HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: AUGUST 8, 2019 Permit Number:
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
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 15 KACHINA
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front 13' Back: 20'6"
DETAILED DESCRIPTION OF WORK:
Right Side: 16'4" Left Side: 24'6"
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE
❑✓ HVAC ❑ Gas Tank
ZElectric ❑✓_ Plumbing
Total Sq. Ft of Construction: 1,188
Cost of Construction: $ 9,504.00
Lot No.
Block No.
curs permit —cnecK all apply: ❑Gas Piping _Shutters ❑Windows/Doors
❑Sprinklers ❑ Generator ❑ Roof
S Ft. of First Floor: 1,188
Utilities:nSewer ❑Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: ERIC WYNNE
Address: 8000 SOUTH US HWY, 1 SUITE 402
Company: WYYNE DEVELOPMENT CORP.
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: IH1133306 - 32026
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
utbIbntK/ tlVbintM Not AppllCaole
MORTGAGE COMPANY: X Not Applicable
Name: STEVE WOOD
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone: (772)e18-5e44
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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
commencine work or recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this_,,,7 day of s ^, -t- • 20ak by
STATE OF FLORIDA
COUNTY OF S. LUCIE
The forgoing instrument was acknowledged before me
this � day of 19t2 1 20 aW by
MATTHEW LYLE WYNNE ERIC WYNNE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota Public- State of Florida) I (Signature of Not Public- State of Florida )
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No.
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