HomeMy WebLinkAboutBuilding permit ApplicationFIXABLEINFO MUST, BE COMPLETEDFORAPPMCATION TID BE ACCEPTED
Date: Permit Number: . 2.c)oq
'J
Building Permit Application
Plan n ing and Developm, en, t -Servives SEP I
Iftildin. ,and CDdeiRepyiID�ionDivision
2300Virg,)nliaAvenue,)FortPierceFL349B2
E
Phone: (772) 462-1559 Fax: (772) 462-1578 Commercial R Sl Uti"d6ritlaf-k _?ntv FL
PERMIT APPLICATION FOR: Bu j I d tn 9
PROPOSED IMRROVEMEN'T LOCATION:'-,
12 E'L GR, ECO 80JU, TH
Address:
Legal bbscription':--SECiTI10,NZ61.iTOYM,SH�IP.3fti/RAIN,GEADe
Property Tax lD#: Lot NO.
Site Plan Name: S:PAINJSH,' iLAICES ONE Block No.
Project Name:
Setbacks Front.26Back: 29' —Right Side: Left 'Side: 13'
DETAI LED. DESCRIPTION OF WORK-..
.. .... .. .... .. .
REPLACEMENTHOMESINGLE FAMILY RESIDENCE- 2 BEDROO1MJ2 IBA,
NO SLAB TO BE BULT OFF REAR OF HOME
I.CONSTRUCTION INFORMATION:
1---
Additional,worKtobonortormed: under this permit —check all V34 apply:
HVAC Gas Tank . '. OGas Piping [--JShutte'rs-- Zwindows/Doors,
Electric 0 Plumbing [IS rinklers Generator Roof '
Total Sq. Ft of Construction:
,82,1124 S Ft. of First Floon21,. 1.24
CnSewer
. e
Cost of Constructioni $ S5,100,0 Utilities: Sew r-El Septic Building Height:
OWNER/LESSEE..:
CONTRACTOR!
NarneWYA Re 5JUi1d1n,91Q0.rP-
Nai m'e,: MaftheWLY18*2, ne'
Address: 810,00,50,21h, US-,HWY.- I t.uite 402
company- V4,Mn'eVWe1qPM,,e11,tQ0,p.
City: -,P,o.r.t,6t. Lucie.. State: FL
Address: 80005iMth US ]Hwy.. -1 Su ite 4D2
Zip Code- 34962'. -'Fax: -(772) 878-760
City: Pp.d.st-Amie e._ Stat FL_.
Phone No. (772)676-5513
Zip Code- -34952 Fax:117,4) 878-76W
E-Ma i 1:'h1en,@wy,,nnebr..,co,�.n
6Phone'
N o. "(7,72) 878 13
Fill in fee simple T , Me H.61der an next pasef if cNevent
E-Mail: ch erQwynn,0br..=m,
from the Owner listed ab-ove)
State or County License:
if Value oftonstruM, on is,$2500 9rmore, a RECO.RDED fttke of Commencement.isineqUiretL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINE IL, f _ Not Applicable M9RTGASIE.C.OMPA1';IYi Not Applicable
Name: ,Braden&:Braden Name:
Address: 417Cacor4t.AYe. - Address:
City::Sivart State: ,FL. City: State:
Zip: sass Phone: (7.2)2878256 Zip: Phone::
IEEE SIMPLE TITLE~ .MOLDER: _ Not Applicable BONDING COMPANY - _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 authorise the ermit 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 considerationof the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ;accordance with the approved plans, the Florida Building Codes and St. Lucie County.Ameridments.
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:OWNER; Your failure to Recorsi a Notice of Cornmenseme.nt :may irasWt 1.0 your paying twice 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 our Notice of Commencement. .
Signature of Owner/ Lessee/Agent Signature of:Contract /License Holder,
STA1TETOF I1:I.ORIDA STATE OF FLORIDA .
COUN 7 7 NF ST:LUCIE C9U,�� OF W.. UC1E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -W&Yof ,ScN,7-&-1n&-YL, 20 2s?,by this/y day of 5"TFM6E7z 20 'p-aby,
MATTREW LYLE+V NNE MATLMEW;LYLE WYNNE
(Name of person acknowledging) (Name of person. acknowledging)
(Signature of Notify/ Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. $
OROTHY( 0SKIN
d MY COMMISSION # GG 030145
i 5 ber 2 2020
_� ; �`` Bo d6d Thru Notary Public Underwriter
Revised 07/ 1.
allr-� 411,24.
I .
(Signature of Nota ublic- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced .
Commission No ' dt •,,
T nnROTHYAN UMN
MY COMMISSION # GG 030145
r2 2020
Bonded Thru Notary Public Underwriters
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