HomeMy WebLinkAboutBuilding Permit Application.... .. ....
99 9.91MIP1,9T99 f9ft APPLICAT19N T9 99 AC-99PT.9p
Date: Permit Aumber3 53.
-
RECEIVED
0. 11ding: P rr JtA plicatI6
MAY 19 2020
Plonninq gn# 9PvP1&7PM(enr §�ryjgLe.q
Permitting Department'-
901IOng gn# 00e flegy0tion 91viWon . St. Lucie .county
9999Virginip4venwet Fert PjerFe ft 449g?
Rhone: (772) 4624553 - Fax: (772) 462-1578 . :Commercial Residential. X
PERMIT APPhLCATION'FOR:::
Building
PROPOSED TM,,0�#,,'OVE M ENT LOCATION-'
Address-.: 1447-7 A-7,999NA:
Legal Description: @/7 @4-99 @11 ftf-pieft fyipg P040twly @f 149§
Property Tax lb I 2,0_24 1110-09109/9 Lot.
08 LAK,9§'F,4lRAVAY§.
Site Plan Name: Block No.
Project Name: w
4_9' -'Back:' L Setbacks Front Right Side: eft' -Side:
DETAILED DESCRIPTION. OF WORK:
61NOLE-FAMILY:RE-61DENCE (rep1@o_m@nt:h@m@).;:3 BEDROOM.12 PATH- 8 / GARAGE ..:'..-
ISO %AD WILL BE BUIUTOFF REAR, OF HOME
CONSTRUCTION INFORMATION:
itionaworto e eormeunder this -permit --check all -that apply:
HVAC Gas Ta k Gas, Piping Shutters. zWinclows/Doors...
'Acicll K bnrfd..
n
1.71V
Electric 'Plumbing-. Sprinklers ElGenerator -- Roof.
Total Sq. Ft of Construction: S Ft'. of First: Floor:. 2,275':
cn
.... .. .. . .. ..
Cost of Co'nstructi6n:'$ W909 Utilities:- Sewer.El.Septic -Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNF_ %J11, `WR �PJNIG P, .... .
Name: MATT"FEWI-YrEVVYNNE-
Address: 810001SOUT11 US HVVYI 1:. SUITE 402
-Company- WYYNE DEVELOPMENT:CORP,
City:- PORT ST, LUCIE- 'State: FL.
Address: .8000 SOUTH US HWY. 1. SUITE:402:
Zip Code: 34952: .. ... . Fax:-(772) 870-7650
City: 'PORT. ST, LUCIE State: -FL.
Phone No: (772) 87816613
Zip Cod6:'-34952 Tax: (772)-878.:7656
:E-Mail:
Phone'No.'(772) 078-551-3
-Fill in fee slimp jeTitle Holder on next page if diffekent.
w_
E--Mail:
irvin the owner listed above)
State or County License:- CGGC03599
If vaWe ofcon.ArudJan is US009i more, a jRECORDED Notice of Commencem6nit 1s.'reqR1rq4.
JAIL
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
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,
accessory structures,.swimming pools, fences,.walls, signs, screen rooms and accessory uses to anothernon=residential use
WARNING TO: OWNER:- Your failure to Record a Notice of Commencement may result in your.paying twice -for
improvements to your property. A. Notice of Commencement must be recorded and -posted, on the.jobsite
before the f'irst.inspection. If.you intend to obtain financing, consult with lender or an attorney before
commencingwork or reCOrdin our Notice of Commencement.
.
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_ Signature of Owner/ Lessee/Agent
Signature of Con ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �T c e-[ e-
COUNTY OF �i--- km C I e
The forgoing.instrument was acknowledged before me
this day of M)4y 20 Eby
The forgoing instrumentwas acknowledged before.me
this � day of M AY 20 � by
LTC Gl1 Y.v N
��� L Yam^ GU Y/VN&
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of No Public -State of Florida)
(Signature of No y.Public- State of Florida.)
.
Personally-Knowny OR Produced Identification
Personally Known OR Produced Identification
:Type of Identification Produced
Type of Identification Produced
Commission_ No. ,�"f P�••. DOR�i�WB NNBASKIN
MY COMMISSION # GG 030145
<F October 2 2020
Commission No. "�e;; •, n
e�.�•, OROTHYA KIN
' a' MY COMMISSION # GG 030145
.
Bonded Thru Notary Public Underwriters %F:r :: ;;� Bonds, .thru No Public Undenvii)ers
r „
Revised 07/ 15/20
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: . - _Not Applicable .
MORTGAGE.COMPANY:
— Not Applicable
Name:.$RaDENaaRADEN.
Name:
.. .. .
Address: .
Address: ���cocoNurAve.,
City: STUART State: Fr_
City:
State:
Zip: sass Phone: tnz>ze�-sz5e
.Zip: Phone:.
FEE SIMPLE.TITLE, HOLDER: Not Applicable
BONDING COMPANY:.
Not Applicable .
Name:
Name: .
Address:
Address:.
City:
:City:
.Zip:. Phone:-
Zip: Ph -one:
-
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DATE
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INITIALS.