HomeMy WebLinkAboutBuilding Permit Application e 4-1m S 3 `7 �Z
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:%-M 1� Permit Number:
4 ,. RECEIVE[
APR 08 '1190
Building Permit Application
S7. Lucie CF�antt', hQrFi�iElln�
Planning and Development Services =-- .-•---
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LO.CATI
Address: 7690 Wyldwood Way Port Saint Lucie, FL 34986
Property Tax ID#: 3321-801-0005-000-9. Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF•WORK:
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4-1
CONSTRUCTION'INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping ' _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
T tal Sq. Ft of Construction 5th Sq. Ft. of First Floor:
Cost of Construction:$ 0 0 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR: .
Name Federal Home Loan Mortgage Corporation Name: ®PQ'I d lkJ1 Niy)
- , Address:5000 Plano Pkwy Company: )PSO l
City: Carrollton State:_ Address: (fid �%d�L '2S34Z
Zip Code: 75010 Fax: City: TZ I.-S FTJ Stater
Phone No. Zip Code: `�'{�j s Fax: –112-01--01"
E-Mail: Phone No '1�1�=��"�� &31-t
Fill in fee simple Title Holder on next page(if different E-Mail j.J�0Q )z--sch)ce• CQTr\
from the Owner listed above) State or County Licensed
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _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: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: ,Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 thepermit holder to build the subject structure
which is 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.
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 exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Own Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF We STATE OF FLORIDA
COUNTY OF KqdP4 p COUNTY OF
The forgoing instr ent was acknowledge!before me The forgoing instrument was acknowledge before me
this day of l 20 c_ by this 'ZS day of A.&I'Q.CAA 20! by
Name of person ma g statement. Name of person making statement.
Personally Known V OR Produced Identification Personally Known V"OR Produced Identification
Type of Identification Type of Identification
Produced AMANDA PARRY Produced
�a Notary Public State of Utah
y ! My Commission Expires on:
August 20, 2022 _J�' Z_� I
(Signature of Notar Pu (Sign e of Notary P
E\-4 ��t
HEATHER HOFFMANN
Commission No. (Seal) Commission No. Notary q&@ atate of Flodda
Commission#GG 195352
Mv mmill-exp!as Mar,10 20nn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19