HomeMy WebLinkAboutBuilding Permit Application t
ALLAPPLXABLE IM MUST RE COMP'S FOR APPUCA ION TIOBEAaEMD
' I x Pennft Number
` {h � RECEIVED
Building Permit application
Marring e�.. � NOV 0 2Di8
ataiSt ng and Code Regulve an DMsivn
Rrginiria venue,Ford.PierceFL34M ST. Lucie County, Permitting
Phone:(772)462-1553 Fwr(T72)462-1578 Commercial Residential
FPERMIT APPLICATION FOR:
1+6 Seled from dux, craarmw at the end Of The
1.
�PROPOHD R)fjPR0k/Eg i.,'U T LOCAs 1 NIa
Address: Port St LuCie 34952
Legal Dera sairoa pwt af 3414-501-1701-0 -SparAsh Lakw One
Property Tax ID : Lot NO.
Site Purr Name: Block ft_
Ardject buss:
setbacks Frani Back- Pjght Sade: Left Side:
DESCM P T OKS OF-
Dem,offlon of mobile how
Addittionaiwar,40tobegertormed under this perrhit—s eek a mal apply_
Gas Tank
HVAC
._,.�.. as irig shutters F]Windows/Dom
0echie 1.PIumbang L l Sprinklers LJ Generator �Rrty'r.
Totat 5q..Ft sof conwtvffjon: So.Ft.of First Floor:
Cost of CDnstrtm'3 ow.$ �- Uta06W. Sewer I —1septic Buatdirg Height:
t:
ATO
mamiWwm BtAming cowmb a Naive: Maftaew Lyle Wynne
Address:80D South US 1,Stifle 402 Company..VWnne De imp t C n
Paark SL Lucie State. Address:BMD S001 LDS 1,WW402
Zip Code:34962 Fax. -878.0�24 ;moi Pod SL L
Perone N0.772-878-15,513 Zip Code:34M Fmc772-878-0224
I 7asi:� ebr�.¢ phone jV0. 7724 -5513
,
FIR in fte-sftp1eTi.ft HoWer ba next page fifdfffemn E-MAI-.sue@�A�. �cwn
homthe0mawftedate} She Or CDUnty i aCenSe:
If value of saaaastrucdon as$2-1M or more,a RECORDED Xaafkv of Coax menewnent is required.
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GAYEER: _�.Not Applicable ORTGAGE COMPANY: ._._NotAppllcable
l ari7e. Name:
Address: Address:
City: State: i:' . State:
Zip: Phone: Zipz Phone:
FEE-SBMPLE TOTLE H0LDE h _.. Not Applicable SDHDWHG COMPANY: Not Applicable
Nam.e: Nafne:
Address: Andress:
.. Phone: Zip:. phone:
I certify that no work or insl ailati+con has commenced prior to the issuance of a pernar.
Daae C a e aloes iso a ; resen�tlo�sA mag isg larg a�esa€i rid aos loot a 9#aholder to guild•the subject structure
w as tn.ca�ict ars alalsl' hie i� €e aaers s r aars teles, attt�s a 2r to real aY r
ay ms ricY or pr-phibit such
t�lease consul 41onite yrs d sociati n said review yona deed for angr res yin tion s vrh"may apply-
Inconsideration
pplyIntconsideration of the grara i€ag ofthisrequested mit,I do hereW agree h#t I wilt,it.all resp",Perform the Work
in accordance wft the approved plans,the Florida Wilding codes and St Luclte•countyArnendmenM
-The$'allott4ng buuiding pe Wit applications 2re'exempt from undergicdwg a full concurrency retfiew.room addttlons,
accessory str'tscwres,swireorreing f000ls,fences,%zlis,logos,Sree0 eoaasns and 3CCeSWry acres to arecat<ioer non-resuiwirtial use
WARNNG`o OWM.-ywr IWIjum ft..Rema a moom of.Cwawwwwaaw ff"i rem&in yaw pfforgtwke for
improvements to your property.A fttice,of Cola' encernent mast be recorded aM paged on the jobsite
before fest inspection.if you Intend to obtain financing,consult with lender or an,attorney before
commencing work or recording your Notice of Ctffimencement.
Azz5
_ signature of Q ec/LessW t ent Signature of Contractortucense HiAder
CGU -OF COU �uva-
The forgoing' ��itrsia€ment was dged ire me lberfargoing ftwmme�was ac mawledged ire arae
" of RSZ*�-�.t�.4� .... Y3l ��. �v a`� #s
MW__WYET9
{lNacknowledging} (Name of person-?cknoudedgin
• r
_5ograa2ure-of Notary l?ul�lic-�ata�e csf Flo ' } signa�sre of R a6r f u� c-S � loria#a
Personally Knot OR ProducedIdeni�on personally Known x o ra duced Iderldlic tion
Type.af Idenrt"r;adon 3'grpe oflden0ca0on Produced
;6t P•"t4�; SUSAN MAGEE
MY GOMNIJ#F�� , FF 187647 gpa 77_
Cornmissisa)iso. - XHRES.F65F ryr ?_$ 2019'' Bonded DIM Notarf Public Undenpriters �: MY GO(111t3lSSlON#FF 1$7647
+ � 1' sfi � � aonded Tnru rrotary'Pabrc undenxraers
s �
REVIEWS FRONT ZONING SUPERVISOR PLANS VWETATMN SEA-TURTLE MMIGROVE
Ott REVIEW RAE REVIEW HenEw. REMEW REVIEW
DATE
-COMPLETE
113. 5
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f . � ii . b�fle'Reg atiiof vsionn
a 2300.V-!rg*1 naa.Ave
- V rt Neice,F 349$2 . .
772-462-1553 Fai 772®462=1578
RECEIVED
101/ 2
V 00 2018
ST. Lucie County,Permuting
-Date:
C6ntrtctor Name:.*MATTHEW L:YLE WYNNE
.gusiness name: --WYNNE.BUILDING CORP.
Address: ,8000 SOU TH US.HWY. 1- SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code:, .34952
Re: Job Address:
It is your responsibility to comply with-the.proyisions of Section 469:003,'Florida-Statutes
and to notify the Departmentbf.Environmental-Protecti.on.of-any intentionsto remove
asbestos when-applicable.in accordance with state andlederaliaw
Signature
a