HomeMy WebLinkAboutBuilding Permit ApplicationALL'APPLICABLE'INFO MU�S/T BE COMPLETED FOR APPLICATION TO BE ACCEPTED y p Q
Date:. —LP % Permit Number:. 1 ./ D !O ^ �3 O
- • -- . RCEN Fes'
Building: Permit Application.
Planning and Development Services J. 2U1.7
Building and Code Regulation Division
JUN .
2300 Virginia Avenue, Fort Pierce FL 34982 '
Phone: (772) 462-1553 Fax:. (772) 462-1578..Commercial. 'Resid2.ntial X
PERMIT..APPLICATION FOR:. Building
PROPOSED IMPROVEMENT LOCATION:
Address: 27.FLORIDA WAY:
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 23� Back: 36' Right Side: _15' Left Side:: 30'
[DETAILED DESCRIPTION OF WORK:
MOBILE HOME. REPLACEMENT: SINGLE FAMILY RESIDENCE-3 BEDROOM / 2 BATH / 1 1/2
GARAGES
CONSTRUCTION INFORMATION:
Additional.wor. -to . e berlo—rmed under this permit.— c, ec ;a apply:
HVAC . Gas Tank El
Gas Piping Shutters. Q Windows/Doors-
Z✓ Electric ✓❑_ Plumbing E]Sprinklers Generator Roof
Total S Ft of Construction: 2.,484 2,484
q. V. S . 1: of .First Floor::
Cost of Construction: $ $58,000 . Utilities: Sewer ElSeptic Building Height:
OWNERXESSEE;
CONTRACTOR:
Name Wynne. Building Corp..
Name: MaBHew Lyle.Wynne
Address: 8000 South US Hwy. 1 Suite 402 ..
Company: Wynne:Development Corp._
City: Port St. Lucie State: FL .
Address:.8000 South US Hwy.. 1 Suite 402
34952 :.. 772 878-7656 ..
Zip Code: Fax: (- )
Port St.. Lucie FL
City: State:
Phone.No: (772):878-5513
Zip Code; -34952 Fax:(M):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 Licenser CG003599 .
u value ur_cunsuuuilon IS .?z3uu or more, a KtwKueu rvOLICe Or Lommencement,is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Braden & Braden
Address: 411 Coconut Ave.
City:. Stuart State: FL.
Zip: 34996 Phone: (772)287-8258
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: -
Address:.
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: Stater
Zip: Phone:
BONDING COMPANY-.' _Not Applicable
Name:
Address:
City:
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 postedon the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
s
Signature of Contra or/License Holder
STATE OF FLORIDA I.STATE OF FLORIDA
COUNTY OF � , I COUNTY OF S +
The forgoing instrume t was acknowledged before me The forgoing instrume t was acknowledged before me
this �1'�day of 20 l7by this (a 'day of 201-2 by
YC_ 6- 10 ,4 i7We W L Y Lc % VAJ N i
(Name of person acknowledging). (Name.of person acknowledging)
(Signature of Not ry ublic- State of Florida )
Personally Known FOR Produced Identification
Type of Identification Produced
Commission N )OROTHYAM� B KIN
MMISSIOPf � 030.145
'.: z•°e� EXPIRES: October 2, 2020
Revised 07,
(Signature of Nota P blic- State of Florida
Personally Known ✓ OR Produced Identification
Type of Identification Produced
DOROTHY
Commission No. :'A 'X %• •.
EXPIRES: October 2, 2020
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