HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Datey��,' o� OC Permit Number:
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Building Permit Application FEB 2 8 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 33 NOGALES
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front25' Back:45' Right Side: 13' Left Side: 13'
[DETAILED DESCRIPTION OF WORK:
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE
CONSTRUCTION INFORMATION:
Ir IHVAC LGas Tank
ZElectric 0 Plumbing
Total Sq. Ft of Construction: 1,080
Cost of Construction: $ 8,640.00
Lot No.
Block No.
nit — cnecKan apply:
Piping _Shutters ❑Windows/Doors
nklers' Generator 0 Roof
_ S Ft. of First Floor: 1,080
Utilities:12Sewer Septic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: ERIC WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYYNE DEVELOPMENT CORP.
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 8000 SOUTH US HWY. 1 SUITE 402
City. PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: DIH1016128 - 31132
It value of construction is ,9ZSDD or more, a RECORDED Notice at Commencement is required.
IJ
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: STeVEwoOOS
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone: (772)51e-5e44
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: X Not 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in
which conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Please Owners
structure. consult with your Home 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordigg your Notice of Commencement.
s
Signature of{ontractor icense HoldeQ
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
STATE OF FLORIDA _
COUNTY OF ST r. ce
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this-Zyday�of „ 20 :Rby
thisj5�_day of J%EW xf G4R;lW,20 2-> by
p�FE�BKuR>t
C.
(Name of person acknowledging)
(Name of person acknowledging)
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(Signature of Nota Public -State of Florida )
(Signature of Notar ublic- State of Florida )
tl�OR
Personally Known L/ OR Produced Identification
Personally Known Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. s,'.•�"'`'.r �;' DOROTHypNy,BASKIN'
COMMIS GG 030145
Commission No. ;:'�?�.':><'•-. DOROTHY KIN
EXPIRES: October 2, 2020
MY COMMISSIOON# GGT030145
` EXPIRES: October2, 2020
one N
Revised 07/15120141
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