HomeMy WebLinkAboutBUILDING PERMIT APPLICATION..v
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APPLICABLE INFO MUST BE COMPLETED FOR APPL'ICATIOMTO BE ACCEPTED
tec. Permit Number: ..
® --- .. - - .. - - .. R-E — E p
SEP Y 2018: Building: Permit Application.. ; .
nning and Development Service3 -- ST: Lucie Count .
YFfrmitting
(ding and Code Regulation Division
10 Virginia Avenue, Fort Pierce FL 34982 '
one: (772) 462=1553 -Fax: (772).462- -578- .. mCOn'lrilerdal. ReSid :ltLal X
PERMIT
APPLICATION -FOR:. Other:: _:.
PR&OSED`
IMPROVEMENT LOCATION: $Y• ,.
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COS
TRUCTION INFORMATION:
'
Iona .wor:.to . e erformi5d; . under t. is-permit.—'c. ec
; a!I�VjA
apply:
HVAC,-Gas
Tank .:GasPiping
Shutters
a:V1/i.ndows/Doors• .
✓
Electric
ng .
Plumbi'.
�� Generator
L Roof
Total
. .
,q:.Ft of Construction: 972
...:.
.Sprinklers
S .'Ft: of First Floor::972
. . . . .
' Cost
7,776.00 .
f Construction: $ =
Utilities:
Sewer
Septic
Building Height---:
OW�JER/LESSEE:
CONTRACTOR s y_
NamelWYNNE.BUILDING
CORP... '
Namec'WIL•L•IAM_D. BRANTLEY ;
8000 SOUTH US.HWY. 1.: SUITE 402
Address.
City: PORT
Company: WYYNE DEVELOPMENT CORP. -
: Address:.8000 SOUTH US HWY. 1. SUITE .402 .
ST. LUCIE -.. State: FL.
Zip C
de: -34952 :.-. Fax:.(772) 878-7.656 .. :
City: PORT.ST. LUCIE .. :. - State: FL..
Phon
; No: (772).87&5513'
Zip Code: 34952- Fax: (•772)-878-7656
E-Mail:
Phone No.:(772) 878-551:3 . . . . .
ee simple Title Holder on next page (-if.different' ' ..
--Fill in.
E-Mail.:..
from t
-e Owner listed above)
State or County Licenser DIH1016128:--29524
If value','of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r. .
is
�..77
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SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION: -
DENER/ENGINEER:
_:Nat
Address:.:
Cit
Zip
x Not -Applicable
- STEVE woob . .
= MORTGAGE.COMPANY xNot Applicable .
� Name: .... ...
Address::
City: State:
Zip: Phone::
State:
Phone: (772)618-5644
FEE.SIMPLE
Name:
Ad6ress:
Cit
-Zip
. .. .
TITLE HOLDER: � . x—: Not.Applicable
BONDING COMPANY:. x . Not Applicable
Name:
'
Address:
City:.. . .
Phone::
Zip: Phone:
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I ce tify that.no work or. installation has.commenced.prior to the issuance.of a permit.
Si-. Lucie County makes, no representation that is -granting a.permit will authorizethe permit holder:to build the subject:structure
whi h is in con lict with any applicable -Home Owners Association rules,.bylaws or and covenants that -may -restrict or prohibit such -
stru ure. Please consult with your Home.Owners Association and review•your.deed for any restrictions which may apply.
In c nsideration.of the granting of this requested permit; I do hereby agree -that I will, in all respects, perform the work
in accordance with the app.roved:plans,the Florida Building Codes and St: Lucie-CountyAinendments.'
Thefollowing building permit applications are exempt from undergoing a. full concurrency review: room additions;
accessory structures, swimming pools,Jences, walls, signs, screen rooms and accessory uses to another.no.n=residential use.
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WRNING TO.OWNER.:.Your failure•to Record a Notice of.Commencement may result in-your:payingtwice for
im rovements to your: property. A Notice of Commencement "must be. recorded and .posted on the jobsite
_before the first inspection. Ifyou intend to obtain financing, consult with lender or:an.attorney before
Co 'mencing work or retording.:VOur Notice of Commencement:
�. ro s..
Signature of Owner/ Lessee/Agent Signature of Contractor/License-Holder -
STATE OF FLO.w4k` STATE OF FLORID
COUNTY OF C _U i�ASL COUNTY OF
The f going instru erit was cknowledged fore me The forgoing instr en w s acknowledged efore.ine
this day of 20by this day of 20 by
.. _ �an-�
. t : . .
2
ay,n a+4
(Narie of person acknowledgirfg) (Name.of person.acknowled ' g) -
(Si ature of Notary Pub ' -State of Florida) (Sig ture of Notary,Publi tate of Florida )
Pers nally Known. OR Produced Identification - Personally Known OR Produced Identification
TYPE of Identification. Produced Type of Identification Produced.:
r;1Notary Pyy�l�lic g{{ate : of Florida
Commission No. .: Julle NI=11l ... Commission No. Yam. Notary p4i$uA�te.oi Florida
11
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_ Julie Nlnassi .
o Expires 10/16I2020� e• My Commission GG 038942,
My commission GG o36saz
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RCv1S6d- 07/15/2014 .
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EWS:.. FRONT_ ZONING - SUPERVISOR. PLA VEGETATION SEA TURTLE MANGROVE:
COUNTER.: REVIEW REVIEW. .REVI REVIEW REVIEW REVIEW .:
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