HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONOWNER/LESSEE...
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CONTRACTOR .. • .. - _ r�
--Name lWYNNE_BUILDING CORP.. - '
Name:-MATTHEW LYLE WYNNE - '
Address: 8000 SOUTH US.HWY. 1.:' SUITE 402 :.
-Company: WYYNE_DEVELOPMENT:CORP. -:
City: PORT ST, LUCIE - ... State: FL.
Address:.8000 SOUTH US. HWY. 1 .. SUITE 402 -
Zip Code:.34952. . Fex: (772) 878-7656
City: PORT.ST.. LUCIE
Phone.N0 (772) 878-5513'-
Zip-Code:.'-34952 Fax: (772)-878-7656
E-Mai :
5513
Phone '(772) 878- No. .
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Fill in.fee simple Title Holder on ne.4page (if.dif.e�ent_
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EL -Mail.:..
from the OWnerlisted above)
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State or County License.. CG.003599 .:
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1,::I.t valu ' of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN.LAW IIVFORMATION:a
DESIGNER/ENGINEER: Not -Applicable
MORTGAGE.COMPANY .: _ N.otpAppiica . " . *-
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:N6mel:.BRADEN&BRADEN..-' .:.. ... .... ..
Name:.- . -... ..- ...•. ..-' ...-. .. ' .
Add ress: 417 COCONUT AVE.
Address:
.City:. PTVART State: FL.
City: State:
Zip: '3¢996' Phone:' (772)287-8258
Zip: -Phone:: -
FEE.SiMPLE TITLE HOLDER:.-.' : Not Applicable ::
BONDING COMPANY:.' :Not Applicable
Name::
Name:
Address:.
Address:
City: ..
City::. .. . . .
Zip. Phone:'
-Zip:-.-'I . .. Phone::
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.i certi that no work or. installation has.commenced.prior to the issuance.of:a permit. -.. . .
St:.
: Lucie County makes no representation that is'gra"nting a permit will authoriie.the-permit'holdee to build th'e�subject structure'' . ,.
:Which i$ in conflict With' any applicable Honie Owners Association rules, bylaws or -and covenants that rnay-restrict or prohibit such -
structu e. Please consult with your Home•Owners Association. and review your.deed for any restrictions which may apply..
In cons�deration.of the granting of this requested permit,. I do hereby agree that -I will; in all respects; perform the work
: in -accordance -with: theapproyed:plans the Florida Building Codes and St: Lucie:County:Amendments.-
:The folll wing building permit applications are exempt from. undergoing a:•full corlcurrency 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*ofwCommencerrient must be -recorded and.posted on the jobsite
: before tlie.first inspection. If.you intend to obtain financing; consult with lender or an attorney before . _-
comm'ehciri Work or recordin : oili- Notice of Commencement..:
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s
tore of Owner/ Lessee/Agent : :
_ Sign
Signature.of Contractor/License•Hbid'er, .
STATE
OF FLORIDA = :.
STATE OF FLORIDA:-
COUNTY
.
OF :S ,: ��rci e—
COUNTY OF:
The forgoing
instrument Was acknowledged before me .:
The forgoing instrument was acknowledged before.me
.this
of OCJ�—o /3 c`n, 20 Lby -
'this4�day of O'C`rc+a �X . 20 � by
'by -
Nr�iE
/off 77)-1 L1.c-F : �iU YNAlt .
(Name
of person acknowledging)
(Name.of person.acknowledging )
of Nota ukilic-State of Florida)
(Signature of Notary. lic- State of Florida )
.
(Signature
Personally
/
Known- " ✓ OR Produced -Identification
Personally Known - . FOR Produced Identification
Type of
Identifica '
Type -of Identification Produced ."
"
. ..
Commi
.... �...,, - DOROTHY ANN BASKIN .
, .. ., )GG 030145
sion No.. MY COMMIS
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ComFriissio.n N �.,�p.a,�,,,y DOROTHYANN(&90"
c; EXPIRESOCt W2,2020
Thru Public Underwriters.
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f�•:
aonded Notary
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Revised
Bonded thni Notary:PuWfc lJndefwriters
07/i5/.2014
REV[ IWS :
FRONT: "
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SUPERVISOR-
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VEGETATION':'
. SEA TURTLE -
: MANGROVE: -
C.OUNTER.:.
REVIEW
REVIEW -
REVIEW.
REVIEW.
. REVIEW
.REVIEW-..
DATE
COMPLETE
INITIA iS;
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