HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONREPLACEMENT MOBILE HOME: SET UP AND TIE. DOWN_ TO CODE
OWNER/LESSEE:
CONTRACTOR: :
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WYNNE.BUILDING CORP.- . .. ....
M. WILLIAM_D. BRANTLEY
-Company. WYYNE DEVELOPMENTCORP.
Address: 8000 SOUTH US HWY. 1. SUITE 402
� PORT.ST. LUCIE .. :.. FL. .
City: Stater
.Zip Code: 34952 - Fax: (.772) 878-7656
Phone No.:(772) 878-551:3
E=Mail.:._-
State or County License: DIH1016128 - 29524 : .:
iss. 8000 SOUTH US.HINY. I.:. 402
-SUITE
PORT ST. LUCIE .. State: FL
6 � -.34952-:.. ' .. � 772 878-7.656� ..
Fax: (•. )
(772)_878-5513 -
il: -
fee simple Title Holder on -next. page'( if -different.
the Owner:listed above)
If value of_construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUP.LEMENTAL
CONSTRUCTION LIEN:LAW INFORMATION..
pli
in
DESIGNER/ENGINEER:
' .:... ' ':x Not -Applicable ... .
: MORTGAGE. COMPANY; ..:.. x_.. Not Applicable- -
Name:.
sTEVE wOODs .
Name:
' .
Address:.:
Address:-:
.City:.
City: State:
State:...
Zip: ,11
p:
Phone: (772)618-5644
Zip: Phone::'
. .. •
FEE.SIMPLE TITLE HOLDER:' . o. x-: Not Applicable
BONDING COMPANY:. x .Not Applicable .:
Name-.
-Name: .. .
Address:.
Address:
City: '�,� .. .. .. ..
City::. .. _ .. . .
:Zip; 11 `Phone: -
Zip: Phone:
certi�'jthat.no wor � k or. installation has.commence'd.prior to the issuance.of a permit.': , .. ' . .
St. Lucie Counttyy makes -no repre.senfatiori that is granting a:perrriit wial authorizeahe'permit holderao 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 -
structU ie. Please consult with your Home Owners Association, and review your -deed forany 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
inacco dance -with :the"app.royed:plans;the Florida Building Codes and St: Lucie:County.Amendments.-
.. .. ..
The fol owing building permit applications are exempt from undergoing a. full concurrency review: room additions, .
accessory structures, swimming pools;.fences, walls, signs;screen rooms and accessoryuses to a.nother.non=residential use
WARNING TO:OWNER: Your failure.to�Record a Notice of Commencement may result in your. paying twice for
Jmpro ements to 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 lender or:an.attorney before..'
commt?ncin work or reCOrdin .your Notice of Commencement:.:
Signature of Owner/ Lessee/Agent Sign ature. of:Cbntractor/License Hold
STATE!�OF FLOR A STATE OF FLORIQA
: COUNTY OF-�; LL1C� COUNTY OF �u�� (�Gt CU2
The f oing instrii was cknowledge�e fore me -The forgoing instr ent,w acknowledge efore_-me
this'. ,0 day of 20 l Eby this day of 20 by
�X,
(Name) f person acknowledg ng-) (Name.of person. acknowledging)
. . .
4
.. . ..'
(Si t're of Notary Pub ' -State of Florida) (Si ture of NotaryPub ' -State of Florida )
Person Iy Known. OR Produced. Identification Personally Known OR Produced Identification
Type of Identification -Produced' �.• - - - - - Type of Identification Produced
' FE
otay�g Ic State of Flodda �Com'rnission No.
Commi Sion No..' d
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ulieNinassi . otary Public fete of Florida. '
y098942 : Julle Ninassi
op 01 •..oI P r Expinia 10%16/2020
: Revts�ed07/15/.2014 .: ' . . -.: -. . -.: ' . . -.: - . : ' . . -.: .. • . .. ' . .: - . .:
REVIE�,S: .., FRONT: ZONING .. SUPERVISOR. PLANS VEGETATION SEA TURTLE MANGROVE:
COUNTER.: • REVIEW REVIEW:•. .RE ... REVIEW.' - . REVIEW.- . REVIEW..:
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DATE CO
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