HomeMy WebLinkAboutBuidling Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II
Date: Permit Number:
Building Permit Application JUL 2.4 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 33 MONTEREY WAY
Legal Description: SECTION 26/TOWNSHIP 36s/RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 25'4" Back: 20' Right Side: 26'4" Left Side: 14'5"
DETAILED DESCRIPTION OF WORK:
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
R✓ HVAC 11 Gas Tank Gas Piping _Shutters ❑Windows/Doors
Z✓ Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1512 S . Ft.of First Floor: 1512
Cost of Construction:$ 12,096.00 UtilitiesInSewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WYNNE BUILDING CORP. Name: WILLIAM D.BRANTLEY
Address:8000 SOUTH US HWY. 1 SUITE 402 Company: WYYNE DEVELOPMENT CORP.
City: PORT ST. LUCIE i State:FL Address: 8000 SOUTH US HWY. 1 SUITE 402
Zip Code: 34952 Fax:(772)87W7656 City: PORT ST. LUCIE State:FL
Phone No.(772)878-5513 Zip Code: 34952 Fax: (772)878-7656
E-Mail: Phone No. (772)878-5513
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: DIH1016128-29524
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: STEVE WOODS Name:
Address: Address:
City: State: City: State:
Zip: Phone: (772)618-5644 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
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this\4L'\- ay of��—���J 20 \l by this 5 y of by
(Name of person acknowledging (Name of person acknowledging)
(Signature of Notary Public-State orida) (Signature of Notary Public- tate ofF da
Personally Known OR Produced Identification Personally Known iOR Produced Identification
Type of Identification Produced Type of Identification Produced
f- ;,,,, Commission No. (Seal)
Commission No.
— SUS EE
MY COMMISSION B FF 187647
6 'urPY ., SUSANMAGEE
Pypipr
ri RI _ Bonded Thru Notary Public UnderaitersMY COM L 1
EXPIRES:February 23,2019
Revised 07/15/ Bonded Thru Noiary Public Undervmters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CjxxaiZ OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4333629 OR BOOK 4023 PAGE 579, Rec6B&OTI3•�i M/2017 11:24:54 AM
ST..LUCIR CO WTY
THIS 15 TO CERTIFY THAT THIS IS A
TRUE �1HD CORRECT COSY OF THE
ER
Pei .Si�lg' .
PERRt1TNQMal k: �: :•c+�
'11ii4 6paec isrind Y , klgifffo
Ju 5
�r NOTICE OF'CONEVIE NT
The undersigned hereby given notice that improvement will be made to certain real property,and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice-of commeneetucnt.
1.DESCRIPTION OF PRQPFnn-{Legal description and street,address)TAX FOLIO NUMBER 3 4,14--501-1701-2 0 09.
i
UBIlTSrLSIO SpansY1 IC` T`RACIr -LOT-
1�,/ � •Sec� Qn 22
! 2.GEMPALDESCRIPTIONOFIMPRO ,�si`n 1�ami"]:y tesid'erice
j
3.OWNER INFORMATION:' a•Name Wytzne g"i i a.i n g CB nom„ , n
b.Address 8000 S. USI. Suite a02, PSLs FL 34952 a interest in property
d.Name and address of fee simple titleholder(if other than owner)
4.CONTRACTOR'S NAME,ADDRESS AND PHONE NUMBER: Wynne DevelbLD,ment Corporation
8000 S. USI,-Suite 402, PSL, tom,-34952 77?-8z$-55„1-3
S.SURM'S NAME,ADDRESS AND PRONE NUMBER AND BOND AMOUNT:
(i,LENDER'S NAME,ADDRESS AND PHONE NUMBER:
III 7.Persons within the State of Florida•designated by.Owner upon whom notices or other documents maybe served as provided by
Section 713.13(1)(a)7.,Florida Statdtes:
Doug ,Brantley 1 Silver. Oak- Dr. PSL, FL. 20�=�4I8
NAME,ADDRESS AND PHONE NVMBEAr
9.In addition to bimself or herself;Owner designates the following to receive a copy Of the Uenor's Notice ss provided in Section
713.13(1)(b),Iilorida Statutes:
NAME,ADDRESS AND PHONE NUMBER,
9.Expiration dais of notice of coalmeneement(the expiration date is 1 year from the date of recording unless a different date is
speafied. !1 -;20-.
WA ' JI O 0-)WMP-ANY PAYMEZ S MADE BY T4HE G1"ER AFCfiR r F?E�K�l$¢TFON OF THE N-077CE QF CQMMEPr tff1 Lj
713,P D
IN YOUR Z&)2m TWKE FORT f 1027° '"s 0 YOLK'PkOFER tY A�tS�CF,aF r�Qx"' TCEME tLl MV��$E R�ORDED'AND
Yro4TEt i2 TmS,i Sm-Al PORE TmE.P sT W P QBXATTr FEN C*yc^O ALT W1TH YOUR
.. .;..•• •::.'•IDE�QR��.t3 tViTORt3�C'f BL�ORS G4*/[}+IEL3OITIG 1?S,DRX d$REGORj,�INCTy�t�j? �2lrs�iQ-3!?�t:�+�. ., . .... .
Matthew Lyle Wynhe. Vice—pr--JAent
Signature'of Owner or PcInt Name and Provide Signatory's Titte/afTrce
Owner's Authorized OffiterANrector/Partner) Manager
Siata•of Ftarida
County of S L,ttrZe
"The foregoing instrument was acknowledged before me this, ' 1!�� day of 2e- �n
By Matthew Lvle_ Wynne as�`l,r_", - y= ;' '
(Name of person) ('type of authority..<e.g:Owner.officer,trustees,attorney in fact}
for Wynne Building Corpgration /
(Name of party on behalf of whom instrument was executed) Personally Known!/or produced the following type of TD:
SUSM MAGM
/ � �y ,,,,.,,•�'. MY COhiStISSION 9 FF 181647
�; � � c -� EXPRES:Fet»mry73 Zo19
I atnce of No Publ' (Seat) yr;t', ' aonaaa TiPubGcuafensf(aa
(Printed Name of Notary public) Sn �
Utidac penalties of perjury,I deviate that I have teed the foregoing and that the facts in it are tmz to the beat of my knowledge-and
belief(section 92.525,Florida Statutes). -
Signature(s)of owner(s)or-OwAWS)'Authorized Officer)Director/Pa'rtner/Manager who signed above:
By
By:
Rcr.05riNtbYtiittc�m3l .
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