HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date;Tl �� Permit Number:
SCANNED G a
Build lTIr 0 V, pplication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT -APPLICATION FOR:. -
. Other.
PROPOSED IMPROVEMENT LOCATION:\-J,�R\cLC_SL(VQ�Ae
Address: 256-CAMINO DEL RIO
Legal Description. SECTION 27 / TOWNSHIP 36S / RANGE 46E
Property Tax ID #: 3427-111-0002-000/5 + Lot No.'
Site Plan'Name: SPANISH LAKES Block No.
Project Name: RIVERFRONT I
Setbacks Front Back: Right Side: I Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement. of -plywood flooring in the Mobile Home
[CONSTRUCTION INFORMATION:
Additional.wor -to' e e orme under
11HVAC E] Gas Tank
tis permit- check
❑Gas Piping
a apply:
_ Shutters
❑ Windows/Doors
0Electric. 0 Plumbing
oSprinklers
Generator
Roof
Total Sq.-.Ft of Construction: 1,392
Cost of Construction: $ 1,900.00,
Utilities:[]Sewer
S . Ft. of. First Floor: 1,392
0 Septic Building. Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORPORATION
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION.
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
City: PORT ST. LUCIE State: FL_
Zip Code: 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.-
State or County License: 8898
:Mail:-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: STEVE WOOD.
Name:
Address: 950 SULTAN DR.
Address:
City:. PoRTST.LUCIE State: FL.
City: State:
Zip: 34953 Phone:(772)878-7324
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 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 accordahce 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.no.n-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 job -site
:before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordine.vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee I .Signature of Contractor/License Holder
STATE OF FLORI A jj �� STATE OF FLORIQA
COUNTY OF If . /A &L COUNTY OF
The f r oing instru ent vin acknowledged fore me
this .�day of k 2 1Mby
1�a+4 P LO
(Name of person acknopwll dgirlg)'
(Signature of Notary Public- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
The for oing instr t w s acknowledge efore me
this dayof 20by
Mal bi 1P
(Name of person acknowledging
(Sig9ture of Notary
`Public- State of Florida
Personally Known . r OR Produced Identification
Type of Identification Produced
Commission No. ? ' = T I Commission No.
,dn r+d, meta �g� � State of Florida
Julie N
amy agn
'4Jr.cF Expires
Revise& 07%15/201
Notary Public State of Florida
�; June Nlnassi .
s Re,, r..�....,t-1— nn n%acu1
Expires.l0/1e/2020
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