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Date:- Permit'Number:
BY
K elm
Building Permit Application .
0 13
Planning -and Development Services
Building and Code Regulation Division Permlttln9 �p8�ment
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie.County .
Phone: (772) 462-1553 Fax: (772) 462-1578' : C6I'1 mercial Residential: X
PERMIT APPLICATION FOR: Other_
PROPOSED IMPROVEMENT LOCATION:.
:Add ress: 27.MARIPOSA
Legal Description:- SECTION 26./ TOWNSHIP.36s / RANGE.40e.
.. .. .. .. .. .. ....
•: Pro pertyTax ID #: 3414-501 A 701-000/9 Lot No::
Site Plan Name: SPANISH LAKES ONE'Block No.
Project Name:
Setbacks front:302! . Back:.36' 'Right Side:.28'8'. : Left Sider 1.21" .
DETAILED DESCRIPTION OF WORK:
REPLACEMENT MOBILE HOME: SET UP AND TIE: DOWN TO CODE
CONSTRUCTION INFORMATION:
itiona .wor -to be nertormed. u_n er t is -permit- c ec :a apply:..
HVAC.. Gas Tank _ Gas Piping Shutters Windows/Doors;
�✓ Electric- ✓❑_ Plumbing' E]Sprinklers EI.Generator C1. Roof
Total Sq::Ft of Construction: 1,380 aS . Ft. of Fist Floor:1,380
Cost'of Construction: $ 11,040.00 : - : Utilities:11Sewer 0Septic Building; Height: .
OWNER/LESSEE:
CONTRACTOR:.
Name WYNNE BUILDING CORP.
Name: WILLIAM-D. BRANTLEY : ..
Address: 8.000 SOUTH US-HWY. 1 . SUITE 402
'Company: WYYNE DEVELOPMENT CORP..
City.: PORT ST.- LUCIE LState: 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).878-5613
Zip Code;.34952 Fax: (772) 87877656
Phone No. (772) 878-5513.
-E-Mail:
Fill in fee simple.Title Holder on.next-page (.if different.
E=Mail:.-
from the Owner, listed above)
State or County License: DIH1016128 - 29524 .'
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.w000s. ..' ...'.
.
Name:.
Address:
Address:
City:. State:
-City: State:
Zip:. .Phonew (772)618-5644
Zip: Phone::
-FEESIMPLE 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 commencedprior to the issuance.ofa permit.;
St: Lucie County make' representation that is granting a:permit will authbriie:the permit'holder to build the tubject;structure
which is in conflict with any applicable Home Owners Association rules, bylaws bran 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.Ameridments.
: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 inyour-payingtwice for
provers ents to your: property. A.Notice.of Commencement must be - recorded and posted on the jobsit
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:before the' first inspection. If.yod intend to obtain finapcing, consult with I.erider or=an.attorney before
commencing; wor • or recor ink:vour Notice V Commencement..:
s
Signature of Owner/ Lessee/Agent Signature.of:Cbntractor/License-Hog r .
STATE OF FLpV4 ppA STATE OF FLORIDA:. z
COUNTY OF J''I' C U Le LQ COUNTY OF:
The forFouig instr ht was acknowledged efore me The for oing ins#runt was acknowledged fore-ine
this -May of 20 j' by this day of 20 by
U.
(Name of person acknowleciing ). (Name -of person.acknowledgin )
4(ature of Notary Pu lic- State of Florida) (Signat r of NotaryPublic- State of Florida )
Personally Known. OR Produced Identification Personally Known V OR Produced Identification
.Type of Identification Prod Type of Identification Produced
Nota Pub11c State of Fiorlda
Commission No..:-.Ju1119NI;bssi Commission No.P� NotaryF�oajtate ofFlorida
,g< My Commisalon GG 038942 Julie Nlnassi. '
Expires 10/1.6/2020 ` < My commission GG 038942:
Aevise'd 07/15/.2014:
REVIEWS FRONT: -ZONING .. SUPERVISOR. PLANS VEGETATION SEA TURTLE MANGROVE :
COUNTER..:. REVIEW REVIEW REVIEW. REVIEW! REVIEW.. ..REVIEW.:
DATE .
COMPLETE16)
INITIALS.. ..