HomeMy WebLinkAboutBuilding Permit Application r-
ALL APPL".E AHM MUST BE COMA FOR APPLICATION TO BE ACCEPTED
Dates
BulOdft Perm, a AppflcatAc n
SuRding and Ccde Re_wfatibn MudsiOfi
ZWO Wirginjo Avenue,Fait'Fierce FL34-qa
Pino�ne:(77214621553 Fwr 1772) 257 ' commercial Residential
PERMIT APPUCATION FOR: rb Select from dropb=, efiCk BaTc 7 s$$hP-end Of the
f
PROPOSED tr^.
Addmss: '�f'-� J.�rc a t�eo.�� C Fort St LU 52
Property Tax 10#- Lot No.
site Plan Name. Block No.
Prewl Name-
Seebac.s front ize1L: stSide.• Le t&de:
L �Y,fon of m ob1fle hoMe
,���Y3�
HGCBIit£'ISic7,l im R,to a Dei fQrmer1^under t i! .0ernift—check all Yll3_ apply:
HVAC 4 Gas Tank a�piping Shutters �Windows/Doors
8estric Plumbing LJSPrinklers [:]Generator O Root
Teal Sti.i=t of Cc nswn-- So.FL of fiat Fiona.
Cost of Cor cion:a Utilities.Lj Seu3es septic Building Height:
;a�1?T •{� ��doo RSA
C.,
€ iva MaMie�ns i_y�e Wynne
Address-. S USI$tft 402 Company.ViAjnn9DffM)opxnmt CorpoTabon
MY.PoFt SL L-UC39 Staten Address:8000 Soda US I,Stfite'102
i Code: f x:712-8 a POASL LuS�es�-
Phone zags code;34M 72-87"224
Fr�9a"s9.� t, rbc. as Phone No.
{Fos$ $`s nn '(GtmTe x next qw-M u 1f affarem E--:Mallh 0' bC-
aS afa a State or Ccmiy License:.Cc-C 999
it valve of uc=ru,=- n is$ZSVD or ora-are,igs,iEconvEv noure of Commencement is required.
�IMEER: .. T Not Applicable M ORTGA E COM& Vn �Mat-Applicable
Name: Name:
Address: Address:
City: State: City: State:
Up: Phone: zipz , Phone'.
FRE-SimpLE TITLE Hobog-. ,i Not Applicable SOMPil�G Ci MP.ANY; 1Vot Applicable
Name" Name:
Nan'le:
Address: Address:
city. My:
zlpc ne: Zip: Phone:
1 ceray thatt no work or installadon.has commenced prlcr i o the is!tuance of a permit
S%Lucie 2oun rnalses represes�taticm sdtat tsggasrtirtg arseat#g�xtil4 aut�xizee it taoider tc>lbs�ilat tl�e seebjectactaare
Wlitsli t5 lr1,t oa►lict iPtlr$Ii 8 t applit�Itle Ht�rrke ovrrterSSSt}�i3lQdi7lli'Sa�ltJlr3YV5 Of r�rd�2lilYSlr2t EK13j!i�Sfi6C®Yf�Olfili9i$s�iC�1
sd�av:k4v�latease catnstalt +}feast name fees�scs�atitsat azd re�e�ytsssr teed for any res�ictiorfs t>��ag�plif_
Imcomsaderi ion of ghe,grantirig ofthis retied permit,f do herebragree-that i will,in all Fespects,gs�orna the v Toric
in accordance%&h1he approved dans,the FPaarida Wilding Codes arta*t;.1 Facie-CzucayAmendments.
e a ai4tavarirtg�aaiidi»g pest ag�g�lscatiuus a centyst Ctrs aasnd oirtg a€aadl coag arcs a s v.mam addiftions,
'
accessmy strucwiresi,stVkw-9 pools,fences,was,sigm screm us es and 2ccamotvp apses to another non-resides-Lal use
WARMN0 70 OMMML,YOUF MIUM to Reem'd a T6&on grow Pgong2oce for
improvements to your property.A-Matic&of Commencement must be recorded and posted on the jobsii e
before the first.inspection. if you intend To€abtain financing,consult Atith lender or an,attorney before
comr e€ wmtpr recardft your.Notice of.Commencement
s
Signature pFQwner�Lessee/Agent Signature of Contract. r/Gcebse Molder
MR-A-MOF FL PA STATE OF FLOPMA -
COUMMOF st-auefs. COUNTY OF.%
The forgtiittg a>kRMment was aclkrmWedged befnrerne The forgoing instrument vas ae,=wredged before me
thisQ% day of Z-�, ,�. 2D)aby W*P_—day of 20
aAs�s—'svF_y2e;iVyrn: �tthewLy#aWYr�sa
(l a of pets cknOWledging} (Name not perste acknowledging}
i
1
agna o1F Idoary 1Paaiatie-58ate of Florida Sig t re,srrglobBio-Si< e eaf risia
PersonaIV Known x OR Produced Iden0cation, dem ally Known x OR. .r uced-Idenfllication
rype.of(dent pPUon i'rod� � Type of tdentefa+c Wan Produced
Commission MID- Aav F i87647 �nttFa at�} _^
EXPIRES:Febrttaty 2019 `¢; Y P� SU3AI�h4AGEE
my coNfIvIss,ON
EXPIRES:Feoruaty 23,2019
�dW11512014 RP 4 Ccnded Tnru ho(.,r�Public Undsnvr tete
syp. •"'
R�"l�lt` S FROAff ZOMING SUP-ERVWR PLANS VEGETAMN SEk-TURnE. 1@!i?mGpoVe
COMM REVIEW REMEW REVIEW RD-nay REVIEW nEM-W,
LSAT
COMPLETE
1
2300.V rg- a Ave
Fort?ie>ree,.FL 349$2 ..
772-462-1553 Fax772--462'1578
72-462'1578
Date:
c6litractor Name: 'MATTHEW LY•LE WYNNE
I i3usiness Name. -:WYNNE.BUILDING•CORP.
800.0 SOUTH US.HWY. I- SUITE 4.02
Address � -
•City; PORT ST LUCIEState: FL
Zip Code; .34952
Re: Job Address:. U 1(-2,-
Wis.your
(-2,-Wis.your responsibility to comply'with-the.proVisionsof Section 469.'003,'Florida Statutes
. and t6.notify-tile Department'of 6nAronm'ental'Protection of•any intentions'to remove
asbestos when•applica�accordance-with.state and:tederallaw,
Signature'&.Date t