HomeMy WebLinkAboutBuilding Permit Application T•
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ALL APPLICABLE IW-0 MW BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number. ,
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Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division
23t 0 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)462-1553 Fax:(772)4621578 Commercial , Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of fine
PROPOSED IMPROVEMENT LOCATION: �
Address: \` Port St. Lucie 34952
Legal Description:part of 3414509-1709-00019-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back Right Side: Left Side:
FDE DESCRIPT ION OF WORK:
Demolition of mobile horde y
CONSTRUCTION INFORMATION:
Additionalmor c to (ege m
ore un er t is pa apply:
permit—c ec t
HVAC L._l Gas Tank �as Piping _Shutters I FlWindows/Doors
Electric LJ Plumbing Sprinklers [J Generator 0 Roof
Total Sq.Ft of Construction: Ft of First Floor:
Cost of Construction:$ :slzi� UtilitiesSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR: ;
Named Building Corpora6ion Name: Matthew Lyle Wynne
Address.8000 South US 1,Suite 402 Company:wNnoe Development Corporation
City: Port St.Lucie State-FL Address: 8000 South US 1, Scute 402
Zip Code:34952 x.772-878-0224 may- Port St, LucieState'FL
Phone No_772-878-5513 Zip Code., 34952 Fac 772-8784=4
E-Mail:sueWjynnebc•coi'i Phone No. 772-878-5513
Rif in fee simple Title Holder on nerd page(N different E-Mail:sue y►nnebc.cxzm
from the Owner listed above) State ar County License: CGG0359W
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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PPLEMENTAL CONSTRU TION LIEN LAW INFORMATION:SIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
me• Name•
dress: Address:
City: State: City State:
Zip: Phone: Zip: I Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: TNot 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.Lucie Counti1�W,makes no represeenti��tion that is granting a pesmlt 1#authorize the holder to build the subject structure
which is in wnflid with any applicable Home Owners Association rues,bylaws or andsarrts that;may restrict or prohibit such
structure.Please consult with your Nome 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 exeffiptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming.pools,fences,vmls,signs,screen rooms and accessory uses to another n 'dential use
WARNING TO OWNER:Your failureto ecctrd a Notice of may result in your 'ng twice for
improvements to your property.A I icy of Commencement must be retarded and post on the jobsite
before the first inspection.If ou i nd to obtain financing,consult with lender or an a mey before
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commenwork or re r Notice of Commencement.
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_Simature of 1 Less�Agent Signature of ctor IJ Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF swift COUNTY OF sr.wtie
The f oing instrument was acknowledged before me The forgoing instrument vias acknowledged before me
this of ����� 201�bq this�b�'`Vay of77 r, tc-w�-z ,20\� by
m wamw byte vy nY4 A6 wh-- Cyte Vky—
(Alame of acknowledging} {Name of pe -acknowledging}
(Signature-of Notary Public-State da} i Signature of Notary Public-State arida.
Personally Known on Personally Known X OR Produced Identification
Type of Identifica a l:Rri( aced suaan,w�g� L:` Type of Identification r
MY COMMISSION#FF 187647 SUSAN
nn.;t E
EXPIRES4 MAG
Commission Ni . 'p' =` :Febrt �}2019 Comniisn No. +: MY COMNISa}9 167647
rm Notary public Underwriters •Lit�;c EXPIRES:February23,2019
tt og,(;ti�` fionded Tlrnr Notary pu6fio UnL writara
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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