HomeMy WebLinkAboutBuilding Permit ApplicationOWNER/LESSEE
CONTRACTOR:, Rr
Name W�"F�It�.BI�ILDIf�QCARP,... ..
Name: MA1TM9l�l l.�'� V'NN. .
Address: 8000 SOUTH US HVVY, 1.:"SUITE 462' .
.Company: WYNNE DFVELOPMENT OORP, ' .:,
City:' PORT ST, LUCIE..- . ' State: FL.
Address:.8000 SOUTH US HVVY,1.- OUITE:402
Zip Code:. g6 :.. Fax: (772) 878-7.6� ..
City: PORT.ST< LU.OII5 .. State: PL. .
Phone.No. (772).676=6613.
Zip'Code:.' 4662. Fax:- (772) 87677656
E-Mail:
Phone No.:(772) 876°661:�
FIII In.fnd pImpIa Title H®Ides. on ham page (if -different:
E-Mail:.
fl®m the OVYn&1' II6t �t�ab®Ve)
State or County Licenser C�®��6�
of value of m6trualon 16 02590 of morp, 139co mP 1vouge of conimpnomont. i§:renOlreal,
SUPPLEMENTAL
CONSTRUCTION LIEN,LAW INFORMATION
3`['
Not Applicable
jyl®R`i'�A� .��IV�PAI��Y;' Not Applicable . .
—.
:Name:.l�t €tm@tom€a . :..
Name:
Address: g1i,99,99nuTAy€.
Address:: .
.City: TyAR Stater 1- .
-City: State:
Zip:-9a�s. Phone:47-7wa�-iw
Zip: _Phone::.
FEE :SIMPLE TITLE HOLM;- . _ Not Applicable : ..
00NDING COMPANY,; Not Applicable':'
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Names.
. .
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 Countymakes no representation that is granting a-p:ermit 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-1 will, in. all respects; -perform the work
i.16accoMance-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 p.00ls;.fences, walls, signs,.screen rooms and accessory uses to another.non=residential use.
WARNING TO:OW ER,,.Yoyr failure to Roord a Notlo of:CorrrmeMr ant may rge6ult In yeur. Pavia# -tajle 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; consu`It with tender or: an.attorney t;efore.
commencing work or recordin : our Notice of Commencement'..
Signature.of:Contra, for/License.Holde,r.
Signature of Ownei/ Lessee/Aont
'STATE OF FLORIDA
STATE OF FLORIDA; .
: CQUNTY ®F ; . k.�A c r(:2 . ..
COU14TY OF 5 . %;u' care . :. ...
The forgoing instr menf was acknowledged before me
The forgoing instrument was acknowledgedd before. me
.this IY' day of CFM cx 270 422j)
this day -of CF»+ 4e-9 20 _ by
(Name of person acknowledging)
(Name -of person. acknowledging)
(Signature of Nkiiry.Publicm State of Florida) -
(Signature of o ary Public --State of Florida) -
Personally Known. VII� OR Produced Identification ..
Per Known : ✓ OR Produced Identification
.Type of Identification Produced
Type of Identification Produced
Commission No:. p� �"' DOROTH ASKIN
�HH,045
Commission N: ;''t' '`? :, D'OROTHYANj4*§gN .--
COMMIS .
MISSION HH 04W3
r EXPIRES: October 2,2024
:,"�f Po EXPIRES:OCtOber2, 2024.
F N cn N h e em
Il�.v W Ail 15 . . :
REVIEWS - .
FRONT ..
ZONING ..
SUPERVISOR.
PLANS
-.VEGETATION'
SEA TURTLE .
MANGROVE .
COUNTER .
REVIEW
REVIEW:..
-REVIEW .
REVIEW.
:. REVIEW- .
REVIEW.':.
DATE -
COMPLETE .
=.
INITIALS..