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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION -TO BE ACCEPTED Date: Permit Numbers It of Juouwpedaa 6U1P!W.iad . . Building Permit Application iaot ti Nar . Planning and Development Services Building and Code Regulation Division a3AI3��� 2300 Virginia Avenue; Fort -Pierce FL 34982. Phone; (772) 462=1553: Fax: (772) 4624578 . _ . C.omirriercial_ Residential: PERM ITAPPLICQTION -FOR: Building PROPOSED IMtPJR,,OVEMENT LOCATION: Address: 45.CAMIN6.PELRI© .. .Legal Description.- 6ECTION 27.[TOWNSHIP .3FS./ RANGE 40 . . Property Tax ID M. 3427"i'1140�2-000%5 Lot No: Site Plan Name: 6PAN16H LAKE$ Block No., Project Name: �RIV€RFRONT : Setbacks Front20: Back:.2--4V Right Side:.1�'1gLeft Side: DETAILED DESCRIPTION~ OF WORK:. REPLACEMENT:MO.BiLE HOME., SETUP AND TIE DOWN TO CODE CONSTRUCTION INFORMATION; Additional work to je ne orme :. under this permit.— check a apply: �HVAC LJ Gas Tank .Gas.Piping Shutters. a:Windows/Doors. ® Electric - ® Plumbing []Sprinklers ❑ Generator .-E]Roof Total Sq..Ft of Construction: 1:,368 5 Ft. of First Floor1,368 Cost of Construction: $ %944.00 Utilities:Sewer-le tic Buildin Hei ht: P g. g OWNER/LESSEE:. Y CONTRACTOR: . Name VUYNNE BUILDING CORPORATION .. Name: ERIC 41 YNNE: ...... Address: 8000 SOUTH US. HWY. 1 SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION .=. City: PORT ST. LUCIE .. . State: FL. Address: _ 8000 SOUTH US HWiY,1.SUITE 402 Zip Code:_-.34.952'... Fax:-(772) 878-7656 .. City: PORT.ST, Lucie State: -FL .. Phone No: (772).8784513 Zip Code: 34g52 -Fax: (772) 87877656 Phone No.:(772) 078-551:3 E-Mail: E-Mail:,. Fill in fee sim.ple,Title Holder on, next page (if different J from the Owner listed above) State or County License: IW1133306 - 32026 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. t SUPPL EMENTkL CON.STRUCTI:ON.LIEN LAW INFORMATION t DESIGNER/ENGINEER: • :. _ Not Applicable : MORTGAGE COMPANYx ..Not applicable{ . .Name: sTF-VEw000s. Name:. Address:.: Address: City: State: City: State: Zip:. Phone: <772)618�644 . Zip: Phone:: FEE.SIMPLE.TITLE HOLDER: X-. Not Applicable BONDING_ COMPANY:. _Not Applicable ._ Name: Name: Address:. Address: =. City: _ ; .. ; City::. Zip: Ph -one: Zip: Phone: .I certify that .no work or- installation has.commencedprior to the issuance.of;a permit:: .. . . St: Lucie Count makes no representation that is granting a:permit will:authoriie the permitholder:to-build the subject;steucture which is in coniiict'with any applicable'Horne 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 l 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 cohcu�rency 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:paying twice.for improvements to.your property. A. Notice of Commeiicem6rit must be recorded and.posted-on the jobsite •before the. fi,rst'irispectibri If:you intend to obtain financing, consult with lender or.'an-attorrie'y before. comme ncing work or recojndinlgayo& Notice of Commencement: 7. Signature of Owner/Agent/ Lessee .S gnatare of Contractor/License Rolder STATE OF FLORIDA STATE OF FLORIDA-. COUNTY OF COUNTY OF • The forgoing instr.0 nt was aclinowledg before me .. The forgoing instrument was acknowledged before. me this day of LA A-0- 29 bT T. -this day of . 20.AA by %%iAt�"WEw Cw4; 0 (Name of person acknowledging) (Name.of person acknowledging) (Signature of Nota ublic= State of Florida-) (Signature of N a Public- State of Florida) Personally Known. ✓ OR -Produced Identification Personally Known OR Produced Identification Type of Identification. Produced Type -of Identific P .,, DOROTHYANN BASKIN Commission No. •'�e'Y'.'"'•.: DOROTHY�►SKIN ' MYCOMMISSIO 045443 Comrriission No: �: MY COMMISSION # HH 045443- ' Qo=. EXPIRES: October 2, 2024. EX I �o^ bM. Bonded Thor Notary public Underwriters Bonded Tbru Notary+ Public Underwriters i�viW�� 07/1------ REVIEWS- .. FRONT - - ZONING - . - SUPERVISOR PLANS VEGETATION SEA TURTLE . MANGROVE . COUNTER: REVIEW REVIEW:.. REVIEW . REVIEW. ..REVIEW - -:REVIEW.': ,-. ' . DATE. COMPLETE