HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: Permit Nuimber: l �
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Building Permit Application
Planning and DevelopmentSeoaces
Building and Code Regulation Division
23W Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(m)4621578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of lime
PROPOSED IMPROVEMENT LOCATION: ,A
Address: s� Port St. Lucie 34952 j
Legal Description- l of 3414509-9709-000/9- h Lakes One
�
Property Tax ID#:
Let No.
Site Plan Name: ) Stock No.
Project Name: �-
I
Setbacks Front Back: Right Side:° Left Side:
DETAILED DESCRIPTION OF WORK',
Demolition of mobile home
CC3NSTRUCTION INFORMATION: � {
Additional wor c to0GasTank
e De orme under this permit—check a a appy: I
HVAC Das Piping Shutters F]Windows/Doors
i
Electric Q Plumbing Sprinklers Q Generator Roof
.Total Sq.Ft of Construction: .Ft.of First Floor: �g
Cost of Construction:$ SIM UtilitiesSewer USeptic Building Height:
I E
OWNER/LESSEE: CONTRACTOR:
NameVyYmrle Btidtt CorPoration Name: Matthey`,Lyle VYlmne
Address.8000 South US 1,Suite 402 Company:Wynne Deveiopmecit Corporation
City: Port St.Ducie State-FL Address: 8000 South U$S 1, Suite 402
Zip Code:34952 x:772-878-0224 may. Port St.LULL- State:i�'L
Phone No.772-878-5513 Zip Code: 34952 Fax 7I2-8784224
E-Mail:sueLwynnebc.c0m Phone No. 772-878-5513
Flit in fee simple Tide Halder on next page(H diRirent E-Mail: sue@veynrebc.c dm
from the Owner listed above) State or County Ucense:i CIGCO35999
N value of construction is$2500 or more,a RECORDED Notice of Commencement i'required l
SUPPLEMENT"AI COINSTRUCTION-LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Marne- � Name: 1
Address: Address:
City: State: City: 4 State:
Zip: Phone: Zip: Phorie:
J
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING:COMPANY:, Not Applicable
Name: Name:
Address: Address: 1 &
City: City:
Zip: Phone: Zip: I Phone=
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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 I holder to'build the sub't structure
which is in conflict with any applicable Home Owners Assoc+ation rules,bylaws or a�venants that'may restrkt or pr ibit such
structure.Please consult vAth your Home Owners Association and review your Gleed for any restrictions which may app -
In consideration of the granting of this requested permit,I do hereby agree that I wit in all respects,�rperform the wo
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 reViewc room additions,
accessory structures,sw m ming pools,fences,walls,s�screen rooms and accessory uses to"arrotlternon-resid 1 use
WARNING TO OWNER;Your fa Record a N of may result in your twice for
improvements to your prope Notice of C encement must be recorded and�post on the jobsite
before the first inspection intend in financing,consult with lender n a ey before
commend work or r i our N ' e Of Commencement.
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_signature of ent Signature of Cont ractorliicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL uide COUNTY OF s.iuw ;
The. �Instrument was accnowiedged before me The forgoing instrument was acknowledged before me
thi -day ofy ca,u. 2t}l�� Of 20 X by
I�
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Mawww tyre Wym,h- neo ew tyro wymre ;�
(Name of perso owledging) {Name of pe atlmowledgi g 3
tgnature"of Notary Public 5ta rida} (Sigmituie of Nota ub ic=S Florida)
Personally Known x OR Produced Identification Personally Known) x 'AOR Produced Identification
Type of IderiffKation Produced Type of hlentificafi ^F'
V� SUVIVY
, .s SL. AN 10SAG , ,..... E
Commission .� Commission Pio. OMId13SlOM�847
�ISSfON# 47 =� 04: EXPIRES:February 23,2419
cXP1RE5'February 23,2019Fg,�a'
Bonded Thru Notary Publi
Revised UW/15/2014
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATI SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW. REVIEW REVIEW
DATE
COMPLETE
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