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HomeMy WebLinkAboutBuilding Permit Application auAPPUCAsLE INFO MUST BE CO4��APPLICATION To 4E Date- P i . s..s-, � rt Mobe _a te— Building Permit Apo icatiolmmr �a_ � t�� Ftann!M rind Devekpmmt5emices Building and Code RegultWon DiWsion 2-�MO VirgimaAvenue,Foit Pierce FL 34982 Phone:(772}462-1553 Fax t772j 4b2-1538 Commercial Residential PER AtT 1fWPUCATION FOR: To Select from dropbox, click arrow at the end of Iim �PROPOSED NPROVEMEN i LDCATION: Address: Port St. 34952 feral Deception.part of 3414-501-1701-COM-Spanish Lakes One Property Tax ID-#; Lot RSO. Site Plan Name: Block No- ;Project Marne; Setbacks Front Bads: RightSide- Left Side: DE a AILED DESCRiP 4101M OF WORK: # Demolition of mobile home INFORNIATION- Additional work toa erformed under t is permit-c e c a 118S ply: HVAC ED Gas Tank as Piping r utters Windows/Doors0Electric L...l Plumbing OSprinklers Lj G erator 0 Roof Total.sq..Ft of Construction: .Ft.of Arst Floor: Cost of Construction:$ -" Y4�� UU'lltiesver[jSepticBulkling,Height; OWNERAESSEE: CON t CTOR: Name !rye Bcc ciitu,3 CaWmijon Name: atlhew Lyle Vltynne Address:8M South US 1,Suite.402 span :Wynne Deudopment Corporagon City? Plat St.Lucie State. Address 8000 South US 9,Suite 4132 Z'ip Code-344352 Fax-772-871-0122 R St.Lttcc;ie State- .'34962 �: Phone No.772-87"513 zZip :34 52 Fax T1 -878-i?224 E-Maihs�nnetr-COM Phone 0. 7'72 8878-5513 Fill in fee*nvk Tine t#e�r on nod page t ff dlfftm* E-Mag: cwn f the 0 l� .ate) State or County Ucense: CCIC03599P if value of corm"ction is$25M or more,a RECORDED#notice of Commen1meat is required. I i I PPLE F- 3 AL COP-ISTP [-Dl LIED LAW1 IFI FOR A l N: I 6-ESlG ER/JENGlNEl=Rz __. Not Applicable MORTIG �COMPANY: �NotApplicable Name: Name: Address: Addresss: City: State: City: State: Zip: Phone: Zip.. Phone: FEE Sl@iPLl:TiTI.E l-IOI.DE3: J Not Applicable 10119l?lCOMPANY. —NotAppficabie Name: Name: Address: Address: c;ty: Crty: Zip: _ Phone: Zip: Phone: I certify that no work or in"lation has commenced prior to the issuance of -permit. S%Lucie CDur�ty makes no representatm hat..is.grantinga;perim gill au tho" e ttae holder to build tie;;ubject st vgoe i�whic h is in.co_ ict withany applicable l#orne t3warecsssoatron rril ,hyla or am covenants that may restrict or prohibit such strucfium Please consent myth your borne Owners Association and re viewr Yo meed for any re sU ictions;Which may apply- In pplyIn consideration of the granting ofthis requested permit,l do hereby agree at 9 MR,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St..Lu . QDunty Amendments. The following balding permit applications are exempt from undergoing a ful conc�rrrerrcy rtr:loom additions, accessory str ucturw,swimming p ,fences,Wills,signs,screen rooms an ry rises to another non-r+ id ential use WARMNG TO OV4NM:Your fa lure to.Recard a eta \ in 'ng for improvements to your plrope .A Notice of Commencement m st l?e s�rded and posted on the jobsite before the fist inspection if y u intendo obtain financing,co cul w- iertder or an attorney Before commencingc or*k or t' di your Notice of Coit ncem s _Signature.of fawner p-* Signature ofrrtraLtOrJl lcense Holder . STATE OF FLCMDA STAT .F FLORIDA COBS OF sLr a COUN70FsL u; The foobrgolng instrument was acficno Wedged More me The forgoing instrument was acknowledged before me this :s# "��r t�-Q _ 7.0 VS"by -Mamr-WLyle; un- flASSTrisLyre {Dame of person acknowlecWng} {t arrre o pees sn acknowledging 3 ignature of rotary Public--State of ) agnatu of Bary Publk.; tate of F of Personally Known x OR Produced Identification Personal Known x DR Pc . ced IdentWtcation Type.of identification Produced Type of ` n Produced CommissionNo. ° �. s� lsrl Comm" a No_ (Seal) "W?1916SUN#FF 187647 t F4 EXPIRES:February 23,2019 u Ic Urrdem riters ( 3 _ t�ly COMMISSION#FF 187647 Revised X171 512€�.14 i ,. ,.N EXPIRES:,J RES:February 23,2019 Bended Thor Notary Public Undem+riters REVIEWS FRONT ZONING SUPERVWR PLMS VEGETATM F.,ATtll$T#.E tifiMGR€VE COUP REVIEW REVIEW REVIEW REVIEW REVIEW RENEW DATE COMPCl!R f