HomeMy WebLinkAboutBuilding Permit Application ALL APPUCABLE INfO MUST SE COMPLETED FOR APPLICATION To BE ACCEPTED
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Date: Permit Number. 1
S a.
-RECEIVED -
Building Permit Application
MAY 2 2 201$
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, permitting
2300 Virginia Avenue,Fon:Pierce FL 34982
Phone:(772)452-1553 Fax: (772)462-1578 Commercial ______ esl esti
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PERMIT APPLICATION FOR: To Select from dropbox, cock arrow at the end of line e rid
Address: �� �� K-- —Lt' Port St. Lucie 34952
Legal Description: Part of 3414-501-17014
000/9-Spanish Lakes one
Lot Na.
Property Tax ID#t:
Block No.
Site Plan Name:
Project Name:
Setbacks Front Back Right Side: Left Side:
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i
Demolition of mobile horse
�\�J��.�+ i �'v'>r i itJ) � :i�.ra.-s" :�1.'•r�-i tl..':\, - �—_
l�.a lil'JR3itVOi;:iO o QO�iOf("ted 'an ert Ic Jermlt—C eCC a tt�atapply: 1
_ : Gas Tank OGas Piping L�Shutters Windows/Doors
❑HVAC _
0 Electric ElPlumbing Sprinklers Generator 0 Roof
Total Sq. Ft of Construction: Ft of First Floor:
Cost of Construction:$ ���'� Utilities: 0 Septic Building Height:
guddd ration Name: Matthew Lyle Wynne 1
Names ��
Address:8000 South US 1, Suite 402 Company: Development Corporation
Cmr: Port St. Lucie State:FL Address: 8000 South US 1, Suite 402
Zip Code: 34952 Fax:772-878-M4 C jy_ Port St. Lucie State:FL
Phone No.
772-87&5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:SUegwynnei�com Phone No.
772-878-5513
FII in fee simple title Hotder on next page(if dfferent E-Mail: Sue0wcorn
from the Owner lilted above) State or County License: CC;G035999
if value of construction is$25oo or more,a RECORDED Notice of Commencement is required.
E
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable i
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable i
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has mmenced prior to the issuance of a permit.
5 Lucie CourrtWr makes no representation at is granting a permit win authorize the permit h er to build the subject structure
iofi is in conflict with any appi'icable H Owners Association rules,bylaws or and covenan that may restrict or prohibit such
structure_Please consult with your Home Owners Association and review your deed for any r coons which may apply-
In consideration of the granting of this uested permit,I do hereby agree that 1 will,in all res perform the work
in accordance with the approved plans, a Florida Building Codes and St.Lucie County Amendm
The following building permit app(ip" s are exempt from undergoing a full concurrency room additions,
accessory structures,swimming pools mems,walls,signs,screen rooms and accessory to non-residential use
WARMING TO OWNER: ure to Record a Notice of in your paying twice for
improvements to your pe . A Notice of Commencement must be r nd posted on the jobsite
before the first in . If ou intend o obtain financing,consult wit t de or an attorney before
commend work or n our Notice of Commencement.
A,// /V
S
_signature of / Agent Signature of Cont d /License Holder
1
STATE OF FLORID STATE OF FLORIDA
COUNTY OF sL wc* COUNTY OF s.ujde
The fo oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this�� ay of \ ` 20�-bY 20 \2 by
this�%ay of_ cn
Mamww Lrreygrm.
{Nance of owledging) (Name of pe acknowledging)
Signature of Notary Public-state ofi iiature of Notary Public-State of Fior )
PersonagY Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Ide
'r'''• SUSAN MAGEE
Commission p 4"Y AN MA GEE(Sea[) Comm- 'FI"' �4i� MY r0MMMy U1ISSION N FF 18764>�fJe
,++ BION r FF 187647 ;. EXPIRES:February 23,2019
EXHPES:FBbiud 23,2o19 r„ _
+; '=F;�'• Bonded Thru Wary Public Underwriters
"r;n ." ..no ,yrs u wUn erwnters
RCVised
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEWRE1/IEW REVIEW
DATE
COMPLETE 1
INITIALS