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HomeMy WebLinkAboutBuilding Permit ApplicationI
Date: Z• %:V' Permit Numbe
SEP 18 2020
pub C" l�L" S �'3'�. �Til�.L�Z j
Rl9RRfR Lgn#99v9/9pflf9fft§,efi'19ge Pe1'111i.tti o: Dep' ar"Li(ent
§Lgll£ ing 9Ry 69de #9#ff&f9ff Pjygf9ff S t • . L.0 Cl e Count FL .
Phone: 772) 462-1-553: Fax: (772) 462-1578 . Commercial -Residential
PERMIT AP,PL,ICf1TION FOR:uigj
PROPOSE© j,MP,R'OVEM`ENT LOCATION
Address: a 1ERDE V61§iF�
.Legal Description:. ��i§T �/�'.Q� §f6i�tl9o►� ti� _ ��4�6�4� �4§= I�e�R� �� .. ..
Property Tax ID #133.1tiLot No:
Site Plan Name:l'�$�)LI-L - Block No. -
Project Name:
Setbacks Front 33'. Back: 2'' . Right Side: I L242. Lef� Left Side- 1.01' .
DETAILED DESCRIPTION OF -WO
R K:
NO B WAIL 9_1E BIJLT OFFREEAROF IHOMB
CONSTRUCTION, LNFORMATION:,:
Additional work to ba perfor.med . under this permit.— check _ a - app y:
OHVAc _Gas TankGas.Piping _Shutters �� .Windows/Doors
® Electric . © Plumbing . Sprinklers Generator �✓ Roof
Total Sq.,Ft of construction: .��tJ S Ft: of First Floor::���
Cost of Construction: $ RAW -Utilities:uSewer LSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Nm'W'i< WOWING DFIPA,T EINT
Ne: �� YLE iNNEL
Address:6009SOSJif1HlU-Z�IHWYi-•1.,-SW;I171EAD
Company: WYNNEDEVEICP:CORRORA ION
City:' PORTIST.. WDIE _ Stater.
Address:20` SOUTH W lhta1 y- a�VTE4D2
Zip Code:.�2 :.'. Fax- ((772) WS-70, 6 ..
City: f�,ORT. T. IL�W . State: FL
Phone-No:(772).87 13
Zip Code: 4; 2 .Fax: (112) V�8-71
E-Mail:
Phone -No. ((172)87 5I3,
011 axe f, emple Totle IH61dex op -next line ti of eiffere&
E-Mail:.
from the DW, nerfisw abovi)
State or County License: DSM
if value (oficsonsmi c ion Is 5ZOD (or ffnom, a FMCS)MD INo ice mf Commennemnt ns it&gWve&
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIG.NER%ENl 1NEER - _ _Not Applicable
. -Name :-:BRAQEN &BRADEN
Address: 41a;cocoxULAve.
IMiDRTGAIGECOMPAN Y.- - - Not Applicable
Name:
Address:
City: State:
Zip: Phone:
-City: ''STUART State: FL
Zip:.Z4ssfi Phone: ,crcz)zaa=szse
FEE SIMPLE TITLE HD,IUD.ER _ Not Applicable
Name:
Address:_
BUND1;NdCOMOWNY: Not Applicable
Name:
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 considera.tion.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 structuees,.swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TOOWiNER: Your ifieilure to iRecaontl is [Native of Commencement imay amsidt Fin Vpur IpayirS itwiue.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
commencine work or recordine vour Notice of Commencement.
Signature of Owner/ Lessee//Aigent Signature of Contractor/License Holder,
STATE OF FLORIDA SiiATE mf !FWRIDA/
'C'OU,Nry(+OF S-T k Ac. 1c, COUNTY OF _CT
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �ay of S'E7��7++Q�2 , 20 Eby this /Y day of 5 6 .2a XA) by
y%i /� fTflEia L ` t G W y oy V lw1 4 riye-w L`, 4,6 GV Y/U M
(Name of person acknowledging) (Name of person. acknowledging)
(Signature of Not ry Public- State of Florida) .
Personally Known IXOR Produced Identification
Type of Identification Produced
Commission No ;�•, DOROTHY KIN
MY GOMMISSIO # G 030145
EXPIRES: October 2;2020.
Revised (07/
(Signature of No a Public State of Florida )
Personally Known I -""OR Produced Identification
.Type of Identification Produce
;,.�; DOROTHYANN BASKIN
Commission No. = 2 E MY d5e*ON # GG 030145
o;F EXPIRES; October 2, 2020
Bonded Tf ru NoleryPublic Undetvmters
REVIEWS.
FRONT:
ZONING
SUPERVISOR
PLANS
VEGETATION .
SEATO RTLE
MANGROVE -
000NTER.
REVIEW
REVIEW-
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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