewer QSeptic Building Height:
O biERPLESSEE: CONTRACTOR:
Name Yi Marne: Ma#hew Lyle Wynne
Address-.8=South US 1,Suite 402 Company.VWnne Development Corporation
may; Fort SL Lucie State•Fl- Address:8000 South US 1,Supe 402
Zip Code:34952 Fax:7?2-S78-o224 �y�Pott Sl.L[fie S� �t
Phone No. 2-878-5513 dip Code: Faye-T72-878-0224
E-Mail:sUe@VWV -°0M Phone No. 772-878-5513
Fi in fee simple TIHe How cit next page(Ndfffbrent E-Iiilail. •!
fsam the Owner listed above) State or County license: CGCO35999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
€ _ EYME TA CONS T RUCTIO I LIEN LAW INFORMA s ION:
_nESiGNERIENG?NEER: Not Applicable !MORTGAGE COMPANY: � NotApplicable
Name: Name-
Address- Address:
City: State: City: State`
Zip: Phone: Zip; Phone:
FEE SIMPLE TITLE Hd39 DEJF: _Not Applicable BONDING COMPANY.- _LNot 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.Daae County makes no representation that.is granting a permit will authorize the permit holder to build tine subject structure
which is in.eorittiet with any applicable Horne Oviriers Associatlon rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult vtath your Home Owners Association and review your deed for any restrictions itch.may apply.
In consideration of the granting of this requested permit,I do hereby agree that!t+°�tlf,in all respects,P the work
in accordance with the approved pians,the Florida Building Codes and Stt.Lucie County Amendments.
The following building permit applications are exempt from undergoing a foil concurrency revieur:room ditions,
accessory structures,swimming pools,ferns, Its, screen rooms and accessory uses to act�er on-residential use
WARNING TO OWNER:vourfaidtnre .R a � t y r it.i n ung ice for
improvements to your property.A otic&of Commencement must be record a posted on the jobsite
before the first inspection. If you tend to obtain financing,consult with le o an attorney before
cor€tnenci gg work or re di ar�r.Notice of Commencement.
. �0� S
Signature.of ItessWftea Sgnatur r Co or/Vicerise Holder
SATE OF FLORIDA STATE OF FLORIDA
COUNTY OF --Lwae COUNTY OF.awda
The forg ing instrument was adma�wledged before me The forgoing.instrument eras acknowledged before me
this -� _L Lam.. , 2D\3 o th�day of �L c---, ,2+ L` by
r4a1 mw LyleVvymr MalomwLyteVYy7
(Name of person acknowledging,} {name of personacknowledging}
�' t /C---
ignature of rotary Public S
tFlorida) (Signature of Ncitary Public State of Ida.} -
Personally Known x C Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. SUS Commission Rio_ (Seal)
SUSAN MAGEE
My it FF 197647
FXPIPES:Fehriwy28,2019 �� ::r�` SUWAN •MY ae
R�,Red,07f gS f 1�;; '' Bonded-In P tar,'Public Unden+riters u; ��� CO MM13SION#FF 187647'
EXPIRES:Fetart:ary 23,2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE ATION SEATURTi.E.� MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
®ATE
COMPLETE
INITIALS ;