HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.. . ---. ..
L - T BE COMPLETED FOR APPLICATION -TO BE'ACCEPT ALL APPLICAB E INFO MUST CO ED-
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Date: Permit Number: I D
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RECEIVED:
M—exaliffs
- S fldo Building Perm it.A Ircatib .. .... � pllr 2X2o1a
'Planning and Development Services urnitting-Department
Building and Code Regulation Division )il�;6ry,i-ucie County
. -2300 Virginia Avenue, Fort Pierce FL 34982 .
Phone: (772) 4624553 Fax:. (772) 4624578..Commercial. - .. ReSide:ntial X
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PERMIT APPLICATION FOR:. Building
I'(PROP.OSED IMPROVEMENT LOCATION:
Address: 2 ISLANDIA.. . ....
e Lgal. Description :-
SECTION.26./.TOWNSHIP' 36s / RANGE .40e-
• .
I . ..
3414-501-1701-000/9
roperty Tax ID #: Lot No.-
ite Plan Name: SPANISH LAKES ONE Block No.
Project Name:
.. ..
t (Setbacks Front•20'6" . Back:.34'6" Right Side: _20' Left�Side: 21'
{DETAILED.DESCRIPTION OF� WORK: �4
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MOBILE .HOME 'REPL/ACEMENT::'SINGLE FAMILY RESIDENCE 2 BEDROOM./2 BATH / GARAGE
NO SLAB TO BE -BUILT -OFF- REAR OF, HOME
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CONSTRUCTI'ON INFORMAT.ION: 4
itiona .wor...to _ e e or.me :.un, ert. is permit—c. ec .a a.pp y;
HVAC. Gas Tank Gas Pi in Shutters Windows/[)oors
�. - p g Q.
�✓ El
Electric D Plumbing . Sprinklers Generator Roof
2-,124 ... 2,124 : ...
otal 5q:.Ft of Construction: S . Ft: of :First Floor::
J,. .. $58,000 . .
ostof Construction: $ Utilities: SewerSeptic .-Building Height:-
k01NNER/LESSEE:
CONTRACTOR:;y `
Jame Wyrine Building Corp.
Name:- Matthew Lyle-lNynne'
Address: 8000 South US H.wy. 1 Suite 402
Company: Wynne Development Corp.
Post. Lucie-. FL
itState:
8000 South US H . . .
Address: wY:-1 Suite 402
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Zip Code 34952.:. - Fax:-(772) 878-7656 ..
City: Port.St..Lucie..:.. State:
q 772 878-5513-
hone.No. ( ).:
34952 772 87877656
Zip Code:: Fax: (. )
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E-Mail:
Phone No. (772) 878-5513
fill in -fee simple Title Holder on.next.page Cif different erent.
'E=Mail_: -
I�om the Owner listed above)
State or County License: CGC03599
I value of. construction is $2500 or more,.'a RECORDED Notice of Commencement -is required. L4
SIJR LEMENTAL CONSTRUCTION
LI`EN,LAIN INFQRMATION
xs AM
DESIGNER/ENGINEER: Not Applicable.
MORTGAGE.COMPANY; _ _ : ._ Not Applicable-
:Na me: Braden.BBraden. " ..' .:..
Name: .
Addres5:41iCo-ni,tAwe.
Address::
City:. Stuart' State: FL.
City: State:
Zip; 34996Phone: (772j287-825a
Zip: Phone::
FEE.SIMPLE TITLE HOLDER* _ Not. Applicable .:."
BONDING COMPANY:. _Not Applicable
Name::.
Name:. .
Address:.
Address:
City:: - ..
City::.
Zip: Phone:
Zip:.' Phone:
I certify that no work orinstallation has commencedprior to the issuance.of a permit.: . .
St: Lucie Cod ntyy makes.no representation that is granting a:perniit will autfioriie the permit holder'to build the subject:structure :'
which is in conflict with 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 reviewyour deed for-bny restrictions which may apply.
In consideration.of the granting of this requested permit,_ I do hereby agree that l will, inall respects,'perform the work
in accordance with the approved plans; the Florida Building Codes and St.' Lucie Cod nty:Amend ments.
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 irryour:paying twice.for '
improvements to your:property. A.Notce.of Commencement must be recorded and posted on the jobsite-
before the first inspection. If you intend to obtain financing, consult with Ie' de.r or an attorney before .
commencing work or eecordin .- our Notice of Commencement:.:
_ Signature of Owner/ Lessee/Agent
Signature.of:Contractor/License Holder.
STATE OF FLORIDA
COUNTY OF . S � -c-t
STATE OF FLORIDA
COUNTY OF .ST - :4A4 cc F
The forgoing instrument was acknowledged before me
this ay of -ter CS'• 4t -r 20 l ' by
The forgoing instrument was acknowledged before.me
this /Y day of , G-c[S T " , -20 LLL by
LYL�' .C��N.'/Vt✓
'!/lfii-T�� Lyc.E NNC ;'. •. • ...
(Name of person acknowledging).
(Name -of person. acknowledging)
I:
-." .. :.
(Signature of Notary. bliic= State of Florida )
Personally Known OR Produced Identification
(Signature of Notaryblic-State of Florida)
Personally Known v OR Produced Identification -
Type of Identification• Produced
Type of Identification Produced .
,,�y.�,,. DOROTH BASKIN
Commission No. �: �••.�
COMMIS GG 030145-
' Ho EXPIRES: October 2,2020ON
Commission No. DOR07H'1��0i31�ASKIN
= : = MY COMMISSION # GG 030145
EXPIRES:October2 2020
,,e� •, o,.: Bonded Thru Notary Public Underwriters
Revised 07/15 2014.
REVIEWS:.
-'FRONT: _ -
ZONING
SUPERVISOR-
_PLANS _
VEGETATION
SEA TURTLE -
MANGROVE:
COUNTER..
REVIEW
REVIEW
REVIEW.
REVIEW
-REVIEW_-
-.REVIEW...:
COMPLETE
INITIALS. .
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