HomeMy WebLinkAboutBuilding Permit Application 1 ..)
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,1 ALL APPLICABLE IWO MUST BE COMPLETED ri?' APPLICATION TO BE ACCEPTED
0505
, Pert Number:
Date: f 0-"?3'" 18 mi
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Building Ptermt Application
ii Nom-imam Development Seadres , .
Building and Cade Regulation Division •
11 2300 Virginia Avenue,.FortPierce FL 34982
i Phone:(772)4624553 Fax:(772)462-1578 Commercial Residential
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:rPERMIT APPLICATION FOR: To Select from dropbox, crick wow at the end of line
'1 I PROPOSED iMPROVEP,../IENT LOCATION:
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I Address: \\_ L.e-, c_ ( A,-cz. Port St Lucie 34952
Legal Description:Pert of 3414-501-17)1-0=9-Spanish Lakes One
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Property Tax 40#: - wt No. 1
,I Site Plan Name: , Block No.
Project Name: 4- ,
Setbacks Front Back: Right Side:. LeftSide:
i DE 1—.0aLt.D OE-CRiPPON OF "iftfORX: I
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Demolition of mobile home , .
CONSTRUCTiON INFORMATION:
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Additional work to be performed under this permit-check ell Mari apply:
LiHVAC - 0 Gas Tank ' as Piping I I Shutters 1=1 Windows/Doors '
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0 Electric 0 Plumbing OSprinkiers C-3 Generator Li Roof
To, .1 Sq.Ft of Construction: S.r of First Floor:
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Cost'S f Construction:$ `----5-0-Dc°
Utilities:; iSemer FiSe,.l'c Building Height
MIVNERI; Fc.; F: CONTRACTOR: '
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paameWynne Building Corporation Name: Matthew Lyle Wynne '
' i,,' dress::1'00 South US 1,Suite 402 Company:vitynne Development Corporaton i
' city: Port St.Lucie State:FL Address:8000 South US 1,Suite 402
Zip Code:34952 Fax:772-87844S
24 ety: Port St.Lucie -
tate:-FL
1 Phone l',o.772-878-5513 Zip Code: 34952 Fam 772-878-0224
, , - E-Maii:sueatiloynnebc.corn
Phone No. 772-8785513
I; On in fee simple Title Heider on next page(H afferent
E-Mail: sueekPlYnnabC-C°731
, *DM the Owner listed aboue) State or County License: 660935999
i Itf value of constillaitnil iS$2500 or mores a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONcTFILICTION UEN LAW INFORMATION: 1
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DESgb-RIEFIENGBNEER: Not Applicable I M 2:RTGAGE COMPANY: Not Applicable
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Name: Name:
Address:
City:
Address: ddress:
City: - State:
City: State:
Phone;
Zip: Zip; Phone:
jlFEE SIMPLE TITLE HOLDER: Not Applicable '11,43* DING'COMPANY: Not Applicable
Name: Name:
Address: Address:
City. City:
; Zip: Phone: Zip: Phone:
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I certify that no work or installation has commenced prior to the issuance of a Permit.
St,Lucie County makes no representation that isgranting a permit*a authorize the permit holder to build the subject sure !
which is in conflict with any applicable Home Owners Assomation rules,bylaws or and covenants that may restrictor prohibit such
structure.Please=suit with your Horne Owners Association and review your deed for any restrictions which may apply_
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;I In consideration of the granting ofthis requested permft,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St,Lucie County Amendments.
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The following building permit applications are exempt from undergoing a full concurrency review:,room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use ;
' WARNONG 70 iliKIIER:Your failure t Record a Notes of Covraftenosfetent may mat in your Ft—Vow twice for
improvements to your property.A ftlotic of commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before :
1 wmmendng work or recordin r .,our Notice of Commencement.
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I:1 _Signature of Or-maritessesiftent Signature of Contractor/License Holder
I STATE OF FLof JA STATE'-F FLORED,' I
COMM OF st-tm...e COUNTY OF st Lurie I,
The forgoing fasliument was acknowledged before me The forW.g instrument was acknowledged before me
I this\=day of Oc,.. .-.. .-.____, 20 .. S1,y this kk• day of CD c_..-.4r. ......-- ,zo\ by-
Mairmw Lyie VVyart6 MaiihswLyfe VVyirla•
(Name of acknowledgi•1 (Name of p- • acknowledgin:
, .47,1-e•---, rz. e____ ./..,--,... .-',,,01011.9' --a"----4" --__ 1
ASignature of Notary Public-State.- arida) . Oignature of Notary Rah ic-State of Floe,r i
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Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced _ ____
Commission No_ --: .,,,,,,,, -T --41, c.oininission W10-----'* . .
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,L •',.-. MAGEE 1 ''''''''" -.!MAGEE
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1•,' ,,;} twi MY COMMISSION 0 FF 1E37647 1 -3: 41_._IS, ...;-i . '1SSION#FF 187647
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