HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ ' ,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIONTO BE ACCEPTED
Date:. (Z�4L\ Permit Number:.
ECE
w : B� IVED
04-
St
JUiN 0 8 2018
Building Permit Application
Planning and Development Services ST, Lucie County; Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 .
Phone: (772) 462=1553 Fax: (772) 462-1578 COI711'1'lercial. ' .. .. Residential X.
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address 168 MEDITERRANEAN NORTH
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 31 ' Back: 41' Right Side: -16' - Left Side:: 15'
DETAILED DESCRIPTION OF, WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY -RESIDENCE - 2 BEDROOM / 2 1/2 BATH / 2
GARAGE
CONSTRUCTION INFORMATION:
itiona wor.- .to e e orme : under this: all apply:
�✓ HVAC Gas Tank' Gas Piping _Shutters Q Windows/Doors
Z✓ Electric D Plumbing Sprinklers Generator Roof
Total Sq:.Ft of Construction: 2,381 S .'Ft. of First Floor:. 2,381
Cost of Construction: $ $58,000 Utilities: Sewer EI-Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 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:.8000 South US Hwy: 1 Suite 402 . .
City: Port St.. Lucie.-. State: FL.
Zip Code:-.34952 Fax: (772) 87&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 Licenser CGC03599 '. . .
If value of construction is $2500 or more,. a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable _
MORTGAGE.COMPANY:
Not Applicable
Name: Breden&Braden
Name:
Address: a,i coconut a�a:
Address:
City: sivart Stater F�•
City:
State: -
Zip: sasss Phone: c772)Za�-azsa
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
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 Count makes,no representation that is granting a.... it will authorizethe permit -holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, -bylaws or -an d 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
commencingwork or recordingour Notice of Commencement. .
s
_ Signature of Owner/ Lessee/Agent Signature.of:Cbntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYO.F ST.I-r►+c« COUNTY OF.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,:Rklay of /V1 &Y 20 j by _ this,;? c YY'ay of ✓Yl t , 20 � by
WYNNe _�A7rHcw Lx� &V I'NN.�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of No Public -State of Florida) (Signature of No ta P blic- State of Florida )
Personally Known ✓ OR Produced Identification Personally Known e%R Produced Identification
Type of Identification. Prod u a Type of Identification Produced
DOROTHYANN BASKINha
Commission No. MY C0M(,6"J)N# GG 030145 Commission No. :' °4 e:''Y i b0R0THYAfiA4I�SKIN
r� = EXPIRES: October 2, 2020 = xi MY COMMISSION # GG 030145
' .
F;;_ •, o , d Thru Notary Public Underwriters EXPIRES: c
Bonded Thru Notary, Public Underwriters
Revised 07/.15/2014 �+
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