HomeMy WebLinkAboutBuilding Permit Application I
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ALL APVWFO MUST eECOAM FOR APPLICATION TOBE ACCEPTM
Date.
� '7 Permit,��: I )_ 0 04 to
_ g
RECEIVED
Building Permit Application JAIL ® 4 2017
Planning and IX-vel lopment"Services
Building and Code Regulation Division
230 frrrginillAvesue,Fart Pierce FL 34982
Phone:(772)4621553 Fax:(772)462-1578 Commercial Residential
PERMIT APPUCATION FOR: To Seked from dropbox, dick arrow at the end of Ine
PROPOSE
- 1I111PRdiTE[ ENT:L�£3�
Address: 1 CE l_--, (';� Port St Lucie 34952
Legal Description.part of 34145014701-00OJ9._Sparfth Lakes One
Property Tax ID� Let No.
Site Pian Name: "! Block No.
Proms Name:
setbacks Front Back Right Side: Left Side:
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�E�i A1�E� DES�t�IPTI®i�-C3F ll1�Ot�� -
DwidFtiion of hiobiie hone
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NSTRU F1,C�I9.Iip I
NFOR �110 -
A fflona woF:to (e "orme un eF - is permit— e :a apply:
L JHVAC !_t Gas Tank []Gas Piping Shutters u Windows/Doors
(-Electric Plumbing ElSprinklers EiGenerator L=1 Roof
Total Sq.Ft of Construction: Ft.of First Floor:
i
Cost of Construction:$ UMes: _Sewer Sep& auildmg Heist
Named Ekfdd ft Corporation Name- Matthew We Wynne
Addrew 8OW Sasdh US 1.Suite 402 company:Wynne Omrdlo�Chan
City. Port St.L uc le Stater Address. 5000 South US 1,Sebe 402
Zip Code:349521 X772-878-0224 crW Port%Lucie - S �-
Phone No.�'$7�13 Zip Code: Fax 772-8784Y224
E-Mail:sw@wWvwbo c=n Phone No.7724WS-5513
Fill in fee simple j rifle Halder on next page(Hili fe rent E-Mail:suets c0m
from the Owner'listed above) State or County License: CGCO35M
tf value est m 1913 tEion is$2580 or more,a RECORDED Notice of Camanenement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: _Not Applicable MORTGAGE COMPANY: _NotApplicable
Name: Name:
Address: Address:
C-dT- State: City.- State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: =Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
Z p:City: Phone: Zip: Phone:
I
I certify that no work or installation has commenced prior to the issuance of a permit
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confl-ict with any applicable Home Owners AssOaation rules,bylaws or and covenants that
structure Plea consult with your Home Owners Association and review your deed for anyrestrictio�hi moray apply�brt �
In consideration;of the granting of this requested permit,l do hereby agree that t will,in all respects,perform the work
in accordance with the approved plans,the Hodda Building Codes and St.tuts County Amendments.
The following building permit applications;are exempt from undergoing a full concurrency review.room additions,
accessory sures,siumit wring pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Yortrfailure to Record a Notli a of Commencernent may result m your paying twice for
improvements to your property.A Notice of Commenaemelftmust be recorded and posted on the jobsite
before the fiat inspection.If you intend to obtain financing,consult Vth tender or an attorn before
commencing work cir URPOngyour Notice of Commencement
s
_$91nature of Clwned LesseWp4wt Rwiatwe of Contractor{
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st L-ie COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'd`'may of �o�r`��. 20�� tiris�ay a#�c%�c:��-�_.ZD �� by
tty�ytiy�- I r�tn�e�>ny;�
(Name of owledging) (Name of p acknowledging)
gnatvre of Notary ilublic-State of FlanSigna re of Notary Public State of a j
Personally Known x OR Produced Identifikation Personally Known x OR Produced Identification
Type of Ident'sfii_ Type of Identti'ication Produced
SUSAN MAGEE
Commission No = MY COMMISSION 647 Comte ori)
:•• o: S:February
23, 019 +a'%
Bonded Thor Notary Pubficc Undenvriters SUSAN MAGEE
tr: MY COMMISSION tf FF 187647
February 23,-2019
P,q` Bonded Thor Notar;,Public Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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