HomeMy WebLinkAboutBuilding Permit ApplicationALL AIP✓ LKA-81€ i)VF9 MUNI Of COMPLETED FOR AP PLICATON TO ME MEPr� .
Date: ALJOVOT 0, 2919 Permit Number: 'l
.
?tannin. 9 9nd Deye10pment ,?rYfres .:. .
0W ding anal Cade R-equ],athop 9iva51.0n
2-39D YlfginioAuenme, F04PlereeF4 U_9
Phone: (772) 4624553 Fax: (772) 462-1578 Commercial. Residential
PERMIT APPMATION FOR:.- oiber,
PROPOSED Jjyl'P,ROVE(VIENT LOCATION:
Address: 14t05 QAT9
Legal Description:_ TilOtal .I` OW,,NS,HJP.36-sI R, A,N, GE.410e. -
Property Tax ID #: Lot No... .
Site Plan Name: §PA'NI§ IL_A DONE Block No.
Project Name:
Setbacks Front lZ:� Back: Right Side: _� �= Leff Side:
DETAfLED.DESCRIPTION .OF V,t/ORK:.
REPLACEMF-NT:MO-BjLF HOME; sI-T uP AND TIE DOWN TO CODS
CONSTRUCTION INFORMATION:
Additional work to .bnrformed under is"permit.—check a 'a.ppy:
OHVAC Gas Tank . Gas Piping _ Shutters:Windows/Doors
® Electric ✓ Plumbing . Sprinklers ❑ Generator ElRoof
Total Sq. Ft of Construction:
Cost of Construction: $ 10A399..L09
S . Ft. of First Floor::9
UtilitieS:Sewe'r-ESeptic Building Height:
OWNER/LESSEE:"
CONTRACTOR:
Name5;8y1L9aN'CORP•...
Name:RLC�V�IY�taINE:
Address: 0999 5011T '�lj0 Hi U,lY.1.. S:UtT A, 0
Company: if L d� �/i 19p11i1)*iJITt 9RP. .
City PORT 57r, LWO_E . State: ALL
Address:, BOW 600TIH LUaS IHM.• 11 . AITIE 492
Zip Code: - 2 : Fax: «72.) 975=7956
City: PORT.16M ILIUS' E State: IFII
Phone.No. i77-2):$75--5513
Zip Code: 2 .: Fax:- l(7,72) 7976;56
E-Mail:
Phone No. 072)97055"
F)11 >i17 #egJ1�p1tiSi9Jdef 911.Q ff ski
E-Mail
from 1JWownerPOW Labvy&)
State or County License: II;H110 ;7r�11�1��.
jf y,alue of 59n-stem gin Js 0250 9.r m91e, a KF-SQ�tDF� d�l9xis* �Ot�C9m�J411S�mork is it"W f—d. - . .
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
pE5AGNER/JEWG.JIM Eft, x Not Applicable
MORTGAGE COMPANY; x_. Not Applicable
hlame: sTEyEwo9D$
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone: ;(772),01,e-5w
Zip: Phone'
FEE 6JIMPLE T T f hOkOft,. Not Applicable
iBO,NJ NG 011 PANY:, 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 Countyy makes no representation that is granting a;permit will authorize the permit holder to build the subject structure
which is in contlict with any applicable Horne 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
iin 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
WAMMJING TO OWNE1tt'Yaur eaa re. # r l a IN fte O,fCommer,>swm t avy irkUlt an youripay(n$ ttWxe for .
improvements to your property. A. Notice of Commencement must be recorded and posted on the job -site
before the first inspection.' IfYou-intend to obtain financing, consult with Lender or an attorney before.
commencing work or recording your Notice of Commencement.
_ Signature of Owrier/ Lessee/Agent
ignature oTContractor/L cense Holder
is A?i OF f1ORIDA S.if,�1T'�E OF FLORIDA
COUNTY OF ST.c.iC COU,NT1YOF .S—.
The forgoing lmtru ent was acknowledged before me The forgoing instrument was acknowledged before. me
Sr
this _L�!Tday ofEp7WMd6-X , 2.0 Eby this / day of 5'&-)0T*-?77,6&W .20 ao_Iby
✓Yi �4ffi e& L �/LF l�YaiJE G�^mil c N ni E
(Name of person acknowledging) (Name.of person acknowledging)
(Signature of No Public- State of Florida) (Signature of Nota blic-- State of Florida )
Persona I ly -Known v OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 11
OMMIS G 030145
�`. EXPIRES: October2,2020
R, ev tsed 07115,72 ;14
Commission Noll.•�`..'� �'��'•-- DOROTHYAN IN
MMISSION # GG �30145
EXPIRES: October2,2020
REVIEWS:
FRONT _
ZONING
SUPERVISOR
PLANS
VEGETATION'
SEATURTLE
MANGROVE
COUNTER.
REVIEW
REVIEW
REVIEW,
REVIEW
RE -VIEW
REVIEW
DATE .
0OiMPLETE
1XITIAILS
COUNTY,
IL
PLANNING & D..EVELOPMENT SERVICES
Building & Code Compliance Division
ARC MASTER ELECTRIC
(Company Name/Individual Name)
the ELECTRICIAN
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Project Street
have agreed to be
Sub -contractor for WYNNE BUILDING CORP.
(Primary Contractor)
S
or Property Tax ID #)
It isunderstood. that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to'the
filing of a Change of `Sub -contractor: notice..
`CONTRACTORSIGNATURE' ual ier")
ERIC WYNNE
PRINT NAME
31132
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LUCIE
The foregoing instrument was 'signed before me this day of
2Q7bi'?l
who is personally known V or has produced a
as identification.
Signature of Notary Pole
DOROTHY BASKIN
Print Name of Notary Public
DOROTHI'ANNBASKIN
MY COMMISSION # GG 0. 30145
EXPIRES: October 2, 2090
Revised 11/16/2016
SUB CONTRA rQR SIGNAT ;(Qualifi
CHRIS JERNIGAN
PRINT NAME
31751
COUNTY CERTIFICATION.NUMBER .
State of Florida, County of ST. LUCIE
The foregoing instrument was signed before me this day of
211unt_; by W.&W
who is'personally known V.r has produced a
as identification.
STAMP STAMP
Signature of Notary P e
DOROTHY BASKIN
Print Name of Notary Public
DOROTHYANN BASKIN.
MY COMMISSION # GG 030145
EXPIRES; October 2, 2020
....%,, ' ,Boned Thru Notary Public UnderwnLm
1
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
WYNNE BUILDING CORP.
(Company Name/Individual Name)
the PLUMBER
have agreed to be
Sub -contractor for WYNNE BUILDING CORP.
(Type of Trade) 1� \ .
For the project located at ` \ �/v� C
(Project Street Address or Property Tax' ID
(Primary Contractor)
It is understood that, if there is any change of statusregarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE ( u9hfier) SUB=CONTRACTOR$IGNATURE (Qpahfier
ERIC WYNNE
PRINT NAME
31132
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LUCIE ed
The foregoing instrument was signed before me this \of
26?Dby ERIC WYNNE
who is personally known �r has produced a
as identification.
STAMP
Qgn,Qtur,`of3Nkot1
Public /�
1 i-P.oTarl �eY Av/I�SK, N
Print Name of Notary Public
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
�•°e EXPIRES: October 2, 2020
" ;F�, a Q;• 80❑ded Thru Notary Public Underwriters
Revised 11/16/2016
ERIC WYNNE
PRINT NAME
31132
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LUCIE
The foregoing instrument was signed before me this — d.- of
2�by ERIC WYNNE
who is personally known 1-11�or has produced a
as identification.
L-01� rjnn�� 16C'Ld—� STAMP
Signature of Notary blic
-bo4o--rH y AA0V AgSX1 N
rint Name of Notary Public
c 4' DOROTHYLBASKIN MY CpMMISS145
,XPIRES:O0NAM ThRI Notarriters
PERMIT # ISSUE DATE
Comfort
(Comps,
the HVAC
(Type 61
PLANNING & DEVELOPMENT SERVICES
)Building & Code Compliance Division
iwzDYNG PERMrr
SYIR�ON'TRACTOR AGREEMENT
ontrol oT St. Lucie: County, IAA.
Tameftdivi&ml Name)
have agreed-to'be •-
Sub-contraetorfor Wynne Development Corp.
n (Primary Contactor)
For the project located at _Ny --\_ � c)C4, ��}
(Pmiect Street Address or Property Tax ID #b)
It is understood that, if there is any change of statua regarding our participation with the above mentioned .
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant. to the
I
filing of a Change of Sub -contractor notice.
i
CONTRACTOR S AME (Qualifier). =merman
IGNATUIiE (QaAlifier)
Matthew Lille Wynne
PRINT NAME PRINT NAME !
08898 8288
COUNTY CERTIFICATION NUM EP. COUNTY CtRTWrCA.T1ON, NUM!#ER
State OfVlorida, Coamiy of S,NQC vo, state Of Florida. County of� �y
T e foregoing instrument was steed before me ibis d� day of Theiforegeing instrument was signed before me thm--)"' daY of
who is personally knowA Vor has prbdnced a who is personally known r has produced a
as identification.
as identification,
T/ . • '
STAMP- I � 3TA.MIt
igoature of Nota ublie Signature of Notary Pahl'
i _y JgtiN ��sk,a t, deo-TH y NA/
pr ht Name OfNo ptibl'e print Nam... Notary Pnhlfe I
DOROTHYANN BASKIN
MY COMMISSION # GG 030145 �:�Y+:?Yo'4� DOROTHYANN BASKIN
EXPIRES:October2,2020
`" MY COMMISSION# GG 030145
QF F�� Bonded ThN Notary Public Underwriters ` '��a EXPIRES: October 2, 2020
'""'"�, Banded ThniNotary Public Undenwilers
Revised 11/16/2016
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