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HomeMy WebLinkAboutBuilding Permit Application i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:,O 1 \°\ Permit Number: 11� a�-QSa� ,.. ,I R-Y--- - =� R E C E i`.' D OCT 19 2917 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X I PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 5 HIDALGO 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 24'6" Back: 41'6" Right Side: 16' Left Side: 22' i DETAILED DESCRIPTION OF WORK: i MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 3 BEDROOM /2 BATH / GARAGE CONSTRUCTION INFORMATION: Additional work to e e orme under this permit—check a app y: -HVAC Ei Gas Tank Gas Piping _Shutters ❑Windows/Doors Z✓ Electric ✓❑—Plumbing Sprinklers E Generator Z Roof Total Sq. Ft of Construction: 2,275 S . Ft.of Fil st Floor: 2,275 Cost of Construction:$ $58,000 Utilities Sewer 0Septic Building Height: OWNERAESSEE: 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 Noi (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. I Awk SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: BradenBBraden Name: Address:417 coconut Ave. Address: City: Stuart State: FL. City: State: Zip: 34996 Phone: (772)287-8258 Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I 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 oniractor/License Holder STATE OF FLORIDA STATE OF FLORJDA COUNTY OF ST k .W c7 e COUNTY OF The for Ring instrument was acknowledged before me The forgoing'instrument was acknowledged before me this /7ay of ©G7-od eX 20 12-by this /7 ay of 007�a e->e ,20 1-7 by lffiA--77-H&-t0 LY(-& L LPNrtlC MA--WFZJ L yc-t`' �itJ y�yryGS (Name of person acknowledging) (Name of person acknowledging) (Signature of Nota Publicc--State of Florida) (Signature of Not&Public-State of Florida) Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification Type of Identification Pro Type of IdentificatiQ.>a�P[oduLed ,•1ypu6" DOROTHYANNBASKIN `` vp£ M Commission No. _: oi�hMlSSlI 030145 Commission No. r,: DOROTH}(g �gSKIN Y= EXPIRES:October 2,2020 COMMISSION#GG 030145 rF o ` gonded'rt ru Notary Public Underwriters Fr' !EXPIRE October 2, F 2020 Underwriters Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS