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HomeMy WebLinkAboutBuilding Permit ApplicationAU APPMCARM JJVF9 MV, 51T Of 99JOY1,1RUE-THED FOR, APPAUCAT109 TO BE AMPTIRED Date: Permit Number: S Ou j1ding Permit Apo�kaflon.. . . . . . . . . . . . AW1ftand CodeReguW0n V&i�W 2300 Wroin io AYLekue,,FortPVe,,rmF1 349182 Phone: (772) 462-1553: Fix: (772) 462-1579 Commercipl. Resi.dentidil:x. PERMIT APPLICATION FOR; Win IM PROPOSED- 'I ROVEMENT LOCATION:.' Address: 9 FLORIDA WAY Legal Descriptio . n: ISEC TTION 26 T TOWNSHIP 3ft 1 RANOE 40e. Property Tax ID #: Lot No. Site Plan Name: SPANIISH LAKF-6 ONE Block No. Pro ect Name: Setbacks :Front-34"! Back: 43'. Right Side: 116'' Left Side: 16 FDETAILEDDESCAIPTION 0" FV' ORK:1 REPLACEMENT HOME,: SING E IFAM 1UY RESIDENCE - 3 BEDROOM // 2 BATHS // GAGE NO SLAB TO BE BUIIILT OFPREAIR OF HOM E I.CONSTRUCTION INFORMATION: AdclitionalworKtouenertormed Under this permit— check all ap I p Y: Gas Piping Shutters-' HVAC 7. Gas Tank Windows/Doors-: Electric Plumbing OSprinklers ElGene-rator Roof''' Total Sq..Ft of Construction: S Ft. of First Floor: ewer Septic Building Height: n::'$ Ut a e S Cost of Construction: I I I s: 9 . . . . . . . . . . . . . . . OWNERAESSEE:. CONTRACTOR-. Name:--Uatthe-wLy1eW&.q, ae rn Address: ''950W6 U9 1111my. I Sw ite 402 -Company- ",MnevWALqpmerdCorp. City: (Port6t. WOW State: 7 Add ress: -WSWth US I"..I Suite 402 ZipCode: -,349,52': Fax: #72) 878-7,sw City: Put'sk. Wole, state- IF-- Phone No. (772)4670-55113 Zip Code- 24952 Fax:1717Z) I-07 S-71BW E - M a i 1: C III e 111 WOWYA MO W -W, 0n, Phone No. l(772),878-0113 Fjjj jin fege jrj mple 7ftle HOWer (on mid (,page Of Oiffeien, t, E-Mail:. 10*(*WM1%bC= M, from Ibe OwaerfisWd aboyo) ce' GCOM State Or County License: ': ------------ - - D9StG.NER/E1JIJVE1~: Not Applicable oq PAgY; _ Not Applicable . Name: ,aradenAiBmden Name: Address:,4aa�caganut.Av.e. Address: -city:.waat State: rFt . City: State: Zip::34sss Phone:-V,72)287-A25e Zip: Phone:: : FjE-5JNPIIrTjT:jf'n0jLiDf :-- .- ,_ Not Applicable W19 11 O Ci, TAIRANS W Not Applicable . Name::- Name: Addressa- Address: City: City:: Zip: Phone: Zip: Phone: I certify'that no work or installation has commencedprior to the issuance.of:a permit. St. Lucie 'Counfyy makes.no representation -that is granting a:perrhit will'authorimthe 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'l will, in all respects, perform the work n, ; ccorcla'hce with the app.roved: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 :�1 � 1ft�1:C911J1n1 'R;1Y�laXif it�tre.itolRec9�r�1�I�I� is mf.� rn its t ratlrrrtaylrs sliltiin�yourlixayingtWemefor improvements to your proplerty. A.Notice. of Commencement must be recorded and .posted on the jobsite before thefirst inspection. If.you intend to obtain financing, -consult with lender or.an attorney before. commencing work or recordin : our Notice of Commencement: Signature of Owner,/ Lessee/Ageat Signature.of:Contractor/License Holder. STATE ;OF IRDRIDA STARE QF IFkD,i31 A :'COUNTY OF ST:tyCIE:: CGGU.I�iE111. OF iST:wW . . The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me -.this o / day of 20 Eby 'this '­21 day of L 1/ .20 3u b, IT 1 !MEWtLY4E?INYNNE iMAT;THEWiUYl.•EIWYNNE (Name of person acknowledging) (Name. of.person. acknowledging) (Signature of Not, y Public -State of Florida) (Signature of No ar _.Public-' State of Florida ) Personally Known x OR Produced Identification Personally Known X OR Produced Identification Type of Identification. Produced Type -of Identification Produced Commission No. "Pam'.. DOROTHY""� SKIN' Commission No. DOROT.H�O)NSKIN 'f ,- MY COMMISSION # GG 030145 MY COMMISSION # GG 030145 i XPIRES:Octob&2,2020 •' :c EXPIRES: October2,2020. Bonded Thai Notary Public Unaerwnws,F d�ti Bonded Thru Notary Public Underwriters REVIEWS:-_ FRONT:' -ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE: COUNTER. REVIEW REVIEW REVIEW. REVIEW REVIEW REVIEW.--.. DATE. 5,OMPt1ETIE