HomeMy WebLinkAboutBuilding Permit ApplicationPERMIT APPLICATION FOR:_
PROPOSEQ II bVEMENT'LOCATION:
..Address:' 6 EL-GRECO-SOUTH
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 Pront20'. Back: Right Side: -26' -Left Sid'4er 20
DETAILED.DESCRIPTION ,OFW0RK:.' '
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO -CODE
OWNER/LESS'EE:-.' _
CONTRACTOR: a
Name llli�ft�NE BIJILpINe �'.9t3P..
Name: EPJC �►i�t�AtE : .
Address: 6000 SOUTH US.-HWY, 1l.:.SUITE 402
Company: WYYNE DEVELOPMENT:CORP.
City: PORT ST, LUCIE:.. a State: FL.
Add ress:.6000 SOUTH US HWY.1. SUITE:402:
Zip Code:.34952 :.. Fax¢ (772) 378-7.556 ..
City: PORT.ST. LU.CIE :.. State: FL.
Phon6.No, (772):57&5513
Zip Code: •34952. Fax: (772)178-7556
1-Mail:
Phone No.:(772) 078.551:3
Fih In. fee simple Title Holder on.next page (if different J
E-Mail :
from the Owner listed above)
State or County Licenser IH1:133306-:32026.
If value of construction is $2500 or more, a RECORDED Noticed Commencement -is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: -x Not Applicable
�Ij®RTGAGE.C®MPANY .. X_..Not�Applicable ..
Na me:. srey� wooA.
Name:."' .. .. , . d .... ..".
Address:
Address:
-City: State:
City: State:
Zip; Phone: {�72>61e-5s
Zip: Phone::
FEESMPLETTLNOLDER.��`Not Applicable
DONDINGCOMPANY:. Not
.
..
Name:
-Name:
Address_:
Address:.
City:
City:: .
Zip: Phone:
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 wi,ll'authorize'the permit holder_to build the subject: structure
which is in conflict 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.de.ed for any restrictions which may apply. .
In consideration of the granting of this requested permit,_ I do hereby agree that l will, in all respects, perform the work
in-acco.rdance'with the:approved:plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full con -currency 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 Commencerent must be recorded and posted on the jobsite
_.-before the first JnSpection. If You -intend to obtain financing; consult with lender or -an attorney before.
commencing work or recordin : our Notice of Commencement:.:
41,
Signature of Owner/ Lessee/Agent Signature of Contractor/License-HoldQr�/:
STATE OF FLORIDA STATE OF FLORIDA .
COLINTY OF 5 - COUNTY ®F s'. C,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before. me
this f day of �'WivuAµl . 20yl bthis 6v!day of .4evL,4 20 Lfjy
ew tyc er YNiv4
(Name of person acknowledging) (Name. of person. acknowledging)
(Signature of N ry Public- State of Florida) (Signature of Not Public- State of Florida-)
Personally Known_ OR Produced Identification Personally Known OR Produced Identification
Type of Identification- Produced Type of Identification Produced
DOROTHYAN
CommissionDOR, CEN Commission'N ` hD24
+: *: MISSION MY COMMISSION # HH 045443 m;Pa FJiPIRES: Octobn N o Pu
. •YrFaF FL�• 13ondedThN Notary Publb Undenniters .. - .
Rlevlsed 0"
REVIEWS -FRONT .. ZONING SUPERVISOR. PLANS VEGETATION SEA TURTLE MANGROVE:
COUNTER.'. REVIEW REVIEW REVIEW REVIEW. REVIEW.. . REVIEW .
DATE
COMPLETE
IhIITIALS.