HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Planning and Development Services linty
Building and Code Regulation Division _ ..
2300 Virginia Avenue, Fort Pierce FL 34982 '
Phone: (772) 462-1553: Fax: (772) 462-1578-:C011' merCial 'ReSidehtial: X
PERMIT -APPLICATION FOR:: Oftierl .
PROPOSED IMPROVEMENT LOCATION:
6 LOS GATOS .:. .
Address: I : .
legal_ Description:.SECTION'26./ TOWNSHIP.36s /_ RANGE 40e .
Property Tax ID #: 3414-501-1701-000/9 Lot No::
Site Plan Name: SPANISH LAKES ONE .I Block No.
Project Name: I
-
-� Setbacks Front 22'6" - Back: 31'6" - Right Side:. Leff Left Sider 24'81/2":
DETAILED DESCRIPTION OF WORK:
REPLACEMENT MOBILE HOME) SET UP AND TIE DOWN TO -CODE
CONSTRUCTION INFORMATION
Additional -work -to be e orme : un e
HVAC.. : ' Gas Tank,
zElectric. 0 Plumbing
Total Sq:.Ft of Construction: TA04 .
Cost' of Construction: $ 11,232.00
r tnis.permit - cnecK:ai.i. app!.y
EJGas Piping _Shutters " Windows/Doors
[]Sprinklers Generator " �. Roof
S . Ft. of First Floor:.1,404
Uti I ities: Sewer Septic Building. Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE�BUILDING CORP. .:I
Name:-'WILLIAM D. BRANTLEY - .-
Address.8000 SOUTH US.HWY. 1 .SUITE402'
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
City: PORT ST. LUCIE State: FL "
Phone No. (772):878=5513
Zip.Code..34952 .. Fax: (772) 87877656
E-Mail: I
Phone No.:(772).878-5513.
.:Fill in fee simple.TR16 Holder on.ne, t page (if. different.
E=Mail:.
from the Owner'listed above)
State or County License:' DIH1016128 - 26524
If value of.construction is $2500 or rn ,re; a RECORDED Notice.of Commencement.is required. .. .. .. .
. .. .... .. ....
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: -
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: ..: . 'x-.. Not Applicable
:Name:. STEVE WOODS .
Name:
Address:.:
Address:
City:. f State:
City: State:
Zip: Phone:"(772)618-ss44 �.
�.
Zip: Phone::
FEE.SIMPLE TITLE HOLDER: : " x-:: Not Applicable
BONDING COMPANY::- x : Not Applicable .:
Name:-
Name: .
Address:
Address:. I
City: ..
City:..
Zip: Phone:
Zip; ... .... Phone:: ...
�.
I certify that no work or -installation has comm� nced-prigr to the issuance .of a permit.:'
St: Lucie Counttyy makes -no representation that is granting a:permit will authorize the permit'holder to build the `subject structure
which is in conflictwith 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, l do hereby agreethat l will; in. all respects; perform the work
in -accordance with the'approved plans; the Florida Building Codes and St. Lucie:County.Ameridments.
The following'building permit applications are xempt from undergoing a. full coricurrency 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.Not�ice.of Comnnenceryient must be recorded and posted. on th.e jobsite
:before the .first inspection. if .you intend to obtain finaricing, consult with lender or _ rh attomey before
commeric . Ing work or recordin : our Notice of Commencement:.:
Signature of Owner/ Lessee/Agent Signattire,of Contractor/License-Holder .
STATE OF FLOR / -_ STATE OF FLOMYA
COUNTY OF ST .r/ 1��. COUNTY OF
The f r oing instrii t was acknowledged,,b,�fore me The forgoing instru e' t was acknowledged efore.me
this day of � 20 �by thisa� day of 20 by
(Name of person acknowled ing ) e
(Name.of person.acknow[ dging )
�.
(Sig ture of Notary Public -State of Florida i) (Sig ture of Notary Pub ic- State of Florida )
Personally Known OR Produced Identification _ Personally Known OR Produced Identification
.Type of Identification. Produced Type of Identification Produced -.
Commission No. Stet. of Florida Comiission No. No � @Stete of Florida,:
Julie Ninassi'�; 'Julie Ninassl"
a My Commission GG 03ti942 a My Cofnmisslon GG 038942. .
or res , or xpires
Revised 07/15/2014 "
REVIEWS : _ FRONT: ZONING I. SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER.: REVIEW REVIEW REVIEW. REVIEW. REVIEW.- REVIEW .:
DATE
,_1:t7
II INITIALS:.-