HomeMy WebLinkAboutBuilding Permit Application (2) A11.APPLICABLE It"MUST BE COMPLETED FOR APPLE M14 TO BE ff.W9 ED
Date: Permit Number.
i7702U .op;l
• IAS i
T Building Permit Application `i
Planning and DevelopmentSeadces
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772}462-1553 Fax:(772)462--1578 Commercial Residential
i .I .
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at thelend of line
PROPOSED IMPROVEMENT LOCATION:
Address: Fort St.Lutes 34952 id
Legal Description-
part of 341450'1-1701--00019-Spanish Lakes One � !�
�I
Property Tax ID#: !I Lot No.
Site Plan I Name-• Block No.
Project Name: i
Setbacks Front Back: night Side: Left Side: !8
DETAILED DESCRIPTION OF WORK: 16
-71
Demolition of mobile hoMe
CC)I�ISTRUCTION INFOIfMATION
Additional wor c to be De( Orme under this permit-c h,,I,a apply: 1 1
1—]HVAC 11Piping _Shutters f ,i'F]Windows/Doors
OElectric ED- Gas Tank Gas�1 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ Utilities-USewer[.!!Septic i; Building Height
!
OWNER/LESSEE: CONTRACTOR: ,z
Named Building Corporation Name: Ma#theur Lyle Wynne
Address:8000 South US 1,Suite 402 Company:VV�Tne Development Corporation
City: Pork St.Lucie State: Address: 8000 South US 1,Suite 402
Zip Code:34952 x.772-878-0224 may. Port St.Lttcie i State d
Phone No.772-87&5513Zp Code:.34952 C Fax 772-878fi224
E-Mall:sue@wynrtebc.c 0m Phone No. 772-878-551'3
Fill in fee simple ride Holder on next page(Nevent E-Mail:sue�vsynnebci�m
from the Owner listed abow) State or County License: CGC03S999
U value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
FDESSUPPLEMENTAL CONSTRUCTION"LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY Not Applicable
Name. Name-
Address:
:LE L CO
UPP
-I-G
DESIGNER/ENGINEER:me-
Address: Address:
City: State: City: —state:
Zip: Phone: Zip: Phone..,'
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:-I' Not Applicable
Name: Name:
Address: Address:
City: City: I Id
Zip: Phone: Zip: I Phone:'l
i gig
I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie CDunW,,,makes no representation that is granting a permit win authorize the holer to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an nts that may.restrict or pr9hlblt 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 res'p�l ects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lude County Amendin-' enn-M
The following building permit applications are exempt from undergoing a full concurrency review:room additions'
accessory structures,swimming pools,fences,walls,sigit%screen rooms and accessory uses to�,"another norresidI luse
WARNING TO OWNER:*Your failure to Record a Notice of Commenceiimm may result In your twice for
improvements to your propeo;y.A N!� f 'ornmencement must be 'recorded arid postthe jobsitie
before the first inspection yo, nte.:Zd �Ilbtain financing,consult with lende"i n a ey before
�OA
ci�
c
0
y a ice of Commencement
commencing work or re-e644cour Ace 0
I al s
signature of Owner/Lessee/Agent Signature of Con trIc-tcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL u,* COUNTY OF SL 6-t
The forgoing instrument was acknowledged before me The fo g instrument wl�
n as acknowledged before me
thi of 20 by day Of 20 by
(Name,71peiacknowledging) (Name of person-�cknowledging)
aof Notary Public-State of (&ja�eof Notary Public-State of Ida)
Personally Known x OR Produced Identification Personally Known x Ii OR Produced Identification
Type of Identification Produced Type of I .
T
susm MAGEE
. .... S. My COMMISSION#IFF�1B7&all
-1,V f SUSAN MAGEEJ CO
Commission Commissio
MY UUM SION#FF EXPIKtZj:tearualy eo,
A. Boan&d Thru 14oterl Pubric UndenvIlters
Febtuary 23,2019
.g EXPIRES: 1!
u0noea I 11ru mialy num unw-ri%=
Revised I
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