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Building Permit Application
ALL APPUCAB.LE:IRIFO MUST BE:COMP_LETED FOR APPLICATION TO BE AEGEPTED Date,.AUGUST 20.19,. PeF.:mWNiimber JL RECE"M LO - - Buiiding,Permit AppJAN 14 2020 P M4hg,uP&&velgpment Services Burldingond,tWeRegulation&Wsron Permitting Department 2300Virgrnro.4venue,Fort Pierce FL 34982 Phone (772).,-4621553 `Fax::[772j462.T578 Carrme�clal -_ _ RdeIe co�ntvr FL PERMIT APPLICATION POR,", Other Address,12 VAi_ENC1A :Le SECTIO SEGTICrN261TO1NIJSNIP 36s;RANGE`40e Property Tax�D it"3414 5Q1-1701-00U19 .. 1. 'Lot No. SitePlart Name,.SPANISH LAKES ONE ,: : _._ Block.No:, Prokct,Name Setbacks Front 50�` Bactc;;72 6?; Right Style;4�,2 C"efC Side 141" �D�D=TO RT �0 SRTIM 0RIVIEWi!1Y M 4 2540R$ -4" THIOKNESS THE:DRIVEWAY DOES NOT BUTT UP TO THE,MOBILE HOME Eg§20 'C,WO� fOR T i Jona,wor to be,narformed, -unclerthis permit c ec -:a apply, - O,HV.'C_ QGas,Tank Gas Piping; Shutters Wmdov✓sjDoars ❑:Etectr�c ❑Pluk Ching; oSprInklers, 1:6enerAor 11 Roof Total Sq._Ft of'Construction:. 11'28' S, Ft.of Firsffc Cost afConstru"cfion $ 2 368.00 Utilities Sewerpfic; Building Height vko WYNNE 6UILDtNG GORi?ORATION, - Nalne Name MATTHFVII LYLE WYNNE ;Address 8000';SC)IJTK S"H1NY 1.SUITE 402 Company 'W'NNE DEVELOPMENT d, ION! PORT Srt.,=LUCIEPL 0, :Gty State:,_" ,Address 4, P0)SOUTH US HWY.1;SUITE 402 3419 772 8 Ztp:Code Fax ( } 78•-7656 Clty PORT"ST LU:CLE_ _ State FL 72 878"5513 Zip:Code: 34952" Fax:;(772}- Phane 878 2656 E M_.ail .. -- Phone-N (772}878-5513 _ _ �Filf in,fee sump"'le Tit1�.Holder;op"next pi�ge;(rf different; E Mail•;... ..... ._. . . from the Owner-,.R t d above) Sate or County License 8898< ff,v_a(ue of conMuctior is,$2500:ocmore,,.a.RECORDED Notice of Gommenci!ent is"'required: .r DESIGNER/E GINEER; x_"Applicalate MQRTGA�� CMI AW!.: ? Not Applicable iVame +Address; Addr._ess _ r..- fy Clty': -- - State G 'State:. P.hone: ._ Zlp..;. PhoneI q. _ =FEE,SIMPCE;