HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 8E ACWTEO
Permit Number.
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Building Permit AppliCatio
Planning+mdDevelopmentSeaddes Le
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Building and Code Regulation OWslon
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sone: r-rz}4sss3 Fax:tom}ase-]57$ Cammercia! Sq
Y, FL
PERMIT APPLICA-1710 !l FOR: To Select from dropbox; crick arrow at the end of line
PROPOSED]MPROVEt ENT:LOCAT ION
Address:' �\ Port St.Lude 3952
Legal Description- part of 3494 501-1701-OOM-.Span!S1t Lakes One
Property Tax ID#l; Lot No. _
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION C3_E.W0RK : ..
Demolition of mobile home
l-,CONMUCTIO'N:INFORMAI-)ON. � .:,.
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AdclMonal wor;to i3e ersorme un er t is permit—checkallt apply:
L=MVAC Gas Tank []Gas Piping T Shutters F]Windows/Doors
ClElectric [nPlumbing MSprinkfers Generator O Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ `� Z� Utilities:(LJSewer USeptic BuildingHeight
.OWNER/LESSEE: . ..' CONT CT :
Named BtuldkV Cogx ation Name:Matthew Lyle Wynne
Address:800.0 South US 1,Suite 402 Company:Wynne Development Corporation
City. Port St,Lucie State: Address: 8W0 South US 9,Suite 402
Zip Code:34552 X772-878-0224 may, Port St.L wc3e State Ft-
Phone No.772-87"513 Zip Code: 34952 Ems.772-878-0224
E-Mail:3ue@vgnnebc- Phone No. 772-978-5513
Fill in fee sgnple Title Holderen nwo page(srt+tf"tffererit E-Mail:wm@vqmiebe.com
froth the Ownw listed.above} State or County License: CGCO35M,
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
SUPPLEMENT-AL CONS TRUCTRON LIEN LAW INFORMATION,
DESIGNER/'ENGINEER: ,Not Applicable MORTGAGE COMPANY: Not Applicable
Name- Name-
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: J Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: city:
Zip: Phone: Trp: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St Lucie.Counter makes no representation that is granting a permit will authorize the it holder to build the subject structure
which is in.conflict with any applicable Nome Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure;Please consult with your Nome Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested permit,I do hereby agree that t w1H,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review m additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to a non-residential use
WARNING TO OWNEM Your failure to R a Notice of may in your paying twice for
improvements to your property.A Nat' of Commencement must be record and posted on the jobsite
before the first inspection.If you int d to obtain financing,consult wit nd or an attorney before
commenci work or recon ' o Notice of Commencement.
s
_Signature of Owne/-LesseAgent Signature of Coffractorlucense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sLwcie COUNTY OF sL Lucie
The forging instrument was acknowledged before me The forgoing instrument was acknowledged before me
this`�3`� ay of_ ��.,� 20 y this -Vday of� � 20 E by
Matmew tyle w�rmc MatttrEwtyee wyram
(Name of perso acknowledging} (Name of person acknowledging
igrrfure of Notary Public-Sts orida) Signature of Notary Public-=Produced
Florida}
Personally Known x OR Produced Ideriffiication Personally Known x Identification
Typeof identification Produced Type of Identification Produced
Commrsston NO. "" Sirs EE Comnirssiore,Plt y e�: St�SAN HAISEE Sea
=t•'
';F---MY COMMIS lOid FF 187647 Vii'+; • *: 7� COIipN!t FF 187647
EXPIRES:February 23,2019 ;;';='x EXPIRES:February 23,2019
�u,++ m rs
Revised W/15/2 1
REVIEWS FRONT ZONING SUPERVISOR PLANTS VEGETATION SFATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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INITIALS