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HomeMy WebLinkAboutBuilding Permit ApplicationMuff OF 99MIRWHIP MR Appk_19091V f9 OF WIMP Date: Per Number0' � � J% 8 _ . - - 99 Vir irri o�d�n� s ar New- F0 34A91 ..: . Phone: (772) 462-1553:. Fax: (772) 462-1578 :Commercial Residential: X . . . .. .. .. .. .. ... .. .... . .... .. .. .... .. .... . .. .. .. PERMIT.APPL-ICATION .FOR::: PRQPOSE`IPR`OUEMENT. LOCATION x Address: 17 R469 AVT@ Legal Description:_1� /.� Property Tax ID 9. @414r§Wn17@1--@@@/9 -Loth No Site PI n.Name: �f SNIP �k%§ NE . Block No. :Project Name: Setbacks .:Front " ' . Back: Right Side: 911 Left Side:: 1 ' DETAILED DESCRIPTION ,OF.WORK• ; x R9RL§9M9 T:H- QM9;-§IN%9-- FAMILY. 9 09PRQQ l / 9 O TH§ / WAR N8"4A@ TO 09. 09IJ PFF KAR 9F. H= QM9 CONSTRUCTf'ON'IN'FORMATION -Additional wor ao be_p e orme under tispermit.—c ec a apply: ®HVAC Gas Tank Gas Pi in Shutters Windows Doors ®Electric . © Plumbing Sprinklers Generator WT Roof 5 . : Total Sq. Ft of Construction: 9,10 S Ft: of:First: Floor:: 940 . I.: Cost of Construction:$ WNW 'LltiIities:cn Sewer.L Septic - . -Building Height: OWNER/LESSEE CONTRACTOR: ° :_ } , .Ma: ;.Name YYYnn@ 9000.9 f✓4iP :.. .. :... Name:- M@Ake)V-P + WV Yi lily. ..: . Address: 9900 001h U9 HWY..! �+i�g 492 .., tom -pang: Wpm A@y019p1196t t grp. City: P94 4 WOO .State: ��Address:.0999 FL 09YM �B HWyr 1 tWt� 402, .. . Zip Code:.049f9 :.. Fax: �(779) 679-7�� .. City: Aarl 6t. �cie.:.. :.. State: l=L . Phone.No. (779).076=040: Zip Code:. 049§2. .Fax:- (772) @7@r7@5§ 'E-Ma Phone:No.':(77_2) 070-5,51 , . Fill I09* ��rrrpl� `i'itle Mal�d�r 9r�.IRe;xix. ;7�� >if i if �r�n�. ' .. E-Mail: ch@f�i@�Y�Y► n0c;c9m . -from State or County Licenser CGCg0g09 . : �► N IIl9 91.69."OF9499" 10 wp99 pr more,. .n1=' gxPgP 1�9it 9f F91iiR1�11S�11��1�1t_ ii� rRE�MFr��� Sl1PfrPLEMExNTALzC0NSTRUCTION LIEN LAW INFORMfATION .beat' ­u'..ta ,._.. .'i e.:; �, :. ., e: .. ...... %...3" �. my .� fyyib »+§t±4 ,5�*•fi DESIGNER/ENGINEER: _ Not Applicable : MORTGAGE -COMPANY: _ Not Appliicable- ..:. . .: Na me:. eraden.a eraden. Name... . Address: 417occcniitAve. Address:: . .,city; -shad State: 'FL. - City: -State: Zip: s499(3- Phone: (772)287-8258 : Zip: Phone:: . FEE,SIMOLE TITLE HOLDER:_ . _ Not Applicable BONDING COMPANY:. . _Not Applicable Name: _Name:. Address:. Address: City: City:. . Zip: Phone: 'Zip:. Phone:: .l certify that.no work.or installationhas. Commenced.prior to the issuance.of_a permit.: St: Lucie County makesnorepresentation that is granting a:perrriit Will authorize:th.e. er'-'t'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 forany 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 in -accordance with the:app.roved:plans; the Florida Building.Codes and St. Lucie County Amendments. ... .. .... .. .... .. .... .. ... . .... .. .. .. .... .. .... .. .. The following building permit applications are exempt from undergoing a full coricurrency review: room additions,- - accessory structures, swimming pools; .fences, walls, signs' screen rooms and accessoryuses to another -non-residential use. WARNING TO -OWNER: Your failure. to Record a Notice of Commencement may result in your:payiing tunics for .improvements to your. property. A. Notice of Commencement must be recorded and.posted on the jobsite :before thefi.rst jnspection. If.you intend to obtain fina.ncirig; consult with lender or.an.attorney before. Commencin work or recog:rdinour Notice of Commencement:.: Signature of Owner/Lessee/Agent Signature.of:Contra ctor/License Holder. STATE OF FLORIDA STATE OF FLORIDA:. COUNTY OF STLUc1E:. . COUNTY OF sTLucie The forgoing imtru ent was ac nowledged before me ' The forgoing instrument -was acknowledged before.me this � day of 20 ?Pby . this 1 �1 day of za -. 20 40 by .. .. ... ... .. f ATrft1NMATrt1EWLYLE WYNNE (Name of person acknowledging) (Name.of person. acknowledging) (Signature of No a -Public- State'of Florida) (Signature of No Public- State of Florida.): Personally Known. OR Produced Identification'.Personally Known OR Produced Identification Type of Identification. Produced. Type of Identific ion Produced Commission N`• P`'-• AROTHY M SSOM#N C.ommission No:'`�v ': �OROTHY�4117� KIN a.: ;,: 045443 :• .: MMISSION # HH.045443 =; Qo • EXPIRES: October 2, 2024 �,+;�. .ono`,.•' EXPIRES: October 2, 2024 benaw ie a eB nt o Publlc Undenvdteni REVIEWS FRONT - _ ZONING - SUPERVISOR. PLANS .'VEGETATION SEATO RTLE . MANGROVE - :.....'COUNTER. REVIEW REVIEW... .REVIEW REVIEW. REVIEW.. REVIEW.: DATE. . . . SOMIkm