HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONREPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO -CODE
OWNER/LES
EE:
CONTRACTOR:. ;
Name WYNNE bt
Address: 8000 S
City: PORT ST:
ILDING'CORP..
Namer WILLIAM-D. BRANTLEY
Company: WYYNE DEVELOPMENT CORP.
Address: •8000 SOUTH US HWY. 1. SUITE 402 :.
UTH US.HWY. 1 .SUITE 402
UCIE .• . State: FL
Zip Code: `.3495
Ph6ne.No: (772)
E-Mail;
:. Fax: (7.72) 87&7.656 ..
, 78-5513 -
City: PORT.ST.. LUCIE .. State: FL..
Zip Code: '34952 Fax:_ (772)-87877656
Phone No.:(772) 878-551.3
Title Holder on.next.page (if.diff. event.
E*Mail;..
Fill m.fee simpl
from the Owner',
listed above)
State or County License:' DIM016128"- 29524
. .
If value of,constrdction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE
Name: sr
Address:
City:
Zip:
%ENGINEER: x— Not Applicable•
vE.w000s.
'I.
MORTGAGE -COMPANY; x .Not Applicable . .
Name:
Address:
City: State:
Zip: Phoney
State:
11 Phone: c772i618-6644
i.
FEE.SIMP '
Name:.
Address:.
City:
:zip:
E TITLE HOLDER: . x-: Not Applicable
BONDING COMPANY: x .' Not Applicable
.Name
Address: =
city:. .
k .
Phone:
I
Zip: Phone:.
{ 1 certify tha. no work or installation has commencedprior to the issuance.of a permit.: . .
St: Lucie County makes no representation "that is"granting a permit will authorize the permit"holder to build the subject structure
"which is in c n lict with any applicable Home Owners Association rules, bylaws or an covenants that -may -restrict or prohibit such
structure. PI Vase consult with your Home -Owners Association and review your deed for any restrictions which may apply..
In_considera_ Ion.of the granting of this requested permit; I do hereby agree that I will' in all respects, perform the work
in accordanc with the approved plans; the Florida Building Codes and St. Lucie County.Amendments.
I The followin 'building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory st uctures, swimming pools- fences, walls, signs, screen rooms and accessory uses to another non'residential use
I WARNING � 6.OWNER: Your failure.to Record a Notice of Commencement may result in your:paying twice.for
improvem nts to your. property. A -Notice. of Comrriencement must be recorded and posted on' the jobsite =
is befo. re the'fi:rst inspection. If.you intend to obtain financing, consult with lender or:an attorney before'-
cbmmen'cing work_ or recording - -our Notice of Commencement...
ew
t
Signature cf Owner/ Lessee/Agent Signature.of.Contractor/License Hold
STATE OF F'iL0 �4 >/ STATE OF FLORI
NT'
COUY OF l�A%.� COUNTY OF�C�:
The forgoing instru a wa, acknowledged t�efore me The forgoing insnNIt acknowledgedty�fore me
this �da l of 20 by this day of 20 U by
fa
(Name of person acknowledg g) (Name of person.acknowled,?ing )
(Si ture c
Personally K
Type of Iden
" Commission
Revised C
Jotary Pub '' - State of Florida) (Sin ture of Notary Publi State of Florida )
wn -OR Produced Identification Personally Known OR Produced Identification
ication Produced Type of Identification Produced
). N.OV Na4R80c State of Florida Commission No. (Seal
Julie Ninassi
♦ My Commission GG 038942 Notary Public State of Florida ,.
r
c�tR p My. Commission GG.038942.
15L2014.11a Expires 10/16/2020.
REVIEWS
a - FRONT-
ZONING
SUPERVISOR.
PLANS
VEGETATION
SEA TURTLE
MANGROVE -
COUNTER .
REVIEW
REVIEW.
REVIEW -
REVIEW.
:. REVIEW
-REVIEW . .
DATE
w..�`��L2
r.
18,
iCOMPLETE
'�.
,INITIALS