HomeMy WebLinkAboutBuilding Permit ApplicationOWNER/,,LESSEE:
CONTRACTOR:
Nam 'MNNEWLDING CORP...
Name:'MA`I7-HEW L-YLE WYNNE . .
Address: 8000 SOUTH US HWY. I.:,"SUITE 402
Company: WYYNE'DEVELOPMENT:CORP. .:
City: PORT ST. LU.CIE , ... State: FL
Address:.8000 SOUTH US HWY. 1.. SUITE 402 .
Zip Code; 34952�: ,.. .':.-Fax: (772) 878-7656 ..
City: PORT.ST.. LUCIE State: FL...
Phone.No. (772).878-5513
Zip'Code ' 34952- . fax: (772) 878-7656
E-Mail:
Phone No. (772) 878-551:3 .
Fill in.fee simple Title Holder on next. page (if.different
E-Mail: _
from the Owner listed above)
State or County License: CGC03599 .
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
°Sv'VPLEIVIENT.AL CONSTRUOIDNIIEN LAW INFORMATION:,
�DESIGN
ER/ENGINEER: _ Not.Applicable
. MORTGAGE.COMPANY: � � � � . Not Applicable ...
.. .... .
Name:. ewabEry a l3waoerv..Name:.
.
Add Tess: a1i eocONur AVE.
Address: --
-City: STUART State: FL.
City: State: • '
Z1.p:'34996- Phone: (772)287-8258
Zip: -Phone:'
FEE.SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:, _NotApplicable ._
Name:.
Name:
Address:.
Address:
City:: .. ..
City::
Zip: Phone:
Phone,.
certify that.no work or. installation has.commence-d.prior to the issuance.of a per . .
St. Lucie Countyy makes no representation that is granting a permit will:authorize:the 'permit, holder to'build the•subject structure
.: which is in conflict With any applicable Home Owners Association rules, b'ylawsbr and covenants that may restrict or prohibit such
structure. Please consult with your Home. Owners Association and-revie.w.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-,wiih.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 accessoryuses to another. non-residential use.
WARNING TO.OWNER:. Your failure. to -Record a Notice of. Commencement may result in your.payi ig twice for
improvements to your. property. A. Notice ofCommericement must be recorded and posted'oh'the jobsite
:"before the.first'irispectioii.If;you-intend to obtain'financing, consult with lender oran.attorney before. '
cOmmencinR work or reco iqj-yp4ENoticeof Commencement:.:
s
Signature. of;Contractor/License.Holder.
Signature of Owner/lessee/Agent
STATE OF FLORIDA :.
STATE'OF FLORIDA:_
COUNTY OF
COUNTY OF: 97:-.-- "e-el' .
The forgoing instrument was acknowledged before me
-The forgoing instrument was acknowledged before me
this• day of i'Y1 44�2GN 20 3?by
this day.of 20 3-> by
C. SIGH :..W 4��r xs E ' .. .
yiV ) A4 rwc �iy.iu�'
(Name of person acknowledging)
(Name.of person. acknowledging)
KLA.'..
(Signature of No a Public -'State of Florida)
(Signature of Not Public- State of Florida )
Personally Known. // OR -Produced Identification -
Personally Known 'OR Produced Identification
Type of Iden#ification Produced
Type -of Identification Produced
Commission No..: _ OAr-AON BASKIN
Commission No. DORO 0BASKIN,
MY COMMISSIQN # GG 030145MYCOMwIISSION
# GG030145
nr 2�
_4ec
nderwritersEiXPIR
;, r c <
ru Notary Pubiic.0 o Honded Thru Notary Public Underwriters
Revised 07/15%2
REVIEWS:.
FRONT; .:
ZONING - .
SUPERVISOR
PLANS _ .
-'VEGETATION,: -
. SEA TURTLE .
MANGROVE- .
COUNTER_:.
`REVIEW
REVIEW:..' ...REVIEW..
REVIEW.
-.REVIEW.-.
.:REVIEW.,:.
DATE
COMPLETE .
INITIALS..
. .