HomeMy WebLinkAboutBuilding Permit ApplicationAkAPPJ_CA0t 0 LSE _�TLE9F�y�t�9g�Jt�TQ .
Date: Permit Number:_ ®� o
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Phone; (772) 462=1553 Fax: (772) 462-1578 COCl1C111erClal ReSi&ntialXX
PERMIT AP,PLJCATION FOR::-:Buua .
PROPOSED )M:PROVEMENT LOCATION:
Address: 100 PA A ....
.Legal Description:. §/7 94 99 All 1,00 pal Ilyl!W A9,44 e,@AgrV Bf H§
Property Tax ID #i �1 96�1�i1-�09i1�fl09�� Lot No.
Site Plan Name: §PANVAJ;I kAK9§ fAIRWAY§ Block No.
Project Name:: . .
Setbacks Frontff. Back:. Right Side: . Left'Side:: "'.
DETAILED DESCRIPTION OF WORK:
(R/� di��Y ,R JE)E %r ���mmo [Wfte) 1 BEDROOM/2 BATHS � 11 1 /2 0AR
LNO L WILL BE BLUI LIB OFF I M OF [HOME
CONSTRUCTION, INFORMATION: .
Additional wor .to b Eirforme under t is`permit.- check. a app
Y:
IHVAC Gas Tank Gas Piping _Shutters �� Windows/Doors
Electric Z Plumbing Sprinklers rinklers ❑ Generator' �✓ Roof -
Total Sq. Ft of Construction: 2; S .'Ft: of FirstFloor:: A�
Cost of Construction: $ .� Utilities. —Sewer LISeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameWYNXI BUJL�OW00AL'...
Name: IWAiTiTWVYLr41= - 1N LE
Address: 6990—SOUTIH it,Wy,I OUITE4
Company:WYM,19 MEWIRI EN T CORP..
City: PORTIVT, kUOVJ= state;I�iL.
Address:. `'-60VT1111 W 1114k1Y. it . �6UME 4%
Zip Code:' 3,4-9.f� Fax: t(777) 0715-�&
City: i1 9 T 6if. =UE State: IRL. .
Phone No. ((77g) 07", -61:3
Zip Code: 349,52 Fax: ((772)) Z79rr'7
E-Mail:
Phone No. ((77.2))078, :3
F0 iin fLeQ �unpJ.s Tighe UH9Ilder on nag faSe ((ff di.ffisr
E=Mail: .
fXamIb*,Qw wrlU.sfsi Hoye)
State or County License:
if yahwe of -onaru9XiAn J 010 mi oxe, 9 tR MMID Mike of Smmmemment iib Inmiro.
SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION:.
DESIGNER/ENGINEER: _Not Applicable
Name:. BRADENAiBRADEN
HIGRTGAGEC0;1111P91NY _ Not Applicable .
Name:'
Address:
Address: 417,0000RUT,AVE.
City: STWART State: FL
7ip::34996 Phone: (,7zz):2aa=az5e
City: State:
Zip: Phone::
;FEE;S:IMP.LET:ITLE H.01DER: _ Not Applicable
Name:
80,NDINScG01VIPJMY: Not Applicable
Name:
Address:
City:
Address:
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
iin eccorda'nce 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
WARN 1,NGTO.0WiN,EPu You rImilunetoIRecordaINoire (of Commenceme►>timaytresUItiin\yDuriprayingitseiinefor .
improvements to your Iproperty. 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 recording? vour Notice of Commencement.
_Signature of Owner,/ Lessee/Rent Signature of Contractor/License Holder
STATE OF FLO:RIDA S1TATU OF IFiLORIDA
SOU;,NT1Y QF S:. e-i r SOU,N iTY GF c t jg
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-g2l day of 1 u c y 20 Eby this _!2�L day of 20 ,�Iby
A 4 hi- -U) . L y C G YA-) iu AC �iA'�T7!FLJ L Y LE GU KN N 6-
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known ✓ OR Produced Identification Personally Known V40e
OR Produced Identification
Type of Identification Produced _ mftmemq Type of Identification Produced
,,� Pqy DOROT,H�CCY,,,A,,NNBASKIN MY
)OROTHYAN IN
Commission No. `� YCOMM159fW#GG030145 Commission No .4;•• 0145
:October 2 2020 MMISSION�
EXPIRES EXPIRES: October 2, 2020
Revised �07/11:5;/ "P"—
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