HomeMy WebLinkAboutBuilding Permit Application i
ALL APPUCABLE NFO MUST'BE COMPLETED FOR APPUCATiON TO BE ACCEPTED
Date:
6 ��% Permit Number.
RECEIVED
Building Permit Application JUL 2 9 2016
Planning and d DevelopmentSeadces
Building and Code Regulation Division
23W WgiriiaAvenae,Fart Pierre FL 34982
Phone:(7?2)462-1553 Fax:V72)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line
PR0 OS D; il!(FROVEAJtENT LOCA-nQN
Address: Port St Lucie 34952
Legal Description:lad of 3414-M 1701 .-Spanish Lakes One
PropertvT, ID B: Lot No.
Site Plan Name: Block No_
Project Name: t
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIO' N OF WORK.
DemoFilion of mobile home
CONSTRUC i1['(NFORIgli�4l`1�N
Additional nr c to be e Ormeunepermit— eca _aappE]GasTank
n VlndowsJDoorsE VAC [:]Gas Piping Shutters
L_lElech is Plumbing Sprinklers L_1 Generator O Roo#
Total Sq.Ft pf Construction: S .Ft of First Floor:
Cost ofConstruction:$ �Z� Ul3lities: Sewer Septic Mdrng HeWTt:
I _ -
OWNERjLESS€E. COW RACTOR
NamevWre Building Corporation Name- Matthew Lyle Wynne
Address:8l�0 South US 1,Suite 402 Company-V4quw Development Co on
City. Port St_Lune Stater Address: 8000 South US 1,Sure 402
Zip Code:*9 772-878�?224 cxy Poet St Lucie - State-i'-
Phone No.�-8 593 Zip Code:34952 Fay.772-8784Y
E-Marl:Sie*Wnnebc-com Phone No_772-978-5513
Flt in fee simple Tdie Holder on next page(If d'rffererrt E-Mail:sue@wynnebc.corn
from the owner rner risted above) State or County License. CGC035999
[f value of mon is$2500 or moray a RECORDED Notice of Commencement is reequked.
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SUP' ' CONST REl�9®,\9 LIENI4W ,N1FORMATIOU:
DESIGNER,JENGINEER: _Not -
Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: city: State:
Zip: Phone: Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: I Name:
Address: Address:
Zip: Phone: Zip: Phone:
I
I certify tha no.work or installation has commenced prior to the issuance of a permit
St Wcie Ca my makes no representation that is granting a permit%rill authorize the permit holder to build the subject structure
which is in conflict 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 ork
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 addition ,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-res" ential use
WARNING
II TO OWNER:Your failure to Record a tice of Commencement may result in your p ng twice for
improvements to your property.A Notice of mmencement must be recorded and post on the jobsite
before the first inspection. If you intend to Iain financing;consult with lender or an a omey before
commencingwork or in our No ' of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of ntractor/License Holder. _
9
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF si.Lucie COUNTY OF st.Lucie
The for o ing instrument was acknowledged before me The forg, ing instrument was acknowledged before me
this day of -� �, . 20�l�by this day of �St�.�� .20\\,o_by
iVtaith�r�Lyle 4Vyrmc iNai6—4Le V47—
(Name of person acknowledging) (Name of person acknowledginIq
i
(Signature of Notary Public-State rida) i ature of Notary Pu iic-5 Florida)
PersonallyKnown x OR Produced Identification Personally Known x OR Produced Identification
Type of Iden cation Produced Type of Identification Produced
Commission No. - Commission Seai)
4o."y, SUSAN MAGEE r P
MY COMMISSION 0 FF 1876Q7
��VlseC��7/15/
2 4. MY Sam
4 Bonded Tluu Notary Pbltc Undenmters =± �>° EXPIRES:Febnjary 23,2019
qf;�C••` Bonded 71i u Notary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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