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'1 ALL APPLICABLE DIM MUST BE COMPLETED F:01 APPLICATION TO BE ACCEPTED
i! Date: I D d3--- /2 . Permit NuMber: Ue JO - t50 1
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Bui1dIng Porn*, AppnceSen
i planning 6.771d DelfelOpffient-SelafiCeS .. i 1
1 0 c Haug cm/Code Revolution Division .
2360 Virginia!Avenue,Feit'Plerce FLE49212 I
; Phone:(772)ite45S3 Fax:1774462-1578 Commercial Residential t/ !
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,1[PERmri APPLICATION FOR: To See Ct from dropbox, out afirOW et the end of Brae
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PROPOSED RtfiPRrrifE?..ilFi\IT LOCATION: i!'
i „thlress, Zr \,....--A\s,\Nr,........k..\ 0.,......--1.-:\t"-- Pori St' LI4Gla
° - 34952
1 -Legg Description: part of 34141-501-1701-91g1g9-Spanish Lakes One i
Property Tax ED it: - Lot No. !
Site Plan Name: Block No.
Project blame:
I.. Setbacks . Front Back: Right Side:. Left Side: I i
nETAWFD nE;',C7-IIPTION OF WORK:
1 DemoliKion of me honle .
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ON .--Ptt UCTION 3 NFO -Ano :
Additional work to be.Derlormeci under this permit—check all Mat apply:
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I OHVAC D.Gas Tank 1 Gas Piping LI Shutters i----i
L Windows/Doors
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0 Electric 0 PlumLI bing OSprinkiers Generator Roof
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Tw,,,,l Sq.Ft of Construction: ci0 Sn.of First Floor: i l' I
1 Cost iif CODS'enattiore:$ --S1...)-C) Utilities: Sewer EJSepticBuilrrong Bei-;:t: ,I
OWN F RIL'F'^';FP: CONTRACTOR: ,
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: Nearnelftrnne Edlcits Corporation Nagle: mattaew Lyle Wynne
i Address:81: *SOuTh US 1,$ 402 company:Wfils-,kre Development Corporation .
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city: ;-'orft St.Ude State:FL Address:SUM Souldi US 1,Suite 402 I i
• MID Code:349.61 Fax:712-878-11224- ray: Fon St.Lute State:-F. L
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1 Phone No.7n-878-513 rip Code:34951 Fala 772-878-0224 i
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I ,- E-Maill:shamln phone wo. 772878-5513 - li ,
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II 1 Ftti in lee 4mpla Mk Noldor tho.nem page(If filibriCIVI 1 E4tilail:=40M/7n-elm-malt
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tf aboue) • State or Count!!License: Q00035999 1 ,
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I, uf value of construction is$250111or more,a RtEcoRDED idatirce of Commencement is reclokred. 11
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1 suops,,J---panft--"NTAI rOi1/4.1STP&i•CTIPRI LIFN LAW 1NFQRMATVON: .
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1 i DESIGNEVENGONSER4 Not Applicable °MORTGAGE COMPANY: Not Applicable
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Name: , • ..11
Marne:
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FEE SIMPLE TIMLE SI(SID : _Not Applicable -'%;(.13 N,-)MG tOLVIPAhlY. 1\l'ot Applicable •i
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Name: Name: . .
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it city,.
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Zip: Phone:
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I. I certify that no work or installation has commenced prior to the issuance of a Permit ' 1•
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St.Lucie
' iiCuunMICITkPsTrePretedgdfllYatisTn% i=rtVauin#ggcgVkir*eI"l,e
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rlichsilsonliie)4iersUnI,ivzrargatjrrthtuch:ctte.iiPPconsult 41our
Home Owners Association and-review your deed for•any reSOktions whirh may apply_
1 inconsiderationof the gran'Wag ofthis requested perunk I do hereby agreethat I will„in ail M5.pect.5,perform the work 1,
i in accordance with the approved plans,the Florida Building Codes and St.Lucie'County Amendments. 11
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1 The following huilding.peolt applications are exernpt imam undergoing a-1141 concurrency review:room additions, ,
ao,...ressory s'erectures,stirrstaing pools,ferules,walls,sivs.s.,creen rooms and acce_ssory uses to another non-reeidentia' I use
1. WARN'Ne TO li.trINER:.Your faillawe to•Refoard a PacAlee.1••,'Camautammerittalaym.--dt.gn wag°pay.Eng. i.f lice for .1
improvements to your property.A-Notic of Commencement must be-record, and post *(-i ii the Jobsite
before the first inspection. if you intend-fo obtain financing,consult with lender or an attorney before
, corium/ming work or recording.yourgptice of CoMmencement, i
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• . ,i Signalura.pf Owrier/Lesses/Agent Signature of Cori.'--7---7—or/License Holder' 1
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sTATE OF fLOIRIIL!T
COT''OP Y:13F St-l- •.CatarrT OF.St-Ilizie ,
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• I The gygping insiorument,wasadmowldd before
egeme illefomoing instrument was acknowledged before me
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this '-'-,x-,y of Oc-kc--e-1 .... , 20 11117y .tras‘a-kaary of Cc 20 20 1/4--CC by
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Iylantgaw Lajhairtyun.÷.. hasith,gaty,e VVymnr.,.. ,
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• j (Name of person admowlcdging} -(Name of personacknowledgin..
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. • 1, 'grommet Notary Pub lc-State of H. 7,-.-1. ) . (Signature-of Notasy Public-Stateorida) !
1, Personally Known Y. OR Pit*,ced Identifttion .Personally Known x OR Produced.Identikation
•t• Type.of Identilicutimi ,-,7•_:,,-7- 7_,- ;-- 7.— - : .:Type of identification Produced
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SUSAN MAGEE
pnmissionNo. w 231,872604179 i.!t.
nfiSsigi.r0Vi'4si•P,i.K,,,.... -'1"r''''''2 SUSAN ivIAGEE 1I)
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Bonded Thru Notzry Public Underwriters - • — I,- MY COMMISSION#FF187647
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EXPIRE3.ftirtrary 23,2319
,i Re7ASeati7n15/203.4 ) I,,:ggi•• Bonded Tara Notary Public Underwriters -I.'
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