HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE
COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 Permit Number:
I
RECEOVED
Building Permit Application APR 18 2017
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 _ w•a���e. ��,,,n,�
PROPOSED IMPROVEMENT LOCATION:
Address: 8 MEDITERRANEAN EAST
Legal Description: SECTION 26/TOWNSHIP 36s/RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No.8
SPANISH LAKES ONE
Site Plan Name: I Block No.
Project Name: V V
Setbacks Front 30' Back: 37' Right Side: 24' Left Side: 12'
DETAILED DESCRIPTION OF WORK:
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE
i
CONSTRUCTION INFORMATION:
Additional workto e performed under this permit—check a apply:
ZHVAC Gas Tank 1:1Gas Piping _Shutters Q Windows/Doors
Z✓ Electric ✓❑—Plumbing Sprinklers Generator g Roof
Total Sq. Ft of Construction: 1,� S . Ft.of First Floor: 1,012
Cost of Construction:$ 8,096.00 Utilities:cnSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WYNNE BUILDING CORP. Name: WILLIAM D.BRANTLEY
Address:8000 SOUTH US HWY. 1 SUITE 402 Company: WYYNE DEVELOPMENT CORP.
City: PORT ST. LUCIE State:FL 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: DIH1016128-29524
i
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
i
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: (772)618-5644 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
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 Contractor/License Holier
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF -�
The for inng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this NZ—"8-ay of t,�Zj—_,\t 20 a-by this'�'-day of 20 by
AV AL
(Name of person acknowledging) (Name of person acknowledging)
igna-t a of Notary Public-State of Flo S�ign-at-dre of Notary Public-Stateof Flodr� '
Personally Known L-""' OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. =` =Q"—"�'""' Commission No.
S SP�y ,OGEE SUSAN h9,4G E
MY COhS"d!SSION it FF 187647 My cOM0sslON#FF 187647
fi'y.oEf":PIRE5. ubluaiy28, P °•dT BcndedTbruNota p
Bundied Thru Notary Public Undewdtars ry iblic Undenmii
Revised 07/15/201 •a. �..
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE I' i
INITIALS �y
I