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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED' Date:. ©� Permit Number:..) , : CANNED St.. Wrap oa RVM, Building: Permit Application..,: .= Planning a1. nd Development5e."rvices G. *:20 Building and Code Regblation-Division perrtittttng' DepartmeA 2300 Virginia Avenue, Fort Pierce FL 34982 -St. Lucle County. - Phone: 772)462'153 Fax:. (772) 462-1578O1herCal. Residential: X5. C . PERMIT•APPLICATION .FOR:. : Building PROPOSED IMPROVEMENT LOCATION: 2 LAS OLAS LANE ' :Address:.. . Legal Description:. SECTION-26,/.TOWNSHIP.36s / RANGE•40' . �.. - . �'Property Tax ID #: 3414-501-1701-000/9 _ 'Lot No. - Site Plan Name: SPANISH LAKES ONE Block No. . Project Name: Setbacks .:Front: 0'6" Back:' 38'6.- Right Side: 22' Left Side:: 20' 1DETAILED DESCRIPTION OF WORK: �IMOBILE.HOME REPLACEMENT:: SINGLE FAMILY RESIDENCE := 2 BEDROOMJ2 BATH/ GARAGE.!- NO SLAB TO BE.BUILT-OFF REAR OF. HOME ... _ . CONSTRUCTION INFORMATION: - -Bona .wor. ao . e e orme' ; .un, ert. is�permit.-c• ec ;a app y: ' HVAC... Gas Tank .: Gas Piping _ Shutters. ; Q Windows/Doors•. Electric ❑✓_ Plumbing inkle.rs Generator Roof 2.124 _ 2124: ..... otal Sq..Ft of Construction: S . Ft: of :First Floor:: _. .. .. ostof Construction: $ $58.000 Utilities: SewerSeptic Building Height: (JW,NERAESSEE: CONTRACTOR: ame Wynne Building Corp. Name: MattHew-Lyle.V1/ynne 9000 South US H 1 Suite 402 ' Wynne Develo merit Cor I�ddress: WY• Company: Y. P P Mity- Port -St. Lucie. State: FL Address: 8000 South US Hwy...1 Suite 402 - Il ip Code:.34952 Fax: (772) 878-7656. City: Port St.. Lucie. : State: Ilhi) n.6.No.: (772). 878-5513 Zip Code: 34052, Fax:: (772) 878-7656 -Mail: = Phone N0.:(772) 878-551:3 ill in.fee simple Title Holder on.riext.page (if.different E=Mail: . I. f pmthe' Ownerlisted above) - : ' State or County Licenser CG.003599 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE_ .COMPANY: _ N.ot Applicable— Name:.Braden.BBraden Name: Address: 417 Coconut Ave. Address: - City: Stuart- State: FL City: State: Zip: s4996 Phone:' (772)287-8259 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 or. installation has commenced prior to issuance.of a permit. St: Lucie "Counttyy makes.no representation that is granting a permit will authorize 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 review your deed for any restrictions which may. apply. In consideration.of the granting of this requested permit,. I do hereby agree that'l will, in all respects, perform the work in accordance with the approved plans; the Florida Building Codes and St.' Lucie County Amendments. :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 iri your:paying twice for Improvements t'- your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. if -you intend to obtain financing, consult with fender oran attorney before: commencing work or rec oirding your Notice of Commencement... Signature of Owner/ Lessee/Agent- Signature of Contractor/License Holder. STATE Of FLORIDA STATE OF FLORIDA COUNTY OF 5 i , Lx� L« COUNTY OF The forgo,in�g instrument was acknowledged before me The forgooi g instrument was acknowledged before -me this L/ Tday of Pc.t &6z!c r 20 12by this L5�' day of )�G-r,C S j— . 20 l� by .v.� II(Name of person acknowledging) (Name of person. acknowledging) (Signature of Notar;,�&blic- State of Florida ) Personally Known ✓OR Produced Identification Type of Identification.Produced �g: DOPOTHYANN BASKIN Commission No.. _ . • < 1 ,ONAMIS .4I)3G 030145 r EXPIRES: October 2, 2020 n f blicUnderwriler Revised 07/15vi, i G , iI (Signature of Nota r Public- State of Florida ) Personally Known OR Produced Identification Type of Identification :rodu.eed�.,,, . . `,`Vo �F OOROTHYA j!.BASKIN Commission No. F r � a MY _ COMM, GG 030145 EXPIRES: Oc(ober2,MCI 00ndedThNNOta. PublicU REVIEWS: - FRONT: ZONING _ SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE: - I. COUNTER. REVIEW REVIEW _ REVIEW. REVIEW REVIEW .REVIEW.:. ATE .COMPLETE ''N ITIALS: il.