HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:.
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WANNE ...
.-RECEIVED
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B.uildin g Permit Application-.,
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AUG 0 6- 2018
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:Plan',
mg and Development Services .:'• - . ' � � - � - � : -
. ST. LUcie.Count Y, Permitting.,
Buil
'ng and 'Code Regulation -Division
230
P:ho
Virginia Avenue, Fort Pierce FL 34982 .
e: (772) 462=1553: Fax-.. (772) 462-1578 . - C011 merdal. %ReSidE:ntlal: X: :.. .
PER
IT -APPLICATION FOR:.-:
. .Other.::. .: . . .
PROP",
OSED IMPROVEMENT LOCATION:
:Addrels:'
17-HERMOSA
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.Legal
ISECTION.26/.OWNSHIP 36s RANGE 406
escription.TA
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Lot- No:
Prope;
y Tax ID #; 3414-501-1701-000/9
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Site PI
n Name: SPANISH LAKES ..
Block No.'
Projec
Name: -.
Setba'
ks .:Front:23'10". •: Back: 57'.. Right 5ide:.14' L' Side:: 271/2"
.:
. pET
l'ILED.DESCRIPTION OF WORK:
REPOCEMENTMOBILE HOME: SET UP AND TIE=DOWN TO -CODE
CONSTRUCTfON INFORMATION:
Additi na .wor...to - e e orme _ .undert. is permit.—:c- ec :a a.pp y:
i
VAC Gas Tank El
Gas -Piping Shutters. Q Windows/Doors• :
✓ ectric IZI Plumbing . Sprinklers Generator Roof.':-.
n
U �. . .
Total S I: Ft of Construction: 972 S .'Ft. of First Floor:: 972.
7,776.00 . .. . . .
Cost of onstruction: $ Utilities: SewerSeptic Building Height:
OWNR/,LESSEE:
CONTRACTOR:
•Name
.ddr:A es-
City:- P;
Zip Co
Phone.
E-Mail:.
-Fill in_.fee
from th
NNE.BUILDING CORP...
Name: WILLIAM.D. BRANTLEY
Company: WYYNE*DEVELOPMENT:CORP.
Address:.8000 SOUTH US. HWY. 1 .• SUITE 402:.
City: PORT.ST. LUCIE ... _ State: FIL
Zip Code: 34952 Fax: (772) 878-7656
. Phone No.:(772) 878-551:3
E-Mail:
State or County License: DIH1016128:- 29524
�: 8000 SOUTH US.HWY. 1.:,'SUITE 402
RT ST.. LUCIE .- . State: FL
1e;.34952 :. Fax (772) 878-7656 ..
o: (772) 878-5513
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simple Title Holder on.ne4page (if -different.
Owner listed above)
If value construction is $2500 or more,. a RECORDED Notice of Commencement is required. : .
1
SUPfLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Nam sTEvi=_W000s.
MORTGAGE.COMPANY: . x- Not Applicable .
Name
Add' ss:
City;'I State:
Address:. .
City: -State:
Zip: "I Phone: (772)618-5644
Zip: Phone:
FEE.
AMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY:.- X . Not Applicable
Nam:
Addr
City:
—
Name:
Address:
City: .
ss:.
'I
... Phone:.
Zip: Phone:.
Zip: -1''I
I certi that,no work or. installation has commenced.prior to the issuance.of a permit.
St: Luil; ount yI.makes.no vepresentation that is'granting a permit will authorize the perm it"holder to build the subject structure "
=whichn conflictwith any applicable Home Owners Association rules,bylawsorand covenantsthat may•restrictor prohibitsuchstruct. Please consult with your Home.Owners Association and review your deed for any restrictions which may apply..
In conllderation.of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accd dance with the approved *plans, the Florida Building Codes and St. Lucie- County.Arhendments.-
The, following building permit applicatioris are exempt from undergoing a -full concurrency review: room additions, .
access&y structures, swimming pools,' fences, walls, signs; screen rooms and accessory uses to another.no,n=residential use .
WAR ING 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
befor� the first inspection. If you intend to obtain -financing, consult with lender or *an attorney before
Comm ncinj work or recording : your Notice of Commencement..:
%.. s..
Sign hre of Owne essee/Agent Signature.of:Contractor/License•H er
STATil1!' OF FLO A c STATE OF FLO A
COUNT OF ��� LGI lit—L COUNTY OF
The f " �°{{ng instru nt as acknowledge efore me The for oing ins tr m ts acknowledged fore_me
this ll:day of 20 by thiso day of 20by
e. ��..
(Name ,f person acknow ledgl ame.of person acknow edging )
(Sig ure of Notary Publipz State of Florida) (. ig ature of Notary Publ'e State of Florida )
Persona Known Produced Identification Personal) Known . I// OR Produced Identification
Y Y.
Type of entification. Produced: Type of Identification Produced
11 Commis 'ion No.. Commission No.
Revis l 07/15/201
Notary Public State of Florida
Julie Ninassl
Iwy Commission .
Expires 10/1612020
Notary Publlc State of Florlda.
tj..Julie Ninassl
or Expires 10/16/2020
REVIE
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FRONT
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ZONING
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SUPERVISOR
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PLANS
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VEGETATION
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SEA TURTLE
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MANGROVE:
COUNTER.
REVIEW
REVIEW: _
REVIEW
REVIEW
kEVIEW
-REVIEW.'.
DATE .'
-COMPL
TIE .
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INITIALS
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