HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE 1 JYV iMy5T Qf COMPLLf_ rC :9 FOR APPLISAl�i PA11i91$E IRE
Date: Permit Number:�'J
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Phone: (772) 4624553 Fax: (772) 462-1578 Commercial Residential K
PERMIT APPLICATION FOR:. 8�,;'r.I un�
PROPOSED J:MP.ROVEMENT LOCATION: -
Address: 65071YEDRA .
Legal Description: (617:34 Z9 oil thatpart llyiaq , o theasterly (Of 11
Property Tax ID #: 1-11111140114000 Lot No.:
Site Plan Name: BPANh8M ILAKES EA11,FMIMY Block No.
Project Name:
Setbacks Front,32'Back: 21. Right Side: 15' Left Side: 22'
DETAILED, DESCRIPTION OF�WORK:
SiNOLU�E-PA'1JialIVY RIESIWENXE (ireglarkemennt I i 0,me): 2 ►BEIDROOM 12 IBA'THS Y GARAOE
W S L.d WT & L. SE BU111L If OFF IREAR 0117 IFIIOMIE
CONSTRUCTION INFORMATION:
Additional work to be nej orme : under this permit check all apply:
❑✓ HVAC L_J Gas Tank Gas Pi'ping _ Shutters �� Windows/Doors
Electric O Plumbing F]Sprinklers E]Generator Roof
Total Sq. Ft of Construction: 2•108 Sq. Ft. of:First Floor: 2,1108
Cost of Construction: $ MAN Utilities; 0 Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR;
Name WYiNNE a0l.UMW (CORM..
Name: WAT'itittlE,W � *UE V NNE
dress: $. SOUTIM1M.IHJ1a'Y-I .SWITME402
Company- VWNE1DBVELtC,?NENT1-W.RP..
Address: fl40D-W-UTIH 0S diiJ�1) -A 6 1 LEa4,02
.Ad
City: P9,RT 6T: 01L)C11r - � State:IFi
Zip Code:- W-52 :.. Fax: t(772) 079 7656
City: [PORT T. LUME State; fPl . .
Phone No. c(772):979-45510 .
Zip Code: 2. Fax: (( 7�Z)) 079-76
E-Mail:
Phone No. i(77.2)57a�A,�-3
F. J1i jig. .tfee 5,vnpJje Tattle lHge',1 Lex on n, -ex-t ilk a lJ Jiff glif rent
E-Mai l
State or County License: � �'�
;f omitbgeVwrkerj0_st`e l gktoy9)
9
DESI I,1 i3IW1 1WEEi3: . - . _Not Applicable .
MORTEMCO PAINY _ Not Applicable .
.:Name: BRADENABRAMEN.
Name:
Add ress: 41-74,000N.UT,AVE.
Address:
City-: ,STiUART State: �L
City: State:
Zip: :34996 Phone; (TU)28,M259
Zip: Phone--
EESaM,P,L,ETJTLE_HOIDER:_ _Not_Applicable
lliONDUYSC9MP�411MY: Not Applicable
Name:
Name:
Address:.
Address:
City:
City:: .
Phone:
Zip: Phone:
I certifythat.no worker installation hascommenced. prior to the issuance of a permit.-_
'St. Lucie Countyy makes.no representation that is granting a-p'errhit will authorize=the permit holder:to build the subject structure
which is in conflictwith any applicable Home Owners Association rules, bylaws or anti 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 l will, in all respects; perform the work
-iim,accordance withthe 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
-
JI,ilAR,N 1NG .TO:�OJiJ ,NE,R.�Yom.r 'llure,to Remr4 a ili a tae mf Co.mrr►.enaeme ,>It irnay ifa,%ilt iin lY0Ur lPLaYrrrlg ftr.I a .for -
- improvements to your property., A. Notice of Commencement must be recorded and.posted on the jobsite
before the first inspection. If.you intend to obtain financing; consult with lender or an attorney before
commencing work or recordine:vour Notice of Commencement'.
_ Signature of Owner// Lessee/1-gent
Signature of.Coniract r/License Holder.
:STI ATI E Di F IFLORID.A
STATIE (Of FLORIDA:.
LOU,1�W, of S ; = � c � r
soul i - OF ST : L cc c c el-
The forgoing instrumen was acknowledged before me
The forgoing instrumentwas acknowledged before.me
this � day of W L_ y 20 Eby
this �l day of �L 6 Y 20 �o kby
(Name of person acknowledging)
.(Name.of person acknowledging) .
Public-
(Signature'of Notar ublic- State of Florida)
(Signature of Not State of Florida )
Personally Known ✓ OR Produced Identification
Personally Known .. �OR Produced Identification
Type of Identification Produced
Type of Identification
Produced -
Commission No.
....,, BAS
=HY.AKIN'
m� = C
GG 030145
Commission No.
DOROTHYAN B KINDOROTNN
•':� ::�,o.�-. OMMISs1%N 00145
EXPIRES:October2,2020
'•, rF ...o :`P lC Uflde(WntiKS
EXPIRES:October2,2020OMMIS®
�'•;rp .•oP.•
nm.
Revised (07%ll.5%21014 .
REVIEWS.
FRONT:
ZONING
'SUPERVISOR
PLANS
VEGETATION :
SEA TURTLE
MANGROVE -
COUNTER
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW
REVIEW
DATE .
COMPLETE
ll.�I'ITI