HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCAN14W
�Y ERECEIVE7D
- -- — St Lucie �0
Building Permit ApplicationPlanning and Development Services Building andCode Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 . 'Commercial Residential X
PERMIT APPLICATION FOR: Other NA P U�,In.,XD
PROPOSED IMPROVEMENT LOCATION:
Address:
22 MEDITERRANEAN EAST
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 23-2" Back: 30' Right Side: 12'2" Left Side: 24'2" `
e
DETAILED DESCRIPTION OF WORK: .
REPLACEMENT MOBILE HOME: SETUP AND TIE DOWN TO CODE
I
CONSTRUCTION INFORMATION:
itiona wor to je ne orme under t is,permit — checl all apply:
ZHVAC I I Gas Tank E]Gas Piping _ Shutters a Windows/Doors
Z✓ Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: 1,512 S . Ft. of First Floor: 1,512
Cost of Construction: $ 12,096.00 Utilities: Sewer 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: FIL
Address:.8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LU�CIE State: FIL
Zip Coder 34952 Fax: (772) 878-7656
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: STEVEWOODS
Address:
.City: State:
Zip: Phone: (772) 618-5644
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
-Zip: Phone:
MORTGAGE COMPANY: x Not Applicable .
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or. installation has.commenced.prio,'r 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 Com encement.
_ Signature of Owner/ Lessee/Agent ',Stgnatur' of C tractor/LiT
se;''IL
.
STATE OF FLORIDA STATE OF RIDA
COUNTY OF �� . L'�c �� COUNTY OF�—
The forgoing instrument was acknowledged before me,
this\l day of20Lby
U_ �_UIIA r.,K�P_
of person acknowledging
The forgging instrument was acknowledged before me
this y of�-t u,_c�u , 20 Vci� by
(Name of person acknowledging)/
� ✓w v// / y y �i /' v
nature of Notary Public -State ida 481gnature of Notary' Public- State of ida )
Personally Known "/ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. SANMAGEE Commission ea
o� 'y . ;e 5AN MAGEE
-s MY COMh41SSI0N # FF 187647 _ `.° = MY COMMISSION # FF 187647
;fRF f 4Q'. Bonded Thru Notary Public Underwriters '<;6;ft a;° ponded Thru Notary public Under0ters
Revised 07/15/2014
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