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Date: Permit -Number v
Building Permit Application
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9499 Virpinip A, yfln-09, FQrt plerce Fb g_099
Phone: (772) 46.2-15.53: Fax: (772) 462-1578 Commercial. Residential: X
.. .. .... .. .... ..
PERMIT -APPLICATION FOR:
Bulk 009.
PROPOSED JMJ%,'," EMENT LOCATION:
Address:: 14§70 AMAP@kA�:
Legal Description:. 0/7 §4 39 9j) ftlt P-all *j;v n9ften'torily of P%
Property Tax ib m Lot No.
Site Plan Name:_VANJ§H kAfT§'FAJRWAY§ Block No.
Project Name:
Setbacks -Froritt'. Back: Right Side: 'Left Side:
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY:RESJDENCE Oplammien, t hoMe).218LEDROOM 2 SA THS l 1 GARAG: LE
NO SLAB WILL BE BUILT OFF, REAR OF HOME
CONSTRUCTION INFORMATION:
Additional. wonto be performed under this permit.- check all- app Y:
0 Gas -Piping HVAC -U Gas Tank Shutters 1IL1 Windows/Doors
Electric Plumb' Sprinklers Generator Roof
TotalPlumbing
Sq. Ft of Construction: R, 1108 q.
S Ft. of First Floor:
Cost of Construction:Utilities:E] El
w 8A Sewer _ Septic Building Height:
bWNEA/LESSEE:
CONTRACTOR:
N - VVION-GCORP.
Nam 'Wy
Name: VlA77,HJEW1LY1L-r;WXNE
Address: 80010 SOUTH, UaWY, ,I... SUITE402
Company: YMNEDEVELOPMENTCORP,
City: PORT ST. W OJE State: FL
Address: g999 SOUTH US HVVY. 1. SJUITE40
'
Zip Code:- 34952: Fax: (772) 078-7,60
C PORTS WC City: PO T -,'T. I JE State: —
Phone No. �772) 878-5,51 -1
Zip Code: -W-52' Fax: (772) 878-7656
:E-Mail: =
7
Phone No. (772)878�513
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E-Mai 1: a
irom the ownef listed Above)
State or County License- C900-359-9
SUPPLEMENTAL CONSTRUCTION LIENIAW INFORMATION:.
_ Not Applicable
Name: J3RADENAiBRADEN
Address: 417(e0-Q0xVTAuE.
City: STUART State: FL.
Zip: 3as96 Phone: (7-,72)2a7-025e
FEI* SIMPLE TITLE I}'1OLVOL_
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY;
Name:
Address:
City:
Zip: Phone
DONIIAM0 COMPANY,
Name:
Address:
City:
Zip: Phone:
I certify that no Work or installationhas commenced prior to the issuance of_a permit.
Not Applicable .
State:
_Not Applicable
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 l will, in all respects, perform the work
Jn 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 OlNNil;R: You faIlfare to Re,=4 a I� is� of �omme�s�m )(fflA �mi a 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 re-co:r:d+re-mour Notice of Commencement..
_ Signature of Owner/ Lesseg/ft4an, t
STATE OF FLORIDA
COUNTY OF Si . � c� C .
The forgoing instrument was acknowledged before me
this c70 day of 1� G-Nr7- . 20 �oIby
Signature
H
STATE Of FI:ORI OA
muNT`Y Of
The forgoing instrument was acknowledged before me
this 3o day of >-s G-.t rr 2,6 Qne Iby
/4. r1gV z..) L �% L C-' LU Yiu iu r 1� /4 7ihr FW L Y LE Ly �N. N
(Name of person acknowledging) (Name of person acknowledging)
V
(Signature of No Public- State of Florida )
Personally Known v . OR -Produced Identification
Type of Identification Produced
Commission No.
(Signature of NotaT&Public- State of Florida )
Personally Known 1/ OR Produced Identification
Type of Identification Produced
DOROIMAgN_BASKIN Commission DOROTHYANN.1318ftl)
' COMMISSION # GG 030145 °?' ',;_ MY COMMISSION # GG 030145
EXPIRES: October 2, 2020 EXPIRES: October 2, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE .
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW..
REVIEW
DATE
COMPLETE
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