HomeMy WebLinkAboutBuilding Permit ApplicationAW. APPLICABLE INFO MUST BE COMPLETED FOR APPLtCATJON TO SE ACCEPTED
Date: 1b2
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Building Perrin Applicatio 5r. Lucie County; Permitting
Planning and 0eyeloprnent Somices
AWiding and Code Regu. laxioo MyWon
230,19 VifginioA,yenye, Fort Pionce FL 34982 .
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: B'IidIra 5
.PROPOSED IM_FAA,'OVEMENT LOCATION:
Address: 23.ALHAWRA SOyTH
Legal Description: SECTUON261TOWNS;HIP3Ss/iRlNSE49e-
Property Tax ID #: 34,1"- 01-1701-00/9 Lot No.... .
Site Plan Name: 6PA'Ni6K-LAONr Block No.'
Project Name:
Setbacks Front 9A" Back: 31' Right Side: -14' Left Side: 11 A'
DETAILED DESCRIPTION.OFWORK'
REPLACEMENT HOME; SINGLE FAMILY RESIDENCE _ 2 BEDROOM 12 BATHS > GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
Additional work to be nertormed under this permit.— check all apply;
OHVAC. _ Gas Tank Gas Piping Shutters Windows/Doors
Electric D Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction.: 2.,1124 . V S . Ft: of.First Floor:-2,1�
Cost of Construction: $ $5:$..000 Utilities:Sew& Septic Building Height:
OWNER/LESSEE: _'
CONTRACTOR: .
Name WYriraefBuildingC9.rp.
Name: VOa WWLYleAWnme
Address: $000 691A yS HWY, 4 :Suite 402
Company WYnrte DevOI9pment Carp,
City Port St. ,Lsaeie State: FL
Address: -5000 510tath USiHWY- ;l SBite4, D2
Zip Code: 34952 Fax: (772) 578-75.�
City ;Pm.rt.6S..t�ie.: State: ;FL.
Phone.No.-(772);&97S-551S
Zip Code: 52 Fax: i(772) 67A-7656
E-Mail• 0erj a��wYMeb9.;p9M
Phone -No. (772) �7S-a51S
FillJn fee Omphe Tillie Mo14-r on. next page I of Afferent
E-Mail: 'rWYnraebc=rn .
from e Owner listed ab9ye)
State or County License: 0005
�f value Af constradion is W509 or mov, a 1R.EtiS: ROED notice of Commencem," pis req*eA .
SUPPLEMENTAL CONSTRUCTION LIEN.LAW INFORMATION:
DESIGNER/ENGINEER-. " _ Not Applicable
PAIN Not Applicable
.Name: 'Braden.8!Braden.
Name:
Address:417CoconutAve.
Address: -
City: StuartState: !FL.
City:' - State:
Zip: 3asss Phone: (772):287B258
Zlp: Phone:.
FEE.SIMPLET.ITLE.HO'LDER:. _Not. Applicable
BONDINGZOMRAINY - _Not Applicable
Name:
Name:
Address:.
Address:
.City:
City: .
Zip: Phone:
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 consideration 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 faHure to Record a Notice of Commencement !r may r�esdIt in your;paying t ice .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 Owner// Lessee/Agent
Signature of Contractor/License Holder.
STATE OF FLORIDA
STATE OF FLORIDA.
tOUNT OF ST:LUCIE
COUNTy OF :ST:LUCIE
The for oing instrument was acknowledged before me
C7DB&2
The forgoing instrument was acknowledged before me
Q -r6,6&Ye '
this day of (7�> , 20 2Iby
this _�Z_ day of <_-20 c7 by'
MATTHEW ILYLE4VYNNE
MATIiHEW!UYL•E WYNNE
(Name of person acknowledging)
(Name of.person acknowledging) -
Note Florida)
(Signature of Not Public- State of Florida)
(Signature of ublic-State of
Personally Known x OR Produced Identification
Personally Known >x OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. •
Commission No :' `"`"'•• �'•. OOROTHYM(I WjgN
Commission
%s,,
MISSIONHHn4cA,'
MY COMMISSION # HH 045443
EXPIRES. October2, 2024
Revised (07115,
�.F�p . f ga • " Bonded Thru Notary Public Underwriters
BWed ti Pubnc � �
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER.
REVIEW
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DATE
COMPLiETE
INIT1AL5