HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AP PLICABLEINFO MOST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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rd;G Permit Nuber:. .
Date.m
.
RECEIVED
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Building: Permit Application-,,
g and Development Services
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Building and Code RegulatiorrDivision ST. Lucie County, Permitting
. 2300 Virginia Avenue, Fort Pierce FL 34982
'.. Phone: (772) 462-1553 'Fax: (772) 462-1'S78 Commercial. Resid6ntiai X. =
PERMIT APPLICATION FOR:. Building
PROPOSED IMPROVEMENT LOCATION:
Address: 81 EL CAMINO REAL .
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 24' Back: 45� Right Side: 16'9" . Left Side:. 12'3"
FDETAILEDDESCRIPTION OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE,- 2 BEDROOM /-2 BATH / GARAGE
NO SLAB TO BE. BUILT OFF_ REAR OF HOME
CONSTRUCTION INFORMATION: _
Additional wor to -E jee orme un er t is permit —check: a apply:
�HVAC L_I Gas Tank 013as Piping Shutters' Q Windows/Doors
0 ✓ Roof. ..
✓ Electric ✓PlumbingSprinklersGenerator
Total Sq:.Ft of Construction.: 2,124 S . Ft. of:First'Floor: 2,1.24
Cost of Construction: $ $58,000 . Utilities: we _Ser Septic Building Heights
OWNER/LESSEE: CONTRACTOR:
Nam 4 Wynne Building Corp. Name:' Matthew'Lyle Wynne
Address: 8000 South US Hwy, 1 Suite 402 Company: Wynne -Development Corp.
City: Fort St. Lucie State: FL Address: -8000 South US -Hwy. 1 Suite 402 . .
Zip Code:34952:. Fax: (772) 878-7656 .. Port St. Lucie
City: State: FL..
Phone No. (772) 878-5513 -ZipCode: 34952 Fax: (77� -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 License: CGCO5599
If value of construction is $2500 or more,. a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNS�/ENGINEER: _ Not Applicable ...
MORTGAGE COMPANY: .. _ Not Applicable,
•Name:. Braden.& Braden. ....
Name:
Address:1417 coconut Ave.
Address:
City:. Stuaq'i State: FL.
City: -State:
Zip: '34996III. Phone:' (772) 287-8258
Zip: Phone:
FEE.SIMRLE TITLE HOLDER: _ Not. Applicable
BONDING COMPANY:' _Not Applicable -
Name
Name:.
Address..
Address:
City: - .. I.
City:
Zip: Phone:
-Zip: -' II Phone::
I certify that no work or. installation has commenced prior to the issuance of:a permit._
St: Lucie Co tnty makes.in representation that is granting a:)ierrriit will authorise the permit holder to build the subject structure
which is in'l onfflict with any applicable Home Owners Association rules, bylaws or -and covenants that may restrict or prohibit such
structure. ,lease consult with your Home
.Owners Association and.revlew your deed for any restrictions which may. apply. In considerationof the granting of this requested permit, I do hereby agree that I will, in all respects; perform the work
in accorda e with the approved plans; the Florida Building Codes and St: Lucie County Amendments.
The follow! lg building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory Aructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another-non:residential use
WARNING TO:OWNER: Your failure.toRecord a Notice of Commencement may result in your.paying twice for
improverrients to your. property.A,Notice of -Comm' encement'must be recorded and.posted on the jobsite
before th'e first inspection. If -you intend to obtain finaricing, consult -with lender or:an attorney before
commencing work or recording Vour Notice of Commencement. .
_ Signatur'
of Owner/ Lessee/Agent
Signature. of Contractor/License-Holder .
STATE OFu
I FLORIDA
STATE OF FLORIDA
COUNTY
OF ; �•..-c c-r c-
COUNTY OF !9=
The for oI
g • �Ilg
this led
instrument was acknowledged before -me
"yof �c� �y 20 l Kby•_,
The forgoing instrument -was acknowledged before me
thisZedayof 20 /J by
. .
A
&ZJ .(. G E Nr
L .,/ L € yiU /V t
(Name of person
acknowledging)
(Name.of person. acknowledging)
cam:.
(Signature
of Nota ublic-'State of Florida)
(Signature of Nota ublic- State of Florida) -
Personally
nown % OR -Produced Identification
Personally Known ✓ OR Produced Identification
-Type of Identtification.
Produced '
Type'of Identification
rp�tgd
Commissio
,No..
DOROTHSBASKIN
:�. I
Commission No.
::F:"'o:` •: DOROTHYANN BASKIN .
MYCOh1MI(SMW F�GG�030145
�I
_ ., . ONIMIS GG 030145
e" EXPIRES: October 2, 2020
EXPIRES: October2.2020
F
''' FvCQ,a. donnea"fhn:Notary Public. Undervrriters.
Revised
III
1 7/15.2014
I
• REVIEWS
DATE
COMPLETE
INITIALS -
FRONT: -
COUNTER_:
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW.
•VEGETATION
REVIEW-
SEA TURTLE -
REVIEW-
MANGROVE.
REVIEW..