HomeMy WebLinkAboutBuilding Permit Application (3) J
ALL APPLICABLE 1100 MUST BE COMPLETED FM APPMMON TO BE ACCEffM
Date: Permit Number. f I
Budding Permit Application 11
Planning and Development Services
Building and Code Regulation Division
2300 ifirginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)4621578 Commercial Residential
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PERMIT APPLICATION FOR: To.Select from dropbox, dick arrora at the 'lend of line
PROPOSED IMPROVEMENT LOCATION:
Address: l�°- l_ ��s - Port St. Lucie 34952
Legal Description:part of 3494-501-9709-00019-Spanish Lakes One
Property Tax ID#:
' Lot No.
Site Plan Name: I Block No.
Project Name:
Setbacks Front Back: Right Side:` Left Side: I lg
d
DETAILED DESCRIP T]ON OF WORK:
Demolition of mobile horne
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CE I�#STRDC:Tff, N INFORMATION:
Additional work c to e e orme under this permit—c ec t all
apply: 'f
If
HVAC Gas Tank Gas Piping _Shutters; I Windows/Doors
Electric Plumbing FISprinklers fo Generator Roof
Total Sq.Ft of Construction: Ft.of First Floor: f
Cost of Construction:$ utilitiesSewer QSeptic i Building Height:
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OWNER/LESSEE: CONTRACTOR: "w
Named Bufldirig Corporation Name. M �Lyle Wynne
Address:8000 South US 1,Suite 402 Company:Wynne Development Corporation
City_ Port St.Lucie State•FL Address: 8000 South U$1,Suite 402
Zip Code- 34952 Fax.772-$78-0224 may- Port St.Lucie State-
Phone No.772-878-5513 Zip fie. 349s2 F ?72-878-0224
E-Malksue@ netic-comPhone No. 772;878-5513
FIII in fee simple Title Holder on next page(ff d'dffere E-Mail:,sue@wynnetimoom
from tlie owner fisted above) State or County License:° CGCO5999
it value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL.CONSTRUCTION LIEN LAW-INFORMATION:
DESIGNER/ENGINEER: 4 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: 1 —Not Applicable
Name: Name: ,j
Address: Address: 'I
City: Cry: I
Zip. Phone: Zip: E Phone=
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I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie Countte�rr makes no teprreessee�tation that is granting a permit will authorize the holder to build the subject structure
which is in con#Iict with any appiicafale Home owners Assoclation.rufes,bylaws or an�venantts that may restrict or prohibit 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 reser,perform the work
in accordance with the approvers plans,the Florida Building Codes and St Lupe County Amendments.
'The following building permit applications are exempt from undergoing a foll cancur("ency review:room additions,
accessary structures,swimming pools,fences,walls,sigma screen roams and accessory uses to another non-reside use
WARNING TO OWNER:Your failure to R a Notice of may ` iFi your paying il for
improvements to your prop A Not! - of Commencement must belrecarded and post n e jobsite
before the first inspecti . you in to obtain financing,consult with lender or an att a before
comrraenci work or r ! Notice of Commencement
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id
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_Signator?of Lessee/Agent Signature of Contrgstdff r ,
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF s•Lucie COUNTY OF sx Lucie I
The forgoing instrument was admowledged before me The forgoing lnsErument was acknowledged before me
`eV
7n� 24�by day ofr tti;p�c .7-0 by
"j
Mmewtyfewrok
(Name of cknowledgin (Name of person acknowledging)
;al
Signa re-of Notary Public-S Florida) jSA6vkufe of Notary Public-State a rida)
Personally Known x OR Produced Identification Personally Known x OR Produced identification
Type of Identification Produced Type of Identification Produced'
Commission No. °tip"e susaid t:( a1} Commissi ,.. (Seal)
+; r�My UUMMISSION u FF 187847
EXPIRES:February 23,2019 ; MAGES
' ),'r,1 p OU 18 zr! 'J !C It elkV 91S Hca•
Revised t)7l1S 20149FQ oo dihS:February 23,201s
—_ Notary Public U»dewriters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I
COMPLETE
INITIALS i i
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