HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:..
1EC '�.
Building Permit Application. JUN:2.0 2017
Planning dnd DevelopmentService3
Building and Code Regulation -Division St. Lucie county, FL
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: GERMANY CANAL RD.'
Legal Description: L(q
r
Property Tax ID #: 3229--000-2�.� t U. Lot No.'2
Site Plan Name: S Block No.
Project Name:
Setbacks Front'171' Back: 590' Right Side: 105' Left Side: 129'
DETAILED.:DESCRIPTION OF.WORK:-,
NEW MOBILE HOME TO BE BROUGHT IN; SETUP AND TIED DOWN:.2 BEDROOM / 2 BATH
CONSTRUCTION INFORMATION: "
rtiona wor. to e e orme under tis —checkpermit . a apply:
�✓ HVAC. �P Gas Tank Gas Piping . _Li Shutters QWindows/Doors
zElectric ✓❑_ Plumbing . ❑Sprinklers Generator g Roof
_Total Sq:.Ft of Construction^�� 17 S . Ft: of .First Floor:.2
Cost of Construction: $ 58;000 Utilities: Sewer IA Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name RICHARD WILDER
Name: WILLIAM_D. BRANTLEY
Address:471 SUNRISE DR.
Company: WYNNE DEVELOPMENT CORP.
City: FORT PIERCE State: FL
—
Address:.8000 SOUTH US HWY. 1 ._ SUITE 402
Zip Code: 34945. - Fax:-
City: PORT ST.. LUCIE State; FL
Phone.No. (772),528-0286
Zip Code:. 34952 Fax: (772) 8784656
E-Mail:
Phone No. '(772) 878-5513
E=Mail:_.
Fill in. fee simple Title Holder on next page( if different
from the Owner, listed above)
State or County License:" DIH1016128.
If value of construction is $2500 or more,.a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: .. _ Not Applicable
MORTGAGE COMPANY: Not Applicable .
Name: LIVE OAK HOMES
Name:
Address: 2875'FULFORD ROAD
Address:
City: WAYCROSS State: GA
City: State:
Zip: 31503 Phone: (912)287-9015
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 orinstallation 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 vour Notice of Commencement.
cense
STATE OF FLORIDq STATE OF FLORA
COUNTY OF S ii In�c� _ COUNTY OF -t- -C-:u.
The forging instrum nt was acknowledged before me The forgging instrumen was acknowledged before me
20 this day of 20 L by this ; 77dday of 20 .7 by
I \ �ihl4✓1 (_ W 1 Cb c)e
(Name of person acknowledging). (Name.of person. acknowledging)
(Signature of N t ry Public- State of Florida) (Signature of Not6 Public- State of Florida
Personally Known OR Produced Identification ✓ Personally Known ✓ OR Produced Identification
Type of lderitification.Produced I)RI'y-e72s I Cpw EF Type of Identification Produced
Commission No. ': °01•.
DOR::T.HY�SKIN Commission No. 7v,.17
OROTHf SKIN
MY COtYi�`I SION #.GG (130145 OMMISS I�GG 030145
October2,2020_ EXPIRES: October 2, 2020 ^T
Revised 07/13'}0'P '�'"" -�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE -
MANGROVE
COUNTER.
REVIEW
REVIEW _ .
REVIEW.
REVIEW
REVIEW
REVIEW
DATE
122A
COMPLETE
INITIALS