HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO M19ST BE COMP LETED FOR APPLICATION TO BE ACCEPTED
Date- Permit Number:
Qiq
RECErVEI)
APR, 2,4.70V
Building. P. ermit Application
Planning and D . evelp ment Serwces PerMltti�g Dep�rt�
P Lucie courityent
Building and Code Regulation -bivision
2300 Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462 15.53 - Fax: (172) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
iss: 168-CAMINO DEL RIO
,AddrL
Legal Description. SECTION 27./ TOWNSHIP 36S./ RAI NGE 40E
Property Tax 10 #: 3427-111-0002-000/5
Site Plan Name: SPANISH LAKES
Project Name: RIVERFRON
Front 32" Ba Right Side: 19' -Left Side: T
Setbacks ck: 36 1
DETAILED � DESCRIPTION OF WORK -
MOBILE HOME -REPLACEMENT- SINGLE PAMILY RESIDENCE
2 BEDROOM"/.2 BATH / GARAGE
NO SLAB TO BE BUILT. OFF BACK OF HOME
CONSTRUCTION INFORMATION:
Adcliti.onalwor.ktobenertormed under this permit -- check- all apply:
Z-HVAC []GasTank []Gas Piping Sh Otters --.Z,Windows
/Doors
zElectric. Plumbing- pswinklers Generator .1 V Roof
T 0-tal Scl ton: 2,108 S Ft of FirstFloor: 2,108.
Ft of Construc i
Cott of Constructiom $ 58,000 Sewer 11 Septic Building Height:
Utilities.
OWNERAESSEE:
CONTRACTOR:
Name WYNNE, BUILDING tdRpoRATiON
Name: MAT -THEW LYLE WYNNE
A . ddress: 9000 SOUTH US HWY. I SUITE 402
company: WYNNE DEVELOPMENT CORPORATION
Address:.8000 SOUTH US HWY. I SUITE 402.
Cit - PORT ST. LUCIE FL
Y. State:
Zip Code: .34.952 Fax: (772) 878-7656-
City: PORTST. LUCIE a e.
St t
Phone,No. (772)878-5513-
Zip Code: -34952 Fax: (772)'87877656
E-Mail:
Phone No. -(772) 878-5513
Fill in fee simple Title Hold.er on next. page if -different
E-Mai'L
from the Owner listed above)
State or County License: 8898
It value of construction is �ZWU or more, a RECORDED Notice of Commencement is required.
... .. .... .
, L_1t0NS'TRUCTf0_N O'ENIAW INOOR I'PN
SUP M MAT
DESIGNER/ENGINEER�' Not Applicable MORTGAGECOMPANY-S� X Not Applicable,.'
:N� me: _E3RAbEN&l3RADEN..-- Name:
Add ress: 417 COCONUT AVE. Add ress.;
City; STUART State: h. 'city: -State:
Zip: 34996 -Phonei (772) 287-8258 Zip: Phone::--
.. .... .. ....
:AE-SIMPLE TITWHOLDtIR: - x Not Applicable'- BONDING COMPANY:.' NotApplicable
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.
Si- y -makes no represent' antinj�a Permit 11 ermit holder to build the subject structu, re
. Lucie Count . . ation that is'gr wi authorize -the
I which is in conf ict withany applicable Home Own erg Association rul6s,.b'ylaws'or an9covenants that -may restrict or prohibit such -
structure. Please Consult with your Home.Owners, Association and.reviewyour-deed for Any restrictions.which may apply,
I . n consideration of the granting of this requested permit,: do.hereby agree-that-1 Willi in all respects, -perform the work.
the Flor it Codes and St: Lucie: CoUnty.Amendments. -
in-accordaricewith the approv,ed:plans, ida ui Int
:The'following'b . uilding permit Applications are exemptfro-n Undergoing afull concutrency review: roorn additions,
accessory structures, swimming pools: fences,walls signs:.screen rooms and accessory uses to another non-residential use
WARNING TO-OWNE . R:.Your failure, to a Notice of-Commen.cement may result in your:payi.ng twice for
j m !rty. �A Notice'of'Commencement must be recorded ancipbsted on the jobsite
provements to your: prope
e f i . t" If y d t i obtall n- financing, consult -with l6fid& & an-attorn6y before
before th rst inspec ion. ou interi - c
commencing work or ret6rding.your Notice of Corriniencerhent.
Signature of Owner/Agent/ Lessee
-Signature-of.Contract.or/License- Holder.
STATE OF FLORIDA
STATE OF FLORIDA'
COUNTY OF
COUNTY OF 1�� af a
The forgoing instrument Wag acknowledged befdr6 me
this 2j-0-8a of 20 19'b
y Y:
The forgoing instrument was acknowledged befbire-me
this j2ZJ'Ay.of A041 4:�: .2dLtby.
ATA_t1Ne_&_) v L C." - W; -VA) IU
7r?./ E
(Name of person acknowledging).
(Name.of person. acknowledging)
.(Signa ture of Notary PGblic-a State of Florida
(Signature of NotdUPublic7 State of Florida
Personall -.0 deritification:
y Known R,Produced-1.
Personally lKn own OR Produced Identification
type of Identification, Produced'
-..,TY,0,6f.1dentifi.c�tion.P.r.o.d6.c.ed.:..
.. .... .. ..
Corrlrn�issioh No.. 4�e.y _=1 QDROTHYA04SKIN
.... ....
y P,
Commission, No.' DOROTHY W"�S'KIN'
MyC0wAlSSl0N#'QG030145
MY C044MISSION GG 03G145
IEXPIR�S- nc!ober
.Notary.Publi c�lnderwht
Ponded'Thru em
....
F
0. XPIRPS'Onh her 9
- Bonded Thru Notary Public Under4ters
.. .... . . .. . .. .... . .... .
.. .. .... ..
Revised- 07/1
REVIEWS - -
'FRONT'
ZONING
SUPER V
ISOR-
PLANS
VEG ETATION
SEA TURTLE -
MANGROVE::
-COUNTER,-
REVIEW
_:.REY1
IW:
REVIEW
REVIEW
-REVIEW.
..REVIEW.:
DATE -
COMPLETE
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