HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
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Date. Permit Number: DnlI -
Building Permit application
Planning and Development Seaddes
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax.(772)4621578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow gat the end of line
PROPOSED IMPROVEMENT LOCATION: �.
Address: Port St.Lune*52
Legal Description. ! of 3494501-1701-00019-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Name: ! Block No.
Project Name: �-
Setbacks Front Back: Right Side Left Side:
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DETAILED DESCRIPTION OF WORK:
Demolition of mobile horiie
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CONSTRUCTION INFORMATION:
Additional work c to (e De orme under this permit—c ec c a appy:
nHVAC Lr1 Gas Tank []Gas Piping Shutters! ��---}} [] p g ❑Wfndows/Doors
Electric (_^(Plumbing Sprinklers E2 Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ Utilities Sewer USeptic Building Height:
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OWNERf LESSEE: CONTRACTOR:
NameVVYrm Building Corporation Name: Matthew Lyle Wynne'
Address:8000 South US 9,Suite 402 Company:Wyinne.Developrnent Corporation
City: Port St.Lucie State- Address. 8006 SouthUS 1,Suite 402
Zip Code- 34952 Fax-772-878-0224 may- Port SL Lucie State.FL
Phone No.772-878-5513 Zip Code- 34952 Fa)c 772-878-0224
E-Mail:su nebc- Phone No. 772-878-5513
Flt in The simple Title Holder on next page(if different E-Mail- scue@"ynnebc.com!
from the Owner listed above) State or County License: CCi999
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if value of construction is$2506 or more,a RECORDED Notice of Commencement is required.
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TRUCTION-LIEN LAW INFORMATION:
[ESIGNER/ENGINEER: _ Not Applicable MORTGAGE
COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City- State:
Zip: Phone: Zip: Phone.
FEEFSIMPLETIn HOLDER: Not Applicable BONDING COMPANY:' _ Not Applicable
Name:
q
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�-
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IlLge coung,makes no represenbltjim that is Wanting a pe_rmtt win authorize the permit holder to build the subject structure
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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.
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In consideration of the granting of this requested permk I do hereby agree that 1 will;in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St Lude County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review m additions,
accessory structures,swimming pools,fences,wafts,signs,screw rooms and accessory uses to a non-residential use
WARNING TO OWNER.,Your failure to Record a Notice of may W your Paying twice for
improvements to your property.A Not" - f Commencement must be'recorded nd posted on the jobsite
before the first inspection.If you inten o obtain financing,consult with lend or an attorney before
commencing work or recording vouclEo'cuipce, of Commencgement 0� 0
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.Signature of r/Le&ejAgent Signature of Ctfiftctor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF sr.L-d-
The f� g instrument was acknowledged before me The forgoing instrument w'as acknowledged before me
thlst�_"'day of 20 2Lby day of 20 by
Memmw Lyte Wyms- MW0WwLyftVVyww
(Name of person-acknowledging) (Name of 'acknowledging)
.W'ature-of Notary Public-state of -`(Eij�re of Notary Pu-blic-StateFlorida
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Personally Known x OR Produced Identification Personally Known x OR Produced Identification
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Type of Identification Produced Type of Mentifidanon Produced
Commission SUSAN MAGERSea Commission No'.
SION#FF 18764
EXPIRES:February 23,201 SUSAN MAGEE
Lj i=,*.�---2pv�*�T-- EXPIRES:February 23,201
RevLsed.W/1512014 Boked 11iru Notary Public Underwriters
REVIEWS FROM ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS