HomeMy WebLinkAboutBuilding Permit ApplicationOWNfR/LESSEE:..
CONTRACTOR: e
. Name WYNNE OJILDING AEPARTMENT
Name: MAT NEW,ME 9yYNNF-. .
Address: 5909 SOUTH M HWY,1-• SUITE 492
Company: VVYNNE DEVELOPMENT:OORPORATION .
City:: PORT 6T, LL►DIE .. m State: FL
Address:.6999 SOUTH U$ HM,1- $UITE 402
Zip Code: 34952':.. Faxr(772) M-7650
City: P0RT.$T, LUCIE .. PL...:
y: Stater
Phone.No: (772076.5513 . :
Zip Code: 34952 �. Fax:- (772)-876-7659
E-Mail:
Phone No.:(772) §76-551:3
Fill In -fee 5irnple Title Holder on. next page ( if different;
E-Mail:
from ft Owner llste*d above)
State or County Licenser 06393:
0
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE. COMPANY: _ Not Applicable .
Name:. BRADEN & BRADEN .
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: '01L
City: State:
Zip: 34996 Phone: �772)287-825e
Zip: Phone:
FEE.MMPLE.TITLE HOLDER: _ Not Applicable
BONDING COMPANY: -Not-Applicable.
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 County makes, no representation that is granting a:permit will authorize the permit holder:to build the subject. structure
which is in con lict 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 failure to Record a Notice of Commencement may result in your:paying twice.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..: - .. . .
I
i
_ Signature of Owner/Lessee/Agent Signature.of.Contractor/License Holder
STATE OF FLORIDA
COUNTY OF •� .�
The forgoing instr eYnt 'w`�s�' cknowledg fore me
this day of 20 _l y
(Name of person acknowledging )
STATE OF FLORIDA.'
COUNTY OF
The forgoing instrument was acknowledged before me
this ,51 day of N �a')G/�a, 20 CE�y
(Name of person acknowledging)
r,
(Signature of N • a -Public-'State of Florida) (Signature of No ublic- State of Florida )
Personally Known '� OR Produ e rsonally Known
Type of Identification. Pro ,����to SOY POLLARD pe of Identification o��i '� JOY POL
C.FrrL���4GU 6�%�i.. .... ���°�' ��n: commrs.slon _
Cominission.N
.= Tres - � :+ '= i ion;Expires
Commission No... =• mmission Exp' mmission No. ;, My Co
K' g . a�� .o Jc1n��.4, 2021
Jcinucil"? Ia. /lrygnna� nun ��
Revised 07/15/2614
REVIEWS.
FRONT-'-
ZONING
SUPERVISOR
PLANS
VEGETATION .
SEA TURTLE
MANGROVE. -
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW-
REVIEW -
DATE
COMPLETE .
INITIALS: .