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HomeMy WebLinkAboutBuilding Permit Application6 AIRMAK INF9 MOTIF 99MIRUTEP F99 RPM TM T9 O AG99 Tf-B Date: j a.6 Permit Number:L� . Building Pa itAp pilot-lon. Rf�annlR� �n13��fPmnf 3nrin§ DEC 1 BNff9'ICt� �9f1ff 98�l0 Rg�nfnl:f0n 9fl%1§foli Sr. Lucie County. 99 Virgfnfn AY.enypt Fort P/Pro A 9#999 - ty Permitting. Phone: (772) 462=1553: - Fax: (772) 462-1578 . :Commercial ReSid nti '. .. .. PERMIT APPL-IGATION FOR:: BuII II g 5 PROPOSEQ I(VI;P;ROVEMENT LOCATION: OWNER/LESSEE: ` . CONTRACTOR: Name WYNNF,BUILAING'OF.PARTM.ENT. Name: MATTMEWLYLIEWNW- Address: 66©9 MOUTH US HWY,1.s SUITE40 Company: �Yt�N� t��Y�LOPMENT-CORPORATION' ..- City:- PORT 6T. LUCIE .. State; FL Address:.6969 SOUTH U6 H ,1,,SUITE 402 Zip Coder �962 ... Fax ,(772) 878=7666 .. City: PORT.6T, LUCK State: FL. . Phone.No. (772)._878�5513 Zip Code: 34662 Fax: (772)-87877656 E-Mail: Phone No.:,(772) 876-661:3 Fill In -fee Simply Title Holder on. next page (If Afferent E-Mail: from tho Owner listed above) State or County License: 08898 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: = Not -Applicable' MORTGAGE COMPANY: ..Not Applicable . Name: . .... . .... -.Name: . Ad d ress: 4» coeoNUTAVE. Address: City:. UUART State: 'FL City: State: Zip; aasss Phone: �772)267-=,O Zip: Phone:: FEE:5IMPLE TITLE H®LDER: Not Applicable 60N®ING COMPANY: _NotAp' "I' ' bie 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 Count makes no representation that is granting a.permit wi,ll:authorizeahe permit holder to"build the subject.structure which is in conflict inrithi any applicable Home Owners Association rules, bylaws -or and covenants that may restrict or such prohibit structure. Please consult with your Home Owners Association and reviewyour. deed for any 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 'ICI 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 poolsi.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:paying twice for . . improvements to ydur.proo6rty. A Notice"o_f Commehcembpt'must be -recorded and.posted on the jobsite ---before the first inspection: If -you intend to obtain'financirig, consult'with lender or:'an.attorney before commencing work or eecordin : our Notice of Commencement:.: Signature. of Contractor/License.Holder- . Signature of Owner/ Lessee/Agent STATE OF FLORIDA STATE OF FLORIDA . .. : COUNTY OF COUN`iY OF � - The forgoing instru ent was acknowledged before me The forgoing instru ent was acknowledged before, me this day of sp y this day.of 0 �� ,y f �7171iE1a% L�/C r i/V Ya�nr� �177WEW L6: Uv �ry:iJ� (Name of person acknowledging) (Name of person. acknowledging) r . (Signature of NotNotad Public. -'State of Florida) (Signature of Not Public- State of Florida ) '/ Personally Known. LI/OR Produced Identification Per Known OR Produced Identification .Type of Identification Produced Type of Identification Produced Commission No :''�':"; DOROTHYA(A@(jSKIN Commission No .'< "Kr-DOROTHYAN�E[� 1 IN: MY COMMISSION # HH 045443 COMMISSION # HH U45443. EXPIRES: October 2, 2024 :.EXPIRES' `.Fok Ew" : Bonded Thiu Notary Public UndeMtere ,.o` F4 t3orded-Thru Notary Publk UndenYri(ere IWeivieW Ai/ 71. REVIEWS:.. FRONT ZONING.. SUPERVISOR =PLANS ..-VEGETATION SEATURTLE. MANGROVE:. COUNTER_:. REVIEW' .. REVIEW .. .-REVIEW. REVIEW REVIEW.. .-REVIEW.:. - ' . DATE. C9MP�FTIE INITIAL