HomeMy WebLinkAboutBuilding Permit Application ys
ALLAppUCABLE INFO MUST BE CotlR LE[ED FOR APPLICATION TO BE .0
Date P7ation ber:
a _ rv4 w Building Permit �Ap p
PkmningandDevelopmentSeSdces
8ullding and Code ftegulatfon DWsion
23W irginiaAvenue,Fort�Pierce FL 34M
,hone:(772)4621553 Fax:(7'72)4621538 CommercialResidential
PERMIT APPLICATION FOR: TO Select from dropbox, cock ow at the end of line
PkOPOSED IMPROVEMENT LOCATION:
Address: or#St.L 34952
L gat Dessxiption:t�of 349 1-1701-ttWO-Spnish Lakes Cine
Property Tax ID#: Lot.No.
Site Plan Name: BMdc No_
+rojeot lame:
Setbacks Front Back: RigMSide:, _ Side:
bET AILED DESCRIPTION OF WORK: 3
Demolition of mobile home
I
CONSTRUCTION INFORNIA T ION:
Additional v+'or: o e�ej ormed under,this permit—c ec c a t a ply:
HVAC 1_M!Gas Tank Gas Piping j'S
utters F] indows/Doors
EElectric ❑Plumbing OSprinklers erator CRoof
Total:Stl..Ft of Construction: Ft of first Floor:
Cost of Construction:S UbTities er 1DSeptic Building Height:
OWNER ESSEE: CLAN i s C# R:
NamiV%lrme BukluV Corporation NamTe
w Lyle Wynne
Address:8=South US 1,Suite 402 sWynne Development Corporation
�,_ Pott SL Lucie State: Addr0 South US 1,Suite 402
ftp Code:,3485 X772-87 -0224 ,may; Lucie State--
Phone No.772-878.5513 ftp CFes.772-8784=4
E Mad:s �+Yrmebie corn Phon2-878-W13
Fittfnfee4mp%TftteH on tactpage(if diffe rent E-Maw;n:ebc.c wn
from the OWVller Usted .abawe) Statety License:CGCO35M
if value of construction is$25tttt or more,a RWORDED Native of Commen nt is required.
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SbPP�.EgVf�l'�;T L C P-,ISTRU 'IO LIEN LAW WOOF+ A€103
D�SiG fiERIENGINEER: �Not Applicable tt ORTGAG COMPANY: � Not Applicable
Name: Name:
Address: Address:
City: State= City: State:
Zip: Phone: Zip.. Phone:
FEE SIMPLE TITLE HOLDER: �.Not Applicable BONDING�tlbltlPANY __
: _ _Not Applicable
Name: Name:
Address, Address:
City. City:
Zip: Phone: Tip: Phone:
certify that no worse or installation has commenced prior to the issuance of a iL
St.luxe.Cour�makes no representation t u t.isgrantinga permit will a the it holder to build the subject structure
i�hirfi is in,conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or piofaititC such
structum Please consuit with your Home Owners Association and review your eed for any restrictions vrhich may apply_
to consideration of the granting of this requested permit,i do hereby agree th 1 t�R,in all respects,perform the rk
in accordance with the approved plans,the Florida Building Codes and St.Lir - county Amendments.
The fallowing building permit applications are exempt from undergoing a full ncurreney review:room additio
13 ccessosg+structures,swirmning pools,fentms,walls,signs,.screen.rooms and ry uses to another non-r ential use
9Ah41tNING'1!O OWNER:Your failure to a Natko of may result in your 'ng tvttice for
improvements to your property.A Notic' f Commencement m st he recorded and po on the jobsite
before the first inspection. if you in a obtain financing,con ult with len ror art. orney before
col�nlrtenei work or r r ' ou _ dice of Commencement,
s
_Signature of Owner/!;;! a/Ag nt Signature Co Licerim Holder
STATE OF FLORIDA STATE F!FLORIDA
COUNTY OF l� OF si_
The J Ing instrument was addxWecdge Mme Thefior g instrument was acknowledged before me
this day of �ti r-�__ ill tS lye` ay.of� �ti�e .2£3 �� !fit
t S,s=wLyr 719e9hmewLyeVvp
(Nam of perso .acknowledging) (game of person acknowledging)
ignature-of Notary PubCc--State of Flo ' a re off 3otary Public-State of Florida
Personally Known x OR Produced Idenifkation P l Known x
y _Olt Produced Identification
Type.of Identification Produced' Type of ` n Produced
2Z- .
Commission'No_ ;u nom_IAWGOMM 5 OT*987647 Comm r
taw a,. EE dT
al.
3 EXPIRES:February 23,2019 '�° = MY COMMISSION#FF 167647
'
Revised DII1S12Ui<4 F" Bonded 7hru tary Public Underwriters
' e,,.r� No
REVIEWS!'S Fl201NT ZONING SUPERVISOR Pl.a4AI VEGETATION SF.ATURTLE MANGROVE
COUNTER REVIEW RE'�11E1Pkl REVI REVIEW RMEW REVIEW
BATE
COMPLETE 71
INITIALS l