HomeMy WebLinkAboutBuilding Permit Application. .... .. 1
AkL A?jP 1_CA:@L�E jNLO MuSfi )3E 9ojme_L,,ETEfl FQR, APPLkIMl ID KE A fff 9P .: 1
Date: Permit:Number: 1�
Btl114— ing: Pe_rmjt ,*�ppJjc*t1j*ni .
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Phone: (772) 4624553. - Fax:, (772) 462-1578 - CQi71mercia1 Reside:ntlal- -
PERMIT APPjJCATION FOR: ��ll!Ldah?9
PROPOSt JIyIPRiOVEMENT LOCATION: -
Address: 6 OJEW LDERL WRTL.
Legal Description:.FA115 T I1I/2(91 , C1TI10�N.iT=.TN-6,HiIP�-3,4f-. R 4, pIC�w_39€
Property Tax ID #; Lot No.
Site Plan Name: 00,V,NTRiY01-1 ByilLLAOE Block No.
Project Name: = .
Setbacks Front:01" Back: 17' Right Side: .'1Z".Left Side: 1.-V0"
DETAILED,DES:CRIPTION OF WORK
SU.1IORLE FAM,,ULY:R—ESU19' INS€ (repU i�*nLt:bon39) _ 2 0€OIROO I s 2 0ATIIN r O:AIRAGE
NO Ste.;+ 1 ILL BE BL1JU�LIT OFF USER OF HOME
CONSTRUCTION INFORMATION:
Additional work.to e e or.me under ispermit.—
check. a apply -:
Gas Tank OGas Piping Shutters Q Windows/Doors
Electric D Plumbing 0Sprinklers Generator Roof.
Total Sq. Ft of Construction_: S . Ft. of.First Floor:.2�.
Cost of Construction: $.,�99 Utilities:SewerSeptic Building Height:
OWNER%LESSEE !,
CONTRACTOR:_:
NameWy
NMk1NEW LYLE , YiiNNE
Company! WYNINEDE.UELORM.ENTc OR PO:A11HON
Address:WDOWUTIHLUIS.IHWY.11- ;,SU11.TE402
City: LPQRT T: ILli1 IlE .. State: '
Address: LU1TH LUGS Ih`fM...11 " S,U IIT1E
Zip Code: 2'. Fax: t(fi??) $78-7c��
City: 'RORT.ST. LLW.OtE .. State.IRL. .
Phone No. ((772)0,78-6511
Zip Code: 34'�2 Fax: ((77?�) �4-7i6G56
Phone No. ((772))8711-
E-Mail:
Fi1.I:in-fee simple Tntle1HAdteronn,extLpageQoftriherent.
E-Mail:..
frDm *e Owner fisted Abov#)
State or County Licenser
Ilf y�lue �f S,onstr�u�ti9n itS °5Z�p0 mr ur.�pr�, a dtEf�.QRAED INo�iae mf cCm�mrr�enaeme�S ins �ne��tir�,d. :. .. � .
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
IDES:I6.NER/;ENG:1.1',IEE'g: _ Not Applicable :
1111 ORTGAGECO;IYI.P;ANY; Not Applicable
Name:. i8FAQEN,Ai6RAD.EN -
Name}
Address: a,1,,7,cocoNuT;A ..E.
Address:
City: State:
City::STPUART state: FL
7ip::34996 Phone: (772):2s,7,,a258
Zip: Phone:
FEE SIMPLE TITLE HOLM.- _ Not Applicable
1BU;1SIDI;NGCOI,IIPA ... 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. consideration of the granting of this requested permit,_ I do hereby agree that I will, in all respects, perform the work
n, 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
WA,11N.ING TO:OJg1;N,ER Vvu.r failmra.-;o 1Rewrd a iN, o0ce of Commencement imay imsultIn \y9ur (praying it,Wke .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,/ Lesse-eftent Signature of.Contractor/License Hold-er
STATE O,F IF-W , IVA+ STATE OF IFI~ORI;DA
COUNf TY O.F ST.: -A-t e. a SrOU,NTY O,F : 5
The forgoing instrument was acknowledged before me The forgoing instrument was acknowlRq&p-d before.me
this day of Tc,t �.�/ 2�o ivy this ')I day of Tu (_y° D c 0 Lby
�tf7-IELu . L Y cc 1x) Y^iv v C 1n,4WWG:W Lys L-' . Z Vw n E
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ub/lic- State of Florida) (Signature of Not ry Publio- State of Florida )
Personally -Known " OR Produced Identification Personally Known OR Produced Identification
-.Type of Identification Produced Type of Identification Produced
"• DOROTH�B
Commission No.. , <rT:P;a�., r'��ff' ASKIN Commission No.
• COMMIS 0 GG030145 ,,ao,....' �OROTHYA KIN
•:•' ';;5 MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
:a=
'•.FEXPIRES; Q*bei:2.2920
O r' i �.Q.•
F °� Bonded Thru Notary Public Un&mAhiters
kev*ed 07111;5.
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