HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application OCT 0 6 2097
Planning and Development Services
Building and Code Regulation Division PERFUlITTIING
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 58 HUARTE
Legal Description: SECTION 26/TOWNSHIP 36s/RANGE 40e
p y 3414-501-1701-000/9
pro ert Tax I D#: Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 23' BacIS-_X�' Right Side: 20' Left Side: 136'
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DETAILED DESCRIPTION OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 3 BEDROOM /2 BATH
GARAGES
CONSTRUCTION INFORMATION:
Itlona work to e e orme under this permit—c ec a apply:
�✓ HVAC 13 Gas Tank ❑Gas Piping _Shutters Windows/Doors
Z✓ Electric ✓❑]Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,484 S . Ft.of First Floor: 2,484
Cost of Construction:$ $58,000 Utilities: Sewer 0Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: Matthew Lyle Wynne
Address:8000 South US Hwy.. 1 Suite 402 Company: Wynne Development Corp.
City: Port St.Lucie State:FIL Address: 8000 South US Hwy. 1 Suite 402
Zip Code: 34952 Fax:(772)878-7656 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: CGC03599
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Braden&Braden Name:
Address:417 Coconut Ave. Address:
City: Stuart State: FL. City: State:
Zip: 34996 Phone: (772)287-8256 Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
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Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I ce( rtify 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,
alccessory 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.
Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLO I A n, p STATE OF FLO _I 4A
COUNTY OF LU l COUNTY OF1'0
The fo oin instru n w a knowled ed before me The fo going instrqp en w s acknowledged before me
Ithis day of �� 20 �by this day of UC 20.L-7 by
ak
'(Name of person acknowledgi ) r , (Name of person acknowledging
K Ran
(Sigrikore of Notary`Pub ic-State of Florida) (Signatu of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known �OR Produced Identification
(Type of Identification Produced Type of Identification Produced
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Commission No. 'W Notahsbpic State of Fbrlda Commission No. Notar ��State of Florida
Julie Ninassi38949
Julie Ninassi
38
My Commission GG 038942 ` My Commission GG 0
zozo
38949
Revised 07/15/2014
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
' DATE
COMPLETE ICI II Ii
INITIALS