HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.'y
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. �JPermit Number:
9 " �..�...a
21
-- ---- -NoBuilding Permit Application JUP3 2S . 317
Planning and Development Services Pi;:ji;l'rlwG
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982 .
Phone: (772) 4624553 Fax: (772) 462-1578 COI'1']I'1'lerCial Retidential X
PERMIT -APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:,
Address 5GRANADA SOUTH
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 22': Back: 16' Right Side: 20Left Side:: 1.3'
DETAILED DESCRIPTION OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM /-2 BATH /
GARAGE
CONSTRUCTION INFORMATION:
itiona .wor..to . e e orme under this permit— check. all' apply.:
�HVAC. Gas Tank Gas Piping _ Shutters Q Windows/Doors
z✓ Electric ✓❑_ Plumbing . Sprinklers Generator Roof
Total Sq. -Ft of Construction S . Ft. of First Floor:- 2,.1:08
Cost of Construction: $ $58,000 Utilities: Sewer - Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building corp.,-,
Name:. Matthew Lyle.Wynne
Company: Wynne Development Corp.
Address: 8000 South US Hwy. 1 Suite 402 .'
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
Phone No. -(772) 878-5513
E-Mail:
Fill in fee simple Title Holder on,next page (if.different
E-Mail:_
State or County Licenser CGC03599 -
from the Owner listed above)
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not -Applicable
MORTGAGE.COMPANY: .. _Not Applicable
:Name: - Braden $ Braden.
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 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 coricurrency 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 Iende:r or an attorney before
commencing work or recordink your Notice of Commencement..: - .. -
_ Signature of Owner/ Lessee/Agent
Signature of Contractor/License Holder
STATE OF FLORIDA //
STATE OF FLORID�fi
COUNTY OF (,L)[.[�
Luc
COUNTY OF:G(.e
The forgoing instrume was acknowledged before me
30 0
The forgoing instrurnjent was acknowledged before.me
W
this day of / -e— 20 by .
this day of 20 by
le,
LLA
(Name of person acknowle ing)
(Name of person. acknowle g )
(Signature of Notary State of Florida)
(Signature of Notary State of Florida .)
\Puublic-
Personally Known. 1" OR Produced Identification
/Public-
Personally Known !`" OR Produced Identification
Type of IdentificationProducedType
of Identification P ticp_ ._
Commission No.Y� r `� ead ommissio.n NIRE% No�ryPyi& "teofFlorida
: �Bo dry ublio State of Florida Kerri E B❑oik
Kern E Budka MY commission FF 978543
� ` c 9�OF n� .Expires o5/25/2020 -
oF i<o. onimkoi—
Expires 05/25/2.020
Revised 07/15/M14
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