HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST 6E.COMPLETED FOR APPLICATIONIO BE.ACCEPTED
Date: AUGUST 8 2019 Permit Numbers v.
- AUG 0 3 ?020
- Building Permit Application
Planning and Development Services. ST. Lucie County,_Permitting i
Building';,"nd Code Regulation Division
23Q0'Vr0i7ia.`Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)46211578 Commercial _. . Residential
PERMITAPPLIC/�,TION FQR:
PROsPOSEQ. ,MOVEMENT LOCATIQ
Address: 11 ALT4 LOMA
Legal Description SE€ ioN: 1 TOy1lNSH(E 36s Ri4�IGE Age.
Property Tax ID#: Lot No.
Site Plan Name:-SEANISH LACES ONE Block No.
Project Name:
Setbacks Front?d' Back: :2 Right Side:24' Left Side: -f
DETAiL>`D DESCRIPTION OF VI/QRK � � y
DPI\fEW�1J'- 2X9
2500PS!
T-0E PR,JI /E\R 4Y PPES UTU THE: EC ThE t14ME
Additional wore to e�e orm:e �under t h is�,permit-check a - apply:
0HVAC GasTank ❑Gas Piping Shutters ;Windows/Doors
:Electric 0 Plumbing FSprinklers 1:1 Generator F]Roof
Total Sq.:Ft of Construction: S ..Ft:of First.Floor:
Cost of Construction:$ a 1gg9•Qp Utilities:Sewer EI.Septic Building.Height:
t)WNER%LESSEE ._< ._ S �Y .._,.': CONTRACTOR
Name WYNNE,APPING CORPORATION Names MA7THEW149 WNN
Address:8Q00 SOUTH US HUV1' 1.SUITE 402 Company: .` ' E f3EYELOPNIENT GOkZP<?k�ATION
City PORT ST.LUCIE State: Address 8aQO S<QUTH U$kVIFY.1 $UITE.4tT2
Zip Code. 34952 Fax ,(772)878-7656 City. P9I3T ST LUCIE State:F
Phone No (772)878:5W§ Zip Code: Fax: 07,2 87&7656
E-Mail: Phone No. t(77P A 8-5513
Fill in fee simple:Title.Holder on next page(if.different E-Mail:.
from the Owner listed above) State or County License: ;8898
if'value ofconstruction.is$2560 or more,a RECORDED Notice of.Commencement is required.
"S.tJPPEEtVtEI�TALsCONSTRUCTtON' FEN iAW N4POrRMATFON F
�..__ .._. .... »."_
DESIGNER/ENGINEER: z—Not Applicable MO z RTGAGECOMPANY• —Not Applicable
Name: Name:
Address: Address:
City:, State:: FL City: State:
Zip: Phone: Zip: Phone•.
FEE SIMPLE TITLE HOLDER: z Not:Applicable BONDING.COMPANY-. X Not Applicable
Name: Name
Address: Address:
i City: City:
Phone: Zip:; Phone.
I certify that no work or installation has commenced prior to the.issuance of a permit.
St Lucie County makes no representation that'is granting a.permit will authorize the ermit holderto build,the subject structure
which,is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and:review your deed for any restrictions which may appiy.
In consideration.of the granting of.this requested permit,I do hereby,agree:that l will;,in:all respects,perform the work
in accordance with'.the.approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following.building permit applications are exempt from undergoing a full concurrency review room.additions,
accessofy structures;swimmingpools,fences,walls;.signs,.screen rooms-and accessory uses to another non=residential.use
WARNING TO OWNER:Your failure to Record a Notice..of Commeneement:may;result.in yourpaying;tWice for
improvements to`yo.ur property.A:fVotice of Commencement must be recorded'and posted 6'n the jobsite
before the first inspection. If:you intend to obtain financing;.consult with lender orran attorney before
cornmencin Wrk.or recordin ; our Notice o m f.comencement..
��._.. .
Signature of Owner/Agent/Lessee Signature;.of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT.Luc,E 000NTYOF sT.:LucIE
Theforgoing.instrumerit:was acknowledged before me. The forgoing.instrument was:acknowledged.before me.
this aZ?day of CsL N ,.20-20 by this._Z day of -:7-tr c,V 20 IA>by
MATTHEW LYLE,WYNNE MATTHEW.LYLE;WYNNE
(Name of person acknowledging) (Name;of person acknowledging)
(Signature of No IVY
Public=State of Florida} (Signature of Nota ublic-State.of Florida}
Personally Known X OR'Produced Identification Personally Known x ORt Produced:Identification
Type of::Identification:Produced Type ofld'entification Produced
Commission No: _ Commission'No: (Seal).
DOROTHYANN,BASKIN
c. WCO.MMISSION« #; K &;s, DOROTHYANN SASKIN
EXPIRES:October220.20
Revised 07/15/ Y�';:i°t.••aondea rn�,r�c�n��at�uie wrters "� EXPIRES:October 2.2020
t-till: �o�"ea ThN Notary Putalic Jnderw iteas
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW-
DATE
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INITIALS
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