HomeMy WebLinkAboutBuilding Permit Application ALL APIA �!MUST BE COMPED A .' TON TO ACCEPTED
Date: ��" } 0 Permit MuneLPermitting
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PER T APPLICATION FOR: To Select from drapbox, kik arrow at the end of r
PROP-O $`el s ;t�s�ti l _ r z 1 .;�a
Port St LUM 3Q52
TLegA D es �s�orr pad of 3414-501-1701-4)0M-eta L°Ms CM
Property Tax ND Leat No.
Site Plan Name, Block No-
Pruject Nantae: }
Setbacks Front Back: Pigt Sime:- Leff Side:
Demolfflon of mobile home
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Additional woak o be oe;Tormed under this pr_7 aermit—check a t app y
HVAC E3Gas Tank as Piping Shutters indows,/Doors
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seatric _ Plumbing 06enerator
Sprinklers Rotas
Total-Sq.,Ft of Cons para: FL of First Fear:
Cost of Construction:$ S Utilities:L_ der 05eptic Basifdrrng Height-
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MamsyWOM Btwha corpomem Nwne: MaMew Lyle Wynne
Address..800P South US 1,81fda 402 Company.Wynne D e anent Cs rayon
Prod Si;Lu6sStateYL address-8030 South US 1, e 402
Zp Code:34952 r-ax-772-87842224 city, Poft St Lucie State:izL
done Zip Cod 9W 772-878-M4
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Tsaa ) State aar CDunty lnse- Q $
ff value o e straza+don b$251-Mor more,a RECO ED attotsaae of Commencement is required.
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Not Applicable MORTGAGE CO P T: w Not Applicable
Name: Name:
Address: Address:
City: State: city: State:._..
i Zip:
Phone:ne: Zip. Phone-
FEE SOMPLE°Tl HO MW. ____Not Applicable BONDING COMPANY'., Not Applicable
Mame: -Nairne:
Address: Address:
00:
Zip. Phone P= Phone: .
I certify that no work or installation has commenced prion to the issuance of a,permit.
Sfi.€,carie�u ranalcs no areseantati 1a£i5 gating anig a - e aneaerraait haalder to ouilde sedajee straactaare
his to rs an.co�iCt Gln atn�appirr l e ers sssscna gra ltaales,hyiatn►s or an ra rernan na1<Bnay s scrice a>r prnlni it su
si'rtaz�tre.please esnan�alt yoran•t9oane finers Asia and�e�e�yonr>r dee<=d for aan�e'esieari filch appy-
ln coneAenation of the granting ofttft mimed Mm€L i do hereby agree that 9 MR,in all fespe=,P Ww m the rrork
in accordance mfiffi the approved plans,the Florida Wilding C®des and St,l.udeCounty Amendments.
The followinghaailding ft alapl'arWD"s areexemptfr ora undergoing a fall coan;urrenrif rearaemro:momadditioa3s,
accessory stmewres,swimngrn pools,fences,vxAls,stns,ern rooms and acceswry asses to a edwr non-residers sat use
WARMAG TO O 4 Your W00M tt -R .Wd a P859M of CONMeN csmw&Bay qwwa in Vw w pro€ for
improvements to your property.A.Voticiie of Commencement must be recorded and postean the jobsite
before the first inspection.if you intend to obtain Anancing,consult with leader or an attorney before
cornmet$£i. wo*or recoo-ding your.Notice of Commencement.
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rraYuce tOc eA/ `Signatureof 0nframorlUcefise Hotdw
STATEOFFLONVA STATE€F FLORUDA
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The forgoing i wstru hent was adamtWedged beftwe me Th egoing.klistrument'sands adgtowbedged bef6re alae
osis -dw of�^5�a c�uo�-- to tial€ k' by
.�+1L'}t3�py E�iV SIL'f�Cttc +1a&irti�ruLY�f3SM/gIESB
(Name of person ad mowledganng (lanae oaf r.�aardedgi�
(Signature of Notary Pubic Stats at'B 'da) Sarre ref Notary Feblra-State orida)
Personally Movm OR Produced Id "as re ally l€rer rn � i f eared 8d anti�taticarn
Type.Alf ldeantrfrreti T of ld _
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AN f��AGEE
GOi.4"",IS 'OIJ#FF 187647
commission c a€nm n No. g :*7: MY CONIMISSJO 64+7
-' PiRES: c 23.2019
Bonded Thru Notary Public Undemnters �y_% E PIRES February 23,2019
Banded Thru Notary Public Underwriters
Revised071..512014
REVIEWS F:li<Offr- ZONING SUPEWWR PLMS VEGUAnON SEATURTLE MANGROVE
COUNM REVIEW REMEW REVIEW REVIEW REVIEW
DATE
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