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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 01 �l iAono�l ro �-%i%WJad Building Permit Application.., T. Planning and Development Services Building and Code Regulation Division I, 2300 Virginia Avenue, FortPierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 C017 rnerdal, ' Residential- X - - i PERMIT -APPLICATION FOR: Building PROPCIS EQ IMPROVEMENT LOCATION: ' Address: 05.CAMINO, DEL-RIO . Legal Description:. SECTION 27. [TOWNSHIP -365./ RANGE 40E i i Property Tax Ib #:' 3427-111-0002-000/5 Lot No. { Site Plan Name: SPANISH LAKES Block No.' Project Name: RIVERFRONT Setbacks .:Front 30': Back:.15' Right Side:.15' Left Side: 14' DETAILED DESCRIPTION ;OF WORK:. REPLACEMENT HOME; SINGLE FAMILY RESIDENCE 2 BEDROOM12 BATH / GARAGE NO SLAB TO BE BUILT OFF -REAR OF. HOME . - CONSTRUCTION INFORMATION: itiona .wor- .to e nertormed; . under this permit_— c ec a apply, DHVAC Gas Tank Gas Piping Shutters :Windows/Doors © Electric O PlumbingSprinklers ElGenerator ' . FORoof :Total Sq., Ft of Construction: 2,108 : S . Ft. of:First Floor 2J08 58;000 I. .... Cost of Construction: $ Utilities: Sewer USeptic Building Height: —.. OWNER/LESSEE':. CONTRACTOR: - Nome WYNNE BUILDING CORPORATION Name:TTHEINLYCE WYNNE Add rest: 8000SOUTH US.HWY.1.SUITE402 Company: WYNNEiDEVELOPMENT: CORPORATION .. City: PORT ST. LUCIE .. - State: FL :Address:. 8000 SOUTH US HWY.1.S.UITE 402 Zip Code: 34952'; -Fax: (772) 878-7656 .. City: PORT.ST. LU.CIE State: FL. . Phone No.- (772) 878-5513 Zip Code: 34952 . i Fax: (772) 878-7656 E-Mail: Phone No. (772) 87,875513 Fill in fee simple Title Holder on. next page (-if different E-Mail:, from the Owner.'listed above) State or County License: 8898. If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE.COMPANY: X- Not Applicable . Name: - ewaoEN & 13RADi-N Name: Address: Ad d ress: 417 COCONUT AYE. City:. TUART State: FL City: State: Zip: 34996 Phone: (772)287-8258 Zip: Phone: PEE .SIMPLE TITLE HOLDER: x- Not Applicable - BONDING COMPANY: 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 Count 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 approvedplans- the Florida Building.Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurre.ncy 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 thefirst.inspection. If,you intend to obtain financing; consult with lender or an attorney before. commencing: work or recordin our Notice of Commencement. . Signature of Owner/ Agent/Lessee Signature. of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA I COUNTY OF,;L,i Q ,K' COUNTY OF The forgoing instrument wa acknowledged before me The forgoing instrument wa acknowledged before. me .this day of 20 S2by this day.of 20by, (Name of person acknowledging) (Name. of person, acknowledging ) (Signatur Notary -Public- Sta a of Florida) (Signature otary Public- State of Florida ) Personally Known. OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced <�F�.�•. J0`./ POLLARD. Commission No..: ..�T.• Commi§§R)# GG 62174 Commission No. III eQD IK My Commission Expires . ,__..,,�:1 A. 2021 Revised 07/1S/2 JVi 'r ••-- Commission # GG 62174 My (;9— fission Expires JanuarY 14•12021 REVIEWS - FRONT ZONING SUPERVISOR PLANS -VEGETATION SEA TURTLE . MANGROVE . COUNTER. REVIEW REVIEW... REVIEW REVIEW REVIEW, REVIEW._:. DATE. .. ..... .COMPLETE INITIALS