HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION'TO BE ACCEPTED _
Date: Permit Number.
Building Permit Application
Planning and DevelopmentSeadces
Building and Code Regulation Dj&fon
2300 trugmiaAvertne,Fort Pierce FL 34982
Phone:(772)462-1553 Fait:[772j 462-1578 Commercial Residential
PERMIT APPUCATIOIII FOR: To Select from dropbox, nick arrow at the end of line
PROPOSED IM'PROVEMENT LOCATIC►
Address Port St Lucie 349M
Legal Descriptiorr.l of 3414-501-I7�i11n9- Lakes tine
Property Tare ID Lot No.
Site Plan Name: ' Block No.
Project Name:
Setbacks Front Back: light Side: Left Side:
DETAILED,DESCRIPTIO. OF,:WOR-K
DemQCition of nude honle
'CQNS "RUCTIOU INF£?RMATION _ i.
Additional work to ben ormed
... .unclertnis permit-che
c a appy:
I
(r1HVAC Gas Tank [�Gas Piping _Shutters it mandows/000rs
LSI Electric Plumbing'
l unbi
rigSPrinkiers f.�l Generator O Roof
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Total Sq.Ft of Construction: So.Ft.of First]�Floor:
Construction:of Consction:$ U1�TrtiesSewer t ; rSeptic Building Height:
..PWNERJLE$SEE OIV R CFC3R
Nameftrme Building Corpomfion Name: Mattheva'Lyle Wynne
Address 8=South US 1,Strife 402 Company-Wynrie Deireloplrrbnt Corporallon
City.. Port SL Lune Stater- Address: 8000 South US 1,Suite 402
Zip Ccde-34452 X772-87E-W-4 Cky Part SL Lucie
State:FL
Phone No.772-878- 18 Zip Code:34952 Fw�772-878-0224
E-Mall'
e c
stwynneborn Phone No.772-878-5513
Fill in flee simple Thie Holder on next page ff different E-Mail:sue agwynnebrm
#torn the Owner listed above) State or Cots V License: CGG035M
,
!f value construction is$25W air roots,a RECCODEID Notim of Cominimcenimt is retWired.
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SUPPLEMENTAL CONS—1 RUCTION LIEN LAW INFORMATlOW
DESIGNERJENGINEER: _Not Applicable MORTGAGE COMPANY: _Not:Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit-
St.
ermitSt.Lude Countyy makes no representation that is granting a permit will authorize the permit holder to build the ject structure
which is in conflict with any applicable Home Or niers As�ation rales,bylaws or and covenants that may restri or prohibit such
structure_Please consult with your Home Owners Association and review your deed for any restrictions which y apply.
In consideration of the granting of this requested permit,l do hereby agree that 1 will,in all respects,perform a work
in accordance with the approved plans,the Florida Building Cotes and St.Lurie County Amendmeirts
The following building permit applications are exempt from undergoing a full concurrency review:room ad " ns,
accessory strrac#irres,s:rrirrurrirrg pools,fences,�s*allsy signs;sir rooms and accessory uses to another no dentiat use
WARNING TO OWNER:Your fairiure Record a Notice of Coertrtencement may"Madt,ir yo paying twice for
improvements to your property.A otice of CommencemeRt°must be re and sted on the jobsite
before the first inspe .if y ntend to obtain financing,consult zuth or attorney before
commends w- rdi your Notice of Commencement.
S
_Siknatue of Owner/Lessee/Agent Suture of Cwuactos{lscense 4inldff
9
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sz l, COUNTY OF'sL Lucia
The foxing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of�Qc���, . 24\(r by by
i
rr r rqm
Maw—Lyle 1041—
(Name of owledging) (Name of persdn admcrvAedging)
gnawre of Notary Public--State da j (Signature of Notaryu.ME--S orida j
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of tdentifi s�s3 Type of identificiistion Produced
<�;, SUSAN MAGEE a`
i
Commission No. :._ kff COMMS%Wk FF 167647 Commission <�� SUSAN MAGEE feral i
y'c EXPIRES:February 23,2019 ,.- ::- I MESION#FF 185647 j
ry Q :
F` r3ondedThruNotary Public Undenvriters' ;�' a- EXPIRES:February 23,2019
�.
Revised 0711512014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
tNTTtALS I .
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