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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�I ALL -APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 22 Date: Permit Number: J SCANNED RECEIVED Bui ding Permit Application MAR 9,201. Planning :and Development Services ! Permitting Department Building and Code Regulation Division I -St. Lucie County i 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax:. (772) 462-1578- C0171171'ercial Residential X . i PERMIT APPLICATION FOR: Other. PROPOSED IMPROVEMENT LOCATION: Address: 15 MAYA WAY Legal Description:. SECTION 26 / TOWNSHIP 36s / RANGE 40e Property Tax ID #: 3414-501-1701-000/9 Lot No. Y Site Plan Name: SPANISH LAKES ONE Block No.' Project Name: mII Setbacks Front 162" Back: 23' Right Side: 28,1.0,. Left Side: 16'10" DETAILED DESCRIPTION OF WORK: REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE CONSTRUCTION INFORMATION: Adclitional work to e ertormed under this permit— check a apply; ✓C�HVAC Gas Tank Gas Piping _ Shutters O Windows/Doors . zElectric 0 Plumbing . ❑Sprinklers Generator Roof Total Sq. Ft of Construction: 1,416 S Ft. of First Floor: 1,416' Cost of Construction: 11,328.00 Utilities:tSewer-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 Phone.No. (772):878-5513 City: PORT ST. LUCIE State: FL . Zip, Code: 34952 Fax: (772) 87877656 E-Mail: Phone No. '(772) 878-5513 I Fill in fee simple Title Holder on next page (if different E-Mail:. State or County License: DIH1016128 - 29524 from the Owner listed above) 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 MORTGAGE. COMPANY: x Not Applicable .Name: STEVEw000s blame: Address: I Address: City: State: City: State: Zip: Phone: (772)618-5644 I ;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 certify'that no work or installation has commenced prior to thelissuance 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 recordinkvour Notice of Commencement.: , s _ Signature of Owner/ Lessee/Agent Stgna'tu e of acor%Ucen a Ide STATE OF FLORIDA I STATE OF FL O IDA COUNTY COUNTY OF The forgo ng instrument was acknowledged before me The forgoing instrument was acknowledged before me this2 of �.�c�� 20 Eoi Eby this�JJ day of ` t�C�� . 20 by (Name of person acknowledging),' (Name of person acknowledging ,(-Signature of Notary Public- Statelorida) I 'Signature of Notary Public- State of rida ) Personally Known V OR Produced Identification ! .Personally. Known �OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Commission No. Revised 07/15/26F MY COMMISSION # FF 187647 MY COMMISSI0N # FF 187647 Bonded Thru Notary Public Underwriters '•Fp ; (.. ©onded Thm Notary Public Underwriters REVIEWS FRONT ZONING SUPERVISOR' PLANS VEGETATION SEA TURTLE MANGROVE: COUNTER - REVIEW REVIEW REVIEW REVIEW REVIEW .REVIEW DATE COMPLETE INITIALS i