HomeMy WebLinkAboutBuilding Permit Application1.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: M@P§TPermit Number:a009 '.DIo2'.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierpe FL 34982
Phone: (772) 462-1553: Fax; (772) 462-1578- Commercial, Residential -
PERMIT APPL-JCA,TION FOR: OctM_er
PROPOSED J_MP,R;OVEMENT LOCATION.
Address: b � 9L _ .
Legal. Description:.�d9lOJNI.Na�.6�,.IC1=�9� .
Property Tax ID #: M144,0114710i1-4f 9919 Lot No.
Site Plan Name: 2PANj§H LAKER6 ONE Block No.
Project Name:
Setbacks .:Front:119': Back: W Right Side: 11ft" Left Side:
DETAILED DESCRIPTIONCIF WORK:- .
IDIRWEWAY d 2X71
TH 'ES
THE OR'JVEWWAY DOES NOT BU T lUP [TO THIE M, OB1ILJJE iIOME-
,CONSTRUCTION INFORMATION:
Additional. wor.k to be nertormed: under this permit — check, , a apply;
I HVAC Gas Tank DGas Piping _ Shutters L]Windows/Doors
FlElectric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor::
Cost of Construction $ �,�� � ' ' Utilities:�Sewer Septic Building Height:
OWNER/LESSEE;
CONTRACTOR:. .
NameWNNE RV, RLD-IW0 C,IZPO, RATI.O,AI .
Name: -IL4AiTTHE,11 L-YiLEVIJR iNNE
Address: 00960UTH, IUS.1HWY.. iI &UPTIE4,402
Company: WYNNEDEVELOPIIAENT IR, P,ORATION _
City:, PIO.RT ST: WICIE ... State:
Address: �0�1D SOUIT H 111 ' IHVVYi .. A .SUITE.9102
Zip Code: 34 2. Fax:c(7 )S7 -a 6
City:IP9,RTST.W10[E State:IPL .
Phone No. (7721879-511
Zip Code: 3052 Fax: ((1772)'WS-,7
E-Mail:
Phone No, k(7,72J P7*15511:3
Fill in fee simple Title Holder on. next page ( if different.
E-Mail:
from the Owner listed above)
State or County Licenser
If value of construction is $2500 or more, a RECORDED Notice_of Commencement. is required.
• SUOPLEMENTAL`CONSTRUCTION.LIEN.LAW INFORMATION:
DESIGNER/ENGINEER: x Not A p licable
pp MORTGAGE.COMPANY;_.Not Applicable
Name: Name:
Address: Address:
City; State: ll City: State:
Zip: Phone: Zip: Phone:.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:'_
x Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that.no work or installation has commenced prior to the issuance of -a permit.
Not Applicable
-St. Lucie Countyy 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 l will, in all respects, perform the work
inaccordance 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 accessoryuses to another non-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. 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/ Agent/ Lessee . Signature of:Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA-.
COUNTY OF zT.:LUG1E - COUNTY OFsT.,LUCrE
The forgoing instrument was acknowledged,before. me The forging instrument was acknowledged before me
this 3 day of SEP7J�-mrSfJ2 9 flay . this day of-S'enP7Ely 6&X, 20AQ by
MATTHEW LYME4W.NNE iMATTHEW,. iVYL"E4WYNNE
(Name of person acknowledging) (Name of person. acknowledging)
(Signature of Not Public -State of Florida) (Signature of No .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 N
IRCvisod i07
_c I Commission
MY COMMISSION # GG 030145
Bonded Thru Notary Public
MY COMMISSION # GG 030145
Underwriters
REVIEWS.
FRONT:
ZONING _
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW _
REVIEW
DATE
C00PUTI E
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