HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.OWNE.R/L.ESSEE:
CONTRACTOR.
-NarheW-YNNE-BUILDING'CdRP.
Name: MAT-THEWLYLEONNE-
. . . . . .
Address: 8 . 000 SOUTH US HW . Y. 1 - SUITE 402
. ornpanV: WYYNE I D . EVELO - PIVI . ENT CORP.
city:- PORT ST. LUCIE State: FL
ddress: 8000 SOUTH US, HWY. 1.. SUITE 402
Zip Code'�.34952.:._ Fax- (772) 87867656
ity: PORT.ST..LUCIt e..
ph6n6.No., (772)-878-5513'
-Zip Cod6:_34952-.:' 'Fax: (772)-1878-!7656
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:E-Mail: . . . . . . . .
Phone -No. :(772) 878-5513
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-,Fill in. fee.simplie.Title Holder on. neXt. page (if different.
..E-Mail:
from the Owner'listed above)
. . . . . . . . . . . .
State or County License:' CGC03599 .... ...
If value of-CoRstruction is $250O.or more, a RECORDED Notice of Coinmencernent.is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFOkMATION:
DESIGNER/ ENGINEER: Not Applicable
MORTGAGE COMPANY-i Not Applicable
Name: BRADEN & BRADEN.
N ame:
Address: 417 COC NUT AVE;
A' d ress:
City: STUART State: FL.
C�ty: State:'
Zip: 34996 Phone: (772)287-8258
Z' Phone-:
p:
FEE SIMPLE TITLE HOLDER. No*i.Ap licable
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t
BIONDING COMPANY:. No Apolicable
Name::
ame:
Address
dress*
-city:
y:
Z�p:
Phone:'
Zip: Phone:
I certify that no work or installation has commenced prior to the imLnce.of a permit.
St. Lucie C,6un ak'es no- repre . sehtatidh -that is . granting a -permit Mill authorize the germ it'holder to build the subjectstructure
which is i con7licmt with any applicable Home Owners Association rules, bylaws'or an covenants that- may restrict or prohibit such
structure. Please consult with your Home Owners Association and re iew your deed for any restrictions,which mayapply,
In consideration of the granting of this requested permiti 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: ourityAmendments.
The following building permit applications are exempt from undergoi rig a full coricurrency 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 C�mmencement may result in your�paying twicLefor.-
im rov'm ts t' 0 0
p e -en o your property. A. Notice of CommencO entmustbe'rec rdedandp stedonthejobsite
.:before the ffrstirispection. Ifyoulin'terid to obtain financin1g,'consult with Ijander or,an atto�ney before-
commenc . ing work or rkording your Notice of Commencement.
_s
Signature of Owner/ Lessee/Agent Signature of C6ntractor/License Holder
STATE OF FLOPIQA
STATE OF FLORIDA:
COUNTYOF
COUNTY OF
The foEgoing - instrurp" was acknowledged hefore me T[ e f?r oing instr nt was acknowledged hefore me
th s day of fflk 20 Nby, th is day (if 20 by
(Name of person a
41 . V . y 1.
(SigWre of _ffotary Public- State of Florida
Personally -Known OR -Produced Identification
Type of Identification Pr
T714� Notary public State of Florida
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Commission No.
my Comml sion GG 038942
CM Expires 10/16/2020
�Reviseai(]17/15/2014
ame of person. acknowledgin
�nat of Nota�j Public-- State of Florida
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;onally Known OR Produced Identification
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imission No.
ubllc State cf�Floridaa
Notary Pi,
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Julle Ninassi
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