HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4 y.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLIC
Date:.
SCAN !
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Building' . e
Planning _and Development Services
-Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 .
Phone: (772) 462-1553 Fax: (772) 462-157.8 C.6
PERMIT APPLICATION FOR: Building
I rrAy�ruar-`
Address 175 MEDITERRANEAN'NORTH
Legal Description: SECTION 26 / TOWNSHIP.36s / RANGE
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name: f
Setbacks Front 30': Back: 37 Right Sid(
DETAILED DESCRIPTION OF WORK:
40e
MOBILE HOME REPLACEMENT- SINGLE FAMILY RESIDENCE- 3 BEDROOM / 2 BATH V 1 1/2-
.GARAGES.
C- AS�TR,U.C+�TIO�T,�„�NFORMATION
1tiona .wor •to be e orme : under this -permit — check* a-t= apply;
HVAC. Gas Tank Gas Piping Shutters.
Windows Doors
�_ p g Q . .
�✓ Electric ❑✓_ PlumbingSprinklers Generator 1 Roof
Total Sq. Ft of Construction: 2,48.4 S . Ft. of First Floor: 2,484
Cost of Construction: $ $58,000 Utilities:Sewer Septic Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Narrie Wynne Building Corp.
Name: ,Matthew Lyle -Wynne
Address: 8000 South US Hwy. 1 Suite 402 - .
Company: Wynne Development Corp.
City. Port St. Lucie State: FL .
Address:.8600 South US Hwy: 1 Suite 402 . .
Zip Code.. 34952 . Fax: (ZZ2) 878=7656
City: Port.St:.Lucie.: State: FL. .
Phone -No. (772) 878-5513
Zip Code: 34952 Fax: (772) 87877656
E-Mail:
Phone No. •(772) 878. 3.
-Fill in fee simple Title Holder on. next. page ('if different I ..
E=Mail:..
from the Owner listed above)
State or County License: CGC03599
If value of.construction is $2500 or more, a RECORDED
)tic of Commencement is required.
.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: = Not Applicable
-Name: Braden.BBraden.
Add re s s: 417 Coconut Ave.
_City: Stuart State: FL.
Zip:, 34996 .Phone:. (772) 287-8258
i
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
Zip: - Phone:
I certifythat no work or installation has commencedprior to
St: Lucie County- makes no representation that is granting a
Which is in conflict with any applicable Home Owners Associa
structure. Please consult with vour Home Owners Associatior
MORTGAGE. COMPANY: Not Applicable .
Name:.
Address:
City: State:
Zip: Phone:
BONDING COMPANY_: _Not Applicable
Name: .
Address:
City:
Zip:Phone:
he issuance of a permit.
,mit will authorize the permit holder to build the subject.structure
on rules, bylaws or and covenants that may restrict or prohibit such
and review your deed for any restrictions which may apply.
In consideration.of the granting of this requested permit, I do hereby agree that l 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 NoticIe 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
commencin work or recording.: our Notice of Commencement.
i
_ Signature of Owner/ Lessee/Agent
I
STATE OF FLO 'A
COUNTY OF r
The fpWoirrg instru wis acknowledged fore me
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Signature.of Contr ctor/License Holder
STATE OF FLOR A
COUNTY OF .!aA La
The f rgoing instru ent wa acknowledged efore me
this day of 20 Lby this day of 20 by
Ma4 C �J%1:0nev l
I
(Name of person acknowledging (Name of person acknowledging
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(Sig tare of Notary Publi State of Florida) (Sign t e of Notary Publi - State of Florida )
Personally Known,- -OR Produced Identification
Type of Identification Produced
- �s-AL-A— —Aft
Commission No.
Revised 07/15/2014.
Personally Known OR Produced Identification
Type of Identification Produced
Not %l)ila State of Florida Commission No.
Julie Ninassi �J�III
My Commission GG 038942!
Notary Pul lid State of Florida
Julle Ninassi . : .
Expires io/16/2020
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