HomeMy WebLinkAboutBuilding Permit ApplicationA4A,°PPMEA&9 KyF9 f €EC 0Li*E#TJG Zrfl §:Q%kRT_L . .
Date: aPermit Number��/
are a d ue10 e t r�iEes '
uildJ.9 end Eodee9L4i1.4#gn
2,�,00Yirgin-,ighwnme. fort Rierce4 3 §9.
Phone; (772) 462-1553 Fax: (772) 462-1578 Cott merdal. Resi:dentlal: .
PERMIT gPRLJCATION FOR:���L�g
PROPOSED ,I',MPROVEMENT LOCATION: -
Address:
Legal Description:. 20fITOWNH.IPX-6;7 0e .
Property Tax ID # 3,414491470M Lot No.
Site Plan Name: 5,PA 16H LLAWER ON LE Block No.
:,Project Name:
Setbacks Front2§ Back: 27' Right Side: -10' - Left Side: to.,
F TAILEDDESICRIPTION OF WQRK:.:
IE PLACE ENT � OYA, E.: SJ NOL (F�1MI LLY RESMENCE � 2 BEDROOM V 2 BA�11�� V GA GE
NO SLA, 670 BE (DUI IT OFF. RREAR, OF. HOME
CONSTRUCTIONINFORMATION:
mona wor- to eperformed. . under this permit— check : a app y;
�HVAC Gas Tank Gas g Shutters Piping Y ' Doors
p � :Windows/
® Electric PlumbEl
ingSprinklers Generator Roof
Total Sq.. Ft of Construction: 2,,124 S . Ft. of First Floor:.212
Cost of Construction $ MAIN Utilities :Sew
erSeptic -Building. Height:
OWN Ek&E'SS'EE:. '• . ` -..
CONTRACTOR: ;
Name MlyRReOAdingCorp.
Name: Matthew L' e 94,Me
Address:80050uthl U15I flvq,,- I SuAe•
Company: tmneDW'OtiPmerat(a'Drp..
City: IPort st. llwie State: F'L .
Address: UAU 3WO, IUD EHI.WY TI SUite 4:02 .
ZipCod:849 Fax:( )878-7656
ity.PsrttUie.... ..0StatesFL..
Phone No. ((772). 7t8 i1
Zip Code:, 34952 Fax: (07172)'878-iMM
E-Mail: chier(awynao.6c=M
Phone No. (7712t)0 -55113
F�:1! Rn fee �imple.Title Holder an.next (page (J If Al femni
E. Ma i I: �herr�rymrtetac�am
ftzolr•,r stab 0wh, a rMed AUDYe,)
State or County License: G=599
Ili c l e f caonstnracCion b $250D (ar inwrt , a iRE(20RDE'D ft ice of (Com ner.mernerrt,irs iregdired.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
iDESIG:NER/ENG;MEER: _ Not Applicable
iMORTC-,AGEC,O 1tPAINY: _ Not Applicable
-Name: ,Braden&Braden.
Name:.
Address: 417(coco6ut Ave.
Address:
City::stuari State: AFL.
City: State:
Zip: saws- Phone::cn/2)2a,/M48
Zip: Phone?
FEE S;IMPLETiITLE iHOIDER.. _ Not Applicable
BONDING COMPANYr _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 considerationof the granting of this requested permit, I do.hereby agree that] will, in all respects, perform the work
iin 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
�11IAR1111I111G iTU:dDJfJINER:1Yv r,f ilur�e ir�lRes9rsl � iNo is� mfi mm�ns�menx rma�r rr ulx itn 19ur 1pay'tng tWwe 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 recording vour Notice of Commencement..
_ Signature of Ownerj Lessee%Agent
Signature. of Contractor/License Holder.
TAT�f NT �F Y-JACIRIDA 6TiiT�EAV.F�R,0RIDA
COU4'L�,,wc � �IMS TrYIvF sTF;ST•LUCIE
The forgoing instrument was acknowledged before me
this -& dray of
-The forgoing instrument was acknowledged before me
this Leday of 20 10 iby
IMATITHEWiL`YLE'4NYNNE iMAT^,TiHEML'•YL•E\WYNNE
(Name of person acknowledging) (Name.of person acknowledging)
(Signature of No - Public -State of Florida) (Signature.of Nota ublic- State of Florida )
Personally Known X OR Produced Identification_ Personally Known - X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Nfi"iMA�'
r.,. oOROTHYAKBKIN
My MMISSION # GG 030145
c ober 2.2020
?:` 9onded Thru Notary Public Underwriters
Revised 07
Commission N6. , ' : ;a,'% DORDOROTHYANN PM61" -
MY COMMISSION # GG 030145
;t EXPIRES:00tober2,2020 -
I :u `.•" Bonded ThrU Notary 1'UD110 UnOeryMr,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER.
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
:fi�OM
-P�L1ETiE
JNJ TFIALS