HomeMy WebLinkAboutBuilding Permit ApplicationA4 APPY14-K-9 INFO MYff Of 99MM—P FOR APPILKA4T119M T9 99 l -c-C-9 aTEP
Permit Number: '=L(Pot 01�w
Building PSI! mit Applic -fion
Rlgnnin# sn 8,e,v,elBBlnl°nl* I?FyiFL
�nildin� enle�� fipgqlellsn B!y!slen
? �9
A� fie ennef felt RiprcLe Ft loge
Phone:rJ772ini) 462-1553 Fax: (772) 462-1578 Commercial Residential. X
PERMIT Appk)-CATION FOR:
PROPOSEDJ,WI,PR;OVEMENT LOCATION:
Address:- $ @0 09- Yh
Legal Description: §OT10 96, /T0M§J Jf? / PAJ+§E- 4,o,e
PropertyTax ID #: Lot No.
Site Plan Name: §PAAAi)§ki WEN QN€ Block No.
Project Name:
Setbacks Front'9,q Back: '' Right Side: 99 Left Side:
I ,DETAILED DESCRIPTION OF WORK:
RERILANMT NOMEP- §JNOLE FAM&Y R9WJ_)ENQE _ 2 HE— PR00M / 2 XTH§ / OB E
NO §�A§ T8 EE @,VIJ OEF REAR OF NW9 ),1
[CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit.— check all tha, apply:
WHVAC Gas Tank - Gas Piping Shutters ZWindows/Doors.
Electric ✓ 'Plumbing Sprinklers Generator \✓ Roof
Total Sq. Ft of Construction: 2-,"1g4
Cost of Construction: $ M8,999'
Sq. Ft. of First Floor: -.;12-4
Utilities: Sewer.0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameYWpe§?.Wing§.r-P.
Name: Wa NevlrLyle-'"MMe
Address:a Suite,402-
Company: "�� A%e Deye)PPM—ntCorp..
City Port fit. �44.cie State:
Address: 5909 -ouxM Uo ;HV,ry,. 1 §ghee-4U2
Zip Code: 04-952 Fax: (77?) 07$'79W
City: ;fort t. Lm a State: PLL
Phone No. (772) $7$-5510
Zip Code: 04-952 Fax: U72) 070=705-6
E-Mail: Ch-@,ri—@WYPneSE.�om
Phone No. 1(772)9_7, 5515
NJ in fee §limp Tiitje J104eir on next aago I ff 4ifferent
E-Mail: LOh1.erOW An-e -0 c9m
from be Owner Ji ed above)
State or County License: CG-0=5,99
iFf yei�e of Fo Ott shoo 19 $�509 ox oloxe, ES9R�E� Notipe of comm�ensera - P x,"Vixe4r
SUPPLEMENTAL CONSTRUCTION LI.EN.LAW INFORMATION:.
Not Applicable
Name: iBtaden,&;Braden
Address: 417,C—r utAve.
City:. smart State: IFL.
Zip: 'Mss Phone: czzz>zaazss
FLEE SIMPLE TITLE MOLDER -
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY-. _ Not Applicable .
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuanceof a permit.
St. Lucie County makesnorepresentation 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
WARNING TO OJtJ NEfts Your Wilure to RecoM a NoWce of Comm. enaement imay. ,result In y9ur paying Take fo r .
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 our Notice of Commencement.
_ Signature of Owner/ Lessee/,Agent:
STATE 9 OF FLORIDA
CQUPYTY OF ST:LUCIE.
Signature.of.Contractor/License Holder
STATEOF FLORIDA.
L'SJ�Nu J OF:ST;LUCIE
The forgoing instru -ent was acknowledged before me ., The forgoing instrument was acknowledged before me
this�0 day of G•ttST . 210 ?!by this day of - 4 6-0 s T , 20 � iby
MATTE EWLYI;E�NME MA
(Name of person acknowledging) (Name.of person acknowledging)
Lti •
(Signature of Nota y ublic- State of Florida) (Signature of Nota P blic- 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. . .• 'Y;''••., DOROTJI ,g �BASKIN Commission No. =, 'y'°�E'. OOROTHY
COMMIS I GG030145 �� KIN
• ,, j. OMMISSION#G 030145
5 �c�,� EXPIRES: October 2, 2020 F+ . EXPIRES; October 2; 2020
'' „•,,,,. ,irwerwri
fi evised (07/ 1S/
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION :
. SEA TURTLE
MANGROVE
COUNTER
REVIEW'
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
IIN1TIAL5