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HomeMy WebLinkAboutBuilding Permit Application.Date: M)§1 T§12919 Permit Number Building Permit. Application . plsnnins nn#9eyelspMent§eryJre§ .: . ®n11d11?_q en;#9ne►e fepylptisn ©iyi§isn U99 YirpininAwnwJgrt Plerige F .34989 Phone: (772) 46.24553 Fax: (772) 462-1578 . Commercial Residential- X PERMIT APPOCATION FOR: ,PROPOSED LMPJR;OVEMENT LOCATION: Address: 0 LAS 9LAO' Legal Description: §59TJON201TOW.AISHIP36-1 WGE49-e. Property Tax ID # M14401-179109910 Lot No. Site Plan Name: �'���� Block No. Project Name: Setbacks _ .Front 1 Back: N _ Right Side: 27'6" Left Side: 112V DETAILED DESCRIPTION OF WORK - REPLACEMENT MOBILE I fOME: SET OP AND TIE: DOWN TO -CODE . CONSTRUCTION INFORMATION: Additional work to e�jerformed. under is permit .—'check: aa.ppy: HVAC L__I Gas Tank E]Gas Piping _Shutters a Windows/Doors. Electric ' 0 Plumbing . []Sprinklers E Generator E]Roof - Total Sq. Ft of Construction: 1r404 S . Ft: of:First Floor: 1,404 Cost of Construction: $ 1t232.00 Utilities: �Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name 1NYNNE SUILDING CORP. Name: ERIC WYNN1= Address: 8000 SOUTH US HWY,1' SU1TE:4b2 Company: \WYYNE'0EVEL0,PV1ENT CORRP_ ..- City: PORT _ST: LUC1E State: Fl- Address: 3000 SOUTH US ,HWY, I SUITE 402 UCStat�ZipCode:.34952 City: PORT.STLe: Fax:,(772) 878-76-56 ZipCode: 34062 Fax: �772) 37�-76�6Phone.No.t77487,"513 E-Mail: Phone No. .(772) P78-5513. Fill in fie simple Title Holder on next page (if different.E-Mail:. State or County License: 011,HI01612$-3i1132 from' the Owner listed above) O value of.construction is U500 or more, a RECORDED 11loiice of Commencement as :regtfffPA II SUPPLEMENTAL CONSTRUCTION'LIEN.LAW INFORMATIOW, - DESIGNEIR/ENG1NfER11 X Not Applicable MORTGAGE COMPANY., � . Not Applicable Name::STEVEW0QD,8. Name. - Address: Address: City: State: City: State: Zip: Phone; :(?,72),ss 5saa Zip: Phone: FEE .SIIMPLIE TITLE HOLDERS.. x Not Applicable BONDING COMPANY-. Not Applicable Name: - Name: Address: Address: City:. City:. Zip: 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 permit holder to 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 apply. In consideration of the granting of this requested permit,, I do hereby agree that I will, in all respects, perform the work J,n ,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, . accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING -TO OWNE&: l ur faWre.tp &emral a *90ce of Commensemenr may p mvl[t In yo r Jra)(InS udre fo r improvements to your property. A, Notice of Commencement must be recorded and posted o. n the jobsite before the.fi.rst inspection. Ifyouu intend to obtain financing, consult with lender or an attorney before commencing; work or recording vour Notice of Commencement. _ Signature of Owner/ Lessee/Agent Signature of Contracto /LicePsref}dolde STATE OF 1171,0810A STATE OF FLORIDA . COUNN OF ST, c r COUJVTy OJF 5T The forgoing instrument was acknowledged before me The forgoing instrument was acknowltdgecl before me this 2A day of _--rZt `/ 20 Eby this ,,�-&* day of -j—C4 L. 20 s3LA by PR L�� iW N�� ��rc A) yriwe (Name of person acknowledging) (Name of person. acknowledging) (Signature of NotkJ Public- State of Florida) (Signature of Notar blic- State of Florida.) Personally Known OR Produced Identification Personally Known r/ OR Produced Identification _ Type of Identification Produced Type of on-Prodged Pr d c ;,�Pyl,<•'s DOROTHYANNBASKIN II Commission No. "'�P�••• DOROTH(I5,W1 BASKIN Commission Nb. COMMISSI t 030145 ' _� ' MY COMMISSION # GG 030145 s "- =i October 2, 2020 a;•` EXPIRES: October 2, 2020 P�` onded Thtu Nota Public Untlerwriler %F�F �`� Bonded Thru Notary Public Underwriters S REVIEWS; - FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE C01111.P:L.ETE JNJTJAt$