HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
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. Building Permit Application
Planning and l2evelopment'Sec0ces
Building and Code Regulaifon Division
2340 Virginia Avenue,Fait Pmre FL 34982
Phone:{772)462-1553 Fax:(772)462-1578 Commercial Residential
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PERMIT APPUCAMON FOR: To Select from dropbox, dickarrov 4 at the end of lime
-PROPOSED 1MPROitEMENT LOCATt®i'N:
Address: Port St.Luce 34952
Legal Description:part of 34'4-501470'1-0001'9.-Spanish Lakes One
Property Tax ID#: Lot NO.
Site Pian Name: Block No.
Project Name.-
Setbacks Front Back: Right Side: Left Side:
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DETAILED,D.ES.CRIPTION:.OF'WORK _
Demofifion of mobile honle
CONSTRUC3lON INFOIt!/iATION
Additional work toe nerformed under t is
permit— e :a app T-
®HVAC Gas Tank" Gas Piping Shutters wndowsjDoors
UElectric El Plumbing []_Sprinklers nGenerator L=l Roof
Tota[Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ Utilities nSevrer Ll Septic B"mg Height:
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OWN ERILE SEE_ - CONTRACT 3
NameWYnne Building Corporation Name: Mafthev Lyle Wynne
Address-SOW South US 9,Suite 402corn�ny: Devel°pmerit Corporation
city� Port SL Ludee Stater Address: 8000 South US'1,Suite 402
Tip .34M Fax-77
2-876 4 Port SL Lurie Sfate:t--
Phone No_772478-5513 mp Code.mom? Fax
772-878-i224
E-Mafl:sue@wYnnebr-00m Phone No-7724MW13
Fill in fee simpleTale Holder on next page(H different E-Mail:sue@wynnettc.c 6m
from the Owner listed above) State or County License: CGC035899
If value of construction is$2M or more,a REC OMED Notice of Commencement is ireW*ed-
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SUPPLEMENTAL CONSTRUC110N.LIEN L AWINFC)RMATION:1
DESIGNERIENGINEER: _Not Applicable MORTGAGE.COMPANY: _Not Applicable
Name: Name:
Address: Address:
Gry= State: City: State:
Zip: Phone: Zap: Phone:
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FEE SIMPLE TITLE HOLDER: Not-Applicable BONDING COMPANY: Not Applicable
Name: Naive:
Address: Address:
City., City. I'
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit 1
St lode County makes no representation that is granting a permit will authorise thle permit holder pro build the subject structure
which is in conflict with any appCble Home Owners Association nrl�,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 work
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 additions,
accessory structures,svAnzrWng pools,fences,walls,signs,screen rooms and accessory uses to another non-residentiiai use
WARNING TO OWNER:Your faijurte to Record a Notice of Gommerroe emit may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and sted on the jobsite
before the first inspection.If you intend to obtain financing,consult v th lend! attorney before
77E:=;;7
mencement
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_Signature of Owner/L ee{ Sigcratuse of Cosi actor{ Ftald
STATE OF FLORIDA STATE OFFLORIDA
COUNTY OF s:.e c COUNTY OF s+-L-de
The for instrument was admowledged before me The forgoing instrument was acknowledged before me
this-\qftday oo_..��^�20`b by this Cods ay of�� P_i�� _ .2D`�— by
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(Name of aclmowiedging) (Name of person acknowledging)
Signature of Notary Public-State o da) (Signature of Noiaryi Publec State da)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of tdenYsl"scation Produced Type of IdEntr"firatson Produced
y.�"V�y SUSAN AGF
Commission Ido. :? = Oh4MISSl 7 Com (Seal) I
° ��' EXPIRE 18764 ,i�Y N., �� i
Vo= S:February 23,2019 MY COMMISSION#FF 187647 t
°� Bonded Thm festa Public undorvrrit9 EXPIRES.�0151
Revised fl!l1512fl14 (Bonded Thru Notary Public Undorwritera i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW, REVIEW REVIEW
DATE
COMPLETE
INITIALS ,
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