HomeMy WebLinkAboutBuilding Permit Application11
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Date-
Permit Number:
,P$qn,
,n
2300 Wginfa AvePue,,F,*,rtP,1erceFL 34982
Phone: (772) 462-1553: Fax: (772) 462-1-579 -tomhiercial.' Reside'ntibl X
PERMIT APPLICATION FOR;
PRbPOSE,D`_J_.m_,,PROVEM ENT, LOCATION:
.Address:
Legal Description:. 617,34,39 all it Nat pAnt ilying ni P.0h, _eaAterly of il,95,
. . . . . . . . . . .
Property Tax ID #: I =4 111-000-00/0 Ldt No.:
Site Plan Name: 6$PAWSHI LLACU- IFAiR, WWYS, Block No.
Project Name:
. .... .. ...
Setback's Froft - Back:'12' Right Side: .10' Left Side:: 00" -
. . . . . . . . . . . . .
tff-ILEI:�DS ' DESCRIPTION OFORK:
l E' V a
SWORL—E-FAMI-YR, LESIDENCE (inptaw Mmritbalhie),:3 OE OROOM 2 O TH, 6 111/ 2
NO SLAB WILL 11L OLE OUILLIr 0,FIF: IRE AIR OF IHOM LE
CONSTRUCTION INFORIVIATI.ON:
Additional work to be nertormed: . under this -permit.— checkl-all
apply:
HVAC Gas Tank Gas Piping Shutters 7
Windo'ws/Doors
Electric' Plumbing []sprinklers ElGenerator ... . .. Roof
-Total Sq., Fi of Construction: 2,A4 494
S Ft of:First Floor:
Cost of ConstrConstruction:
MAN Utill I ties: S ew 6 r p
: Sd tic Building Height:
OWNERAtSSEE':
CONTRACTOR:
Name iN; LE tEW1JUQliW COW.
Name: -MATWIRE M) W YiUEiWWE_-
A d d r e s s: 00 NO W VT1 H, 00 . H, YAW, I W1, I ITF_ . A(02
Company: WY)YK\F- MLr ELLOPMENT aORP.
Address: =0 WLITH LULS ~1j -:WPIE42 -
City: IAOR, T 6TT WCUE State: IFIL
Zip Codd 20Fax �(772) 879-760'
City: PORIT01T LWL" State: IFL
P h o n 6: N o. �772). 0,6r,5_51 0'
Zip Code: 34,952 Fax: i,076-70W
. . . . . . .
- - - - . . . . . . .
P h o n e: N o. ((772)) 0,791MO
. . . . . . . . . .
Fjjjinfeg5mpteTIvi"nowr on.mpIAffe�*
E-Mail:
,from Ltb_e VwmrU_sjt,04 abqyge)
State or County License:'CO-COOM
Af wallw9fonstirw Lop J0_2NP9,rM9T4a RKOWE-01KOLAC'eof commeocamen't jIre,
... .. .... .
SUPPLEMENTAL CONSTRUCTION LIEIV'LAW INFORMATION:
Df$. GNER/!EJYGJNEER: _Not Applicable
Name: .iBW, .EN*8RAREN .
Address: aa,740Q0RUT.AVE.
City::,$PUART State: ,FL
Zip::3asss .Phone:' (772):M741258
MORTS AiNY Not Applicable
Name:
Address:
City: State:
Zip: Phone .
,F,EE 5:IM.PLETJTtE.IHOLD M, _ Not Applicable
Name:
1 0mai;Nyo;QI,LPANY:.' _Not Applicable
-Name:
Address:
City:. .
Address:
City:.
Zip: -Phone:
Zip: Phone:
I certify that no work or installation hascommencedprior to the issuance of a permit.
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 I 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
WARN,I N G 'T9 DWiN E!R: IYom r,foilmrLeU iRm.r4 a IN9lige of C*mr�Lc meemeM inlay ire WIt ii n �y9ur 1p:a3(,kn$ 2Wke 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/ Lessee/,Agertt
STME O,f FLORIDA
COUNry OAF --r. "c r E
The forgoing instrument was acknowledged before me
this-cV day of -ct G Y 20Ai by
Signature of Contractor/License Holder
STAME OF iR DRIDA
LOU,NTV PF 5'T .
The forgoing instrument was acknowledged before me
this -,51. ( day of CtL Y 20 _�fby
22#4l,y&-w L yGE 1A) yN /yE il� A7r!/�ZN L YLr 1A Y�!/Vg
(Name of person acknowledging) (Name of person. acknowledging)
(Signature of Notary u lic- State of Florida )
Personally Known ✓
Type of Identification Pi
Commission No.
Reviise, 07,
OR Produced Identification
(Signature of N a Public- State of Florida )
Personally Known AX OR Produced Identification
Type of Identification Produced .
DOROT 13ASIN Commission No=:Aiw DOROTHYAjy&SKIN
' * OMMISON # GG.0301
EXPIRES: October 2, 2020 Y y EXPIRES: October 2. 2020
REVIEWS
FRONT.
-ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE.
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW.
DATE
00,MIPiLETE
iINIITIAIS