HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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: Mobile home
PROPOSED IMPROVEMENT LOCATION:
Address: 84 LAGOS DEL NORTE
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 36' Back: 31'8"
DETAILED DESCRIPTION OF WORK:
Right Side: 127" Left Side: 17'
REPLACEMENT OF MOBILE HOME WITH BRAND NEW MOBILE HOME
wo
❑_✓ HVAC IJ Gas Tank
Electric W1 Plumbing
Total Sq. Ft of Construction: 1.620
Cost of Construction: $ 12,960.00
Lot No.
Block No.
mis perm¢—cnecrc aii ?nat app y:
Gas Piping Shutters ❑ Windows/Doors
Sprinklers E Generator 1:1 Roof
S�Ftj. of First Floor: 1,620
Utilities: LJSewer 0Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: ERIC WYNNE
Address: 8000 SOUTH US HWY. 1 - SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5613
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: IH/1133306 - 32026
it value of construction is SZSOD or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: STEVE WOODS
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone: o72>e1e-%e
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY:
X 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 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; your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF ST: "c.E COUNTY OF ! -T. km
The forgoing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this a day of d . 20 Atby this —,21 day of C.0 t cc r w Y . 20 a/ by
%�iATi'He?�Gye-F VAJ)Ve -r-"�-
(Name of person acknowledging ) (Name of person acknowled g I
)3 mt-o a 4 Ate.
(Signature of Notary P lic- State of Florida I (Signature of Nota blic- State of Florida j
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Commission N�^ nna KIN Commission No. "'—
OTHYA(S�E COROT
x ' BASKIN
MY COMMISSION # HH 045443
I+it'COMMISSIONgHH 045443
I Bonded Thm No+aryPublic Undervmters "^.-"""'"' r
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Revised07/ • vary PublicUndermitem
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