HomeMy WebLinkAboutBuilding Permit Application-'
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Date: Permit Number: r JL11y
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Phone: (772) 462-1553 Fax:. (772) 462-157.8 . Commercial Residential: X
PERMIT APPUCATI0N FOR: I dlaa9
0,R0P0SE4 I'I1/,I PAR,OVEME N T -LOCATION:
Address: VWONT�€#;Zj=Y
LegaIDe: scription:.'-3-s/iR�Rl6.9e
Property Tax ID #: :344401470;l_000/9 Lot No.
Site Plan Name: APAN)OH iLAK� ONE Block No.
Project Name::
Setbacks Front_34"V' . Back:Af Right Side:."'B° Left Side:: V
DETAILED DESCRIPTION OF WORK.-''
REEPLAC ENS HOME SINGLE— {1=AMLY AE6110ENCE ' 2-EDROOM 1 SATHS J GRGE
NO SLAB TO BE B IVT OFF. REAR OF HOME
CONSTRUCTION INFORMATION:
Additional. wor to bg-pertormed under t is'permit— check all apply:
®HVAC Gas Tank Gas Piping . _ Shutters Fv Windows/Doors
® Electric ® Plumbing Sprinklers [].Generator .0 Roof
Total Sq. Ft of Construction: 2,110 S .' Ft. of First Floor::2�10B
Cost of Construction; $ $ �•;�00 Utilities: nSewer'LiSeptic Building Height:'
OWNERAESSEE:
-CONTRACTOR:
Name W!AMP1130009Q9rp.
Name: iAft- thew14%eWYy nne
Address:,$9LO939�utb-USlHWY..I Syite402 .:
Company: "in,ne[P,& iop<< e.at Corp,
City: Pm►t:6t• (die State: FL
Address: US Hwy, I Suite4 M . .
Zip Code: .24952 Fax: 772) 87 7
City �'mrS �' State: R
Phone No: ((772);07ffi'551I:3
Zip Code: 34952, 'Fax: (772),678-7650
E-Mail:,qher,(@yiyrinnebg6' m
Phone-No.072078-5,510.
I> i! u a �e �'ar�a 7e 1e �J91s1er an zet age �(iif s ffgr as
E-Mail:. 0herQ»rynr1)iDb-Caam
from the Ow' neyrJaw gboyo)
State or County License-
Af YAW of 69nstr l9n b $2600 mr more, a tt =BDXD A190ce 0 Qmmvem.Q.dt.Is it"i vd,
' SUPPLEM,ENTAL'CONSTRUCTION LIEN LAW INFORMATION:
Not ApplicableA,0RTGA4f
Name: ,00 en*ftof!n
W.Mp"y; _ Not Applicable
Name:
Address: ¢17kc0P,911uc_ye.
Address:
City: stuart State: iR.
City: State:
Zip: 3499e Phone: ,(7?z)28.7-,a,2ss
Zip: Phone:
FEE 5JMPJTITLE HOLML, _ Not Applicable
00JISIMSOMPANYs Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installationhas commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize:the permii 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.yourdeed 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
;i,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.
WANING TO OJlllt#3: se.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 Own gr/ Lesse%ftelnt Signature. of Contractor/License Holder
S,/.•TATE �OiF FLOVVA
COUNTY OF 5T, oU lr:
The forgoing instrument was acknowledged before me
this 6Zo day of G-oc l' 7- 20 j2jby
$�T�A1T��E Of FL�O�R A
CCU MIN OJ;$T;LUAIE
The forgoing instrument wa"s acknowledged before me
this '(90 day of �-t t. !v-k s ,— 2"0 ao Iby
,MATfHEwIL,Y;LE*V-.,MNE MATrjHEylr YLEMONNE
(Name of person acknowledging) (Name of person acknowledging)
"44 �2nm 184j.
(Signature of Not ry ublic- State of Florida) (Signature.of No a y Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. DOROTH ASKIN
MY COMMISSION JGG.030145
EXPIRES: October 2, 2.020..
Personally Known x OR Produced Identification
Type of Identification Produced
Commission N
MY COMMISSION # GG 030145
. EXPIRES: October 2, 2020
irded Thru Notary Public Underwriter
REVIEWS
FRONT
ZONING _
SUPERVISOR
PLANS
VEGETATION .
SEA TURTLE
MANGROVE
COUNTER.-
REVIEW
REVIEW
REVIEW.
REVIEW.
REVIEW
REVIEW
DATE
LCOMIPLIETI E
IIN;iT1145