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HomeMy WebLinkAboutBuilding Permit Application r �r ALL APPUCASLE WM Must BE COMPLETED FOR APPLICATION TO 8E p Hate- P rrnit Number. 1 /� c(oac Building Permit App�llcation Planning and L'3evetopmenrSet�+r`ces i3uildirrg and Code Regulation i)ivlsion 23w wr+giniaAvenue,Fort Pierce FL 34982 Phone:(772)4621553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICA11ON FOR: To Select from dropliox, di arrow at the end of line PROPOSED NPROVEMEN T LOCA.TION: . I E ddress: pot#St tie 34952 Legal Deszr3ption:padof 3494-501-1709-0=9-Spanish sakes One Property Tax ID##: tot.No. _ Site Plan Name: Block No. I Project Name: Setbacks 'front Back: Right Sides Left Side: IDE T AILED DESCRII 1101 C3F WORK: Demobion of mobile home CON-STR 3C i 100 INFOR)MA T)ON: Additional wart-,to eperformed under this permit—c ec c a t pp HVAC L3!Gas Tank Gas Piping _ hutters F]Windows/Doors (]Electric PlumbingSprinklers enerator O Roof Total:Sq.-Ft of Construction: .Ft..rJ FirstFlloor. Cost of Construction: Utilities er OSeptic Building Height: OWNER ESSEE: CONT - CTOR: I4ameV4yrm Ridding Corporation =P,-3. atlhew Lyle Wynne Address: S'�US 1,S�.402 y.Wynne Development city. Port St,Lucie Stale: Addie :8[ South US 1,Suite 402 Zip Code $4952 Fax:772-878-fl224 ,may_P St,Lucie State-FL Phone No.772-8 "513 Zip Crud :34952 Far.772-898-0224 E Maii:supQn+3rrt mbc.corn Phone a. 772-878rW 13 Filt in fee dn%Ae Tide Hok]er on next page(if Offem* E-Mail:sue@wyrinebmcom lfrom#hw.owner lisWd,afire) Slate o County License- CGC035-QW if value of construcdon is$2SW or more,a RECORDED tvatire of Comnaen ent is required. f •1 r" S P ILEMl�NT—A .CO S TRWC`i LIE .W 1INFORIMATIVIV. DESiME1-t/ENGINEE : Not Applicable MOR . GE COMPANY: .__Not Applicable Name: lame: Address: Addr City: State: City: Mate: Zip: Picone: Zip- Phone: FEE SOMPLE TITLE HOLDER: J Not Applicable SONDI l COMPANY: Applicable Name: Name: Address: Addres Caw Crty: zlp-- Phone: Tip: Phone: I certify that no work or installation has commenced prior to the issuance o a permit St.Lucie Court makes no refaresentatiort itsat.is grantinga permit vert0 a e the it holder to build the subject stsaacture i uglnisda is ire.conflict with any applicable florste Owners Assosation rinds,byla or ans�enants that may restrict or protti&sit such structrem pleas consult wsth your dome Ovw hers Associalion and re{riear yo r steed for any restrictions i0htch.may apply. In con4deration of the granting of this requested permit,t do hereby agree at I will,in all respects,perfornn the work in accordance with the approved plans,the Fbdda wilding Codes and St. cie County Amendments. j The following building permit applications are exempt from undergoing a fu I concurrency reaaewr room additions, ! accessmy structures,sviansml ng stools,fences,walls, screm room an accessory rases to anotIter non-residential use 4dAd$1$IiC TQ�BI#�:Your tit? qra ytt for improvements to your prop .A NOV of Commencefrent ustand posted on the jobsite I before the first inspectio . ou in s io obtains financing,co telt h fener-or an.attorney before commencing work on InwK Notice of Corhmencerrleee S Signature.of Owner/lassee/Agent Signatur of Contractor/License Hotdec STATE OF FLORIDA STATE .�FLORIDA COU OF st_L: S ucae T e for�o_ing irtstrrnnent was aciamwriedged me Ttae for ng instrument was acknowledged ledged before nm ttti�'�,� -dayol S� _ 20\ate this d - of`-� ._�-� .20 t�by .-maw P7LyftAlpsrc' 1448'Y'}heurL UN/ntta {macre of person owrtedging} -- {Fume ckrtowledging �" ature-of rotary Public-State of Eton agna re of rotary Public- a, ublic State of F ride.} Personalty Knoum x OR Produced Identification P ly Mown x OR Produced Identifimtton Type.of tdentification Produced Type of - n Produced Commission No. Comtel n No. .4,4.,x:.yw�, SUSr�IM4GEE ,,�a�?f!Yrye,, SUS��� --�--- NMAGEE EXPIRES:February 23,2019 EXPIRES:February 19 Revised�f G N Q aded 77 ru Notary Public Undenvr lets 4,(°' ©ended F6 23,20 ru Noting Public ufldam4ers REVIEWS ff to T ZONING SUPERVISOR VEGET MON sEA Tt1 C ..E IOU . REVIEW REVIEW REV] REVIEW REVIEW REVIEW #SATE COMPLETE INITIALS