HomeMy WebLinkAboutBuilding Permit Application YAM A$'n►M-}iA®li E IM MUSTBE COMMETED FOR/MPPMM TO BE ACCEPTED
®ate,. Pennftftmber
OuiWing PerMit Application
I mnning mid DzvebpmentSeadces
ftfi lay and CDde Regula"kn$DMSion
230 WIMMidAvenue,lFbrt?terce FL W
Phone.(m)462-1553 Fax:(M) -1518mCi,ercieal Residential
PERMrr APPLI MON FOR: To Selfrorn dry x, kik affow at RM end Of line
PROPOSED HNAPROXIEMITE _ C T 10,N:
'Address. \ � - r c � Pat St Lucie M52
'.egal Desctipfiont part of 3414-MI-1701-MM, -.Spanish
Property Tax.M : Lot NO.
Site Pian Name: Block No.
{
Project Name.
setbacks front Back: Right Side Left Side:
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~Desaoon of mobile honle
CONISTRU M,
Ac;aitionai%vorfc za a cue;�ormeti under this pernit—check allt a aPpty:
HVAC Gas Tank Das Piping Shutters Windows/Doors
13 ed:tr€c :Plurningr 11i Sprinici�rs [2Generator Ro€rF
Totab..Sq.,Ft of Construcfwrr Pt.of First i:ioon
Cost of Ccinstructiaaa: 7 U011ies.LJ Sewer OSeptic Building Height:
� 3
KaMjIh we Capiaaa v NamV MaUhaw Lyle'►1 ynne
Address-MO South US 1, � 2 Coanpany.- €ie Dpi Caporafflon
faart St WC* . 5tatevFL Address:A000 South US'i,She.402
Zip Code:�4952 F==-±T8t#4 ,ij::Pod SL Lucie State 3:L
Phone No.a'2- '5 13 Zip Code: M Pa=.772-878-=4
E PAaid:,$U9@WWr r-¢:oraa Pdawe No. 772-87 18
mm.Qwymmba=n
) State or County cerise: C
¢f value of constr un is$250D or more,as RECZ3mEa nouoe of Commencement is required.
R r
L CONSTRUCTION LIEN LAW W-FORMATION:
SUPPLEMENTA
> GIPEERQ Not Applicable MORTGAGE COMPAW: Not Applicable
Name: flame:
Address: Address:
Cit'{: State: citj: state- �.—
Zip: Phone- Zip: ' Phone:
iaEE SIMpPLE' E HG�kR,- Not Applicable BONDING COMPANY-, Not Apa�plicable
Nai ne- Name-
! Address.- Address:
city: cam"
Zips: Phone: Z113* Pl��rne' .
I certify titat no wor4s or installation has commenced Priorto the issuance of a.permit
s
Lucire
au�as tra.conocvn� pP . , �sutEC�4.9 .i91ea48 c4r$blt cs9rth R9r 4lorne o�,4yH&erS ASSir(�a'L9o&t�rtd r'e1IeeER!�arrrS deed i€or arigr resirElrror€5 " BEST@.�Eic��f a�3��Y.
inconsiderion of the granting oftltis requested permit,.l do her' agree gira2 r tffisfi,in ail respects,gerfasrEst the vrJoric
in accordance wM the approved plans,the Ronda Building Codes and St Lucie County Amendments.
The followaingbet;Idirig pemit apprzatioris are exemptfroaaa undergoing a€€11 conc umertay re�s�:sa�m additaons,
accessory s'trt dzTes,swsirriming pools,fenms,ta.€alis,signs.screert moms and accessory asses to as .iter non-residential use
l R� p plNr �f® a� i9a�a�t a sipma resmR; '(; for
Improvements to your property.A-ootid of Commencement must be regarded and posted on the jobsite
before the first inspection-if you intend to obtainfinalncing,consult vuitft leader-or an attorney before
cor ri €1£I. wo*or rec ordin esu Notice of Commencement.
aturei /wSignature of corit�rise Holder 5
� ��re•SSee��ent
v.
! S'A'C"OF FLONVA SMTE(PF noaaDA
The fo Bing instrument was admom4edged me 3tae fo-r`�ming is►sr�rsaerst cis aa�tauteclgea��rare rime
tiris"1 �of C7. �. � i�
MLYM
(Name of person acctactmowledging ln
,,,
sigiikura-;a NNotaryPu6Cc Sta - arida) 5�rra�asre rpHbtaryPublicStatear€>t$ls'
Personally Known ^" OR Produced Oden=c a irira Personally Known x OR Produced ldeatwicatson
Type.of Identification P. ceci, > _ hype of ld
.re°`'Y.°yac,; M'SUSAIVAGEE a`�YPlo'�,. SUSAN MAGE
CcFctrrrissiorr iso. _+: f., . . t�iY GOE�fDId#FF 1864743ri}Y13i5S1t3n 111 I '' " °� Y.t=�GCSISSION FR
EXPIRES:February 23,2019 =4 ? EXPIRES:February 23,2019
Bondednn F c= �, r t
Revised 71.15!i
201' ~
REVIEWS FRONT- ZONING SUP•ERVWR PLANS VEGETAMN SEATURTLE MMGROVE
COUMM. REVIEW REMEW RMEW REVIEW REVIEW REVIEW
DATE
COMPLETE
=IHMAL$ ;
e Planning &-Development Services
Building.&.Code Regulation'Division
2300.Virginia Ave
Fort fierce,.FL 34982 . ..
772-462-1553 Fax 772-462-1578
I
ASBESTOS NOTICE TO-CONTRACTOR
i
Date:
Contractor Name: MATTHEW LYLE WYNNE
Business Name: WYNNE.BUILDING CORP.
Address.- .800-0s0 JUTHUS.HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code:. 34952
Re: Job Address: \,Q 0','--ego ' c_ O_
It is your responsibility to comply with the provisions of Section 469:003, Florida Statutes
and to notify the Department'of Environmental Protection.of any intentions to remove
asbestos when-applicable.in accordance with state andIederallaw.
Signature'&.Date