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HomeMy WebLinkAboutBuilding Permit Application41-APKI19,449 INFO M.WT 09 99MPL9T9P FOR APPLICAT1.9N TO Of A999PT91) Date: Number:. �kc -Or Permit . . . . . . . . . . Building. Permit -A P*plicatio'n.. P00ing ign# Piovelopment §Prv!FP_# WOO gn# We ffieplOt./On 91WOOP 9309 VirginigAvenytel* Fort New 434969 Phone: (772) 4624553 Fax: (772) 462-1578 Commercial Residential. X ... . .... . .... . PERMIT -APPLICATION -FOR; Oth@r PR 0 OPOSE15 I M,,P..,A,. VEM ENT LOCATION: Addrdss.-70,@%F ..Legal Description: 99- @TI@N 9-9 TQWNPHIP Mg RAN@ FE;.40@. . . . . . . . . . . . :P §4114491107914,09/9 :Property Lot No: Site Plan Name:'§PANJ9fJ LAK99 OW Block . No. Project Name: 1 -:Setbacks Front Back: .-Right Sid6:.9§7' Left Side:' IRV DETAILED D'ES- C­R­I P'TIO' N, OF. WOR K' REPLACEMENT: MOBILE HOME; $ET UP AND TIE DOWN TO CODE CONSTRUCTION INFORMATION. Additional work. to be ertormed under this permit.— check all- apply: _HVAC LJ Gas Tank,: Gas Piping Shutters, Windows Doors Electric Plumbing Sprinklers Generator-- El Roof. Total 8q, Ft of Construction: 1,41§ Sq. Ft. of First -Flooni 1,416-- Cost of Construction: Utilities: El Sewer: El septic Building Height: OWNER/LESSEE- CONTRACTOR, Name WYNNFE 0WILDINQ CORP, Name: -F9lQ_W-YP4NF Address: 9000 §30UTH W MY, 11:60% 402- Comp - any: WYYNF-- DEVELOPMENT0113P, City: : PORT PT, LUCK: State:K_ Addres's:,6000 6POTH OLS HWY, I.- PUITE:402: Zip Code: 049§9 Fax: (772) 07677060 'City: PPRT. $T, W P�F_ State: FL Phon'e.No. cle; Fax: (774070-7056 Zip -Code:: �E-Mail: Phone 'No.':(772) 6 T5510 fill in fte- t polimpleTiVeHoldgronnoe e (M.01110 n E-Mail:. from the OWner-listed above) State or County License:- IH1133306=:32020- SUPP:LEMENTAL'CONSTRUCTIO.N LlEN.LAW INFORMATION:. DESIGNER/ENGINEER: x Not Applicable. MORTGAGE -COMPANY: x_ Not Applicable . . Name: sTEvew000s. Name: Address: Address: City: State: City: State: Zip: Phone: (772)618-5U4 Zip: Phone: FEE.SIMPLE.TITLE HOLDER:- . X_ Not Applicable BONDING COMPANY: x 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 Countyy 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. Inconsideration of 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 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:OWNER: Your failure.to Record a Notice of Commencement may result in your:paymg 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 Contra ctor/Licen eJ1o1der_j STATE OF FLORIDA STATE OF FLORIDA COUNTY OF % o+c ae% COUNTY OF ST 1—w cle The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of VP" 4C-X . 20 Eby this day.of �Or/eYn,S .20 by (Name of person acknowledging) (Name.of person acknowledging) (Signature of Noi`arJy Public- State of Florida ) Personally Known n`.// "OR Produced Identification Type of Identification- Produced Commission No:. "'Yo DOROTOARNBASKIN MY COMMISSION # HH 04W3 •'•? of 110,f Bonded Thru Notary Puft Undembi Remised OV 19024 5 . (Signature of Not Public- State of Florida ) Personally Known .r/ OR Produced Identification Type of Identification Produced Commission "DOROTHYANN� .. *: :,,; ISSION 0 H 04 EXPIRES, OctoberZ 2024 . REVIEWS: FRONT ZONING SUPERVISOR. PLANS VEGETATION : . SEATURTL.E MANGROVE. . COUNTER REVIEW REVIEW REVIEW REVIEW. REVIEW.. REVIEW.':.. DATE COMPLETE INITIALS