HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO` MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: l.oq-os91
I
.:.. REiCEIVEO'
Building: P:ermit-Applicatio
::SEP 2 6. H18 .
.Plan Ining and Development5ervices
BuOirig and Code Regulation Division 57: Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982.. '�--
P.ho e; (772) 462=1553 Fax:. (772) 462-1578 :C.6m 11erdal. %. ReSid(.ntial: X.
PERMIT APPLICATION FOR:." Building - S
QQ.
PROPOSED- IMPROVEMENT LOCATION:
-Address; 10.BERNARDO'�Qv➢�IF
-Legal
Description:. SECTION.26./.TOWNSHIP.36s / RANGE.40e -
7. 77
.
Property
Tax ID #: 3414-501-1701-00019 .
Lot No.
SPANISH LAKES,ONE .-
No.
Site Plan
Project
Name:
Name:..
Block
- .. -. - -. -
Setbacks :Front: Back: Right Side:
.. -. - ...-. -
Left Side::.
FDETAILED"DESCRIPTION OF WORK:.
MOBILE. HOMEREFLACEMENT::SINGLE-FAMILY RESIDENCE = '3 BEDROOM] 2 BATH/ GARAGE-
-
NO SLAB TO BE. BUILT 'OFF REAR OF HOME
CONSTRUCTION INFORMATION:
'Additional,work -to .b e e rtormed. .un. der is permit.—check:a
HVAC Gas Tank Gas Piping
�.
apply:.
Shutters 1Nlndows /Doors - �
- •Q. .� : • - •
.. ..
.
✓
Electric ❑✓_ Plumbing .
n
U Sprinklers
�. :. :.:
Generator ✓Roof ' .
Total Sq:-Ft of Construction: 2,275 : S ."Ft'. of First Floor:: 2,275
I -
- CostofConstruction::$ $5;00 a�'7D�.�� Utilities:
-
Sewer
Septic BuildingHeight:
OWNER/ fSSEE:. ' :'
CONTRACTOR: .w ,
Name Wyrine Build'in.g Corp. -
Name: MattFiew Lyle Wynne
Addresi - 5000 South US Hwy. 'l Suite 402
Company: WY.nne=Development Corp,
City:• PortSt. Lucie State: FL-
Address:.8000 South US Hwy-. 1 Suite 402 - . .
- 6 34952: _. - 772.87867656' "-
Zip Code: Faxs ( )
Port.St:.Lucie..':.. FL..
City: Stater
772 878-5513
Phone. o. (" ):
-34952 ' - 772 878-7656
Zip Code: Fax: ( )
E-M a i l
772. 878-551:3
Phone No..( ) .
:Fill in fee simple Title Holder. onnext.page ( if different'
E-Mail:
- from tFie Owner listed above)
State or County License: CGC03599 : .
If value Iof construction is 5Z500 or more, a RECORDED Notice of Commencement is required. -
. .. ..
SUPPLEMENTAL"CONSTRUCTION -LIEN LAW INFORMATION
.. ,
DESIGNER/ENGINEER: _ Not -Applicable
MORTGAGE. COMPANY: - ..:..
_.�
_ Not Applicable- ..:. .
:Name:. Braden.$ Braden. :..
Add rest:4liCoconutAve:
Name:--.
Address:-:
City:, IStuart . State: FL.
City:
State:
Zip: '34996' Phone:" (772)287-a25a
I:
Zip: -Phone::
. ..
•
. FEE.SIMPLE TITLE HOLDER:.."" _Not Applicable
�.
Name::.
Address:
BONDING COMPANY:.
Name'
Address:
_Not Applicable
City: : ..
City::.
.. . . .
Zip: Phone:
Zip: 1 Phone:
.i certifythat.no work or installation has.comme'nce'd.prior to the issuance.of.a permit.: • ... .. . • .... .
St: Lucie County makes.no representation that is'granting a:p'ermit will'authoriz..e:the'permit-holder:to build the subject: structure
Which (is in con lict with any applicable Honie 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 conideration.of the granting of this requested permit,, I do hereby agree that l will-, in all respects, -perform the work
in accordance withthe'approVed:plans; the Florida Building Codes and St: Lucie County.Amendments.'
. .. .. .. .. -
.. ..
The following'build':ng permit applications are exempt from undergoing a, full coricurrency review: room additions,- -
accessorystructures, swimming pools;.fences, walls, signs;.screen rooms and accessory uses to another -non-residential use.
j
WARNING 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
before thefirst inspection. If' •you intend to bbtain'finaricing; consult'with lender or'an attorney before
commencing work or recordin : OUr Notice of Commencement..:
... .. s
Signature of Owner/ Lessee/Agent Signature o Contractor/License Holder •
STATE OF FLORIDA STATE'OF FLORIDA:.
COUNTY OF _ 57--%.� cic COUNTY OF S� f
The forgging instru ent was acknowledged before me -The forgoi g instrument was acknowledged before -me
this day of 6 7E ' 20 lby this ay of �t.6fn 20 / by
,cW .LVC, C 60Vivro F 1�f2f1 zfilez.� L yc" ter.
(Name of person acknowledging). (Name.of person.acknowledging )
:�..
(Signature of Nota ublic-'State of Florida) (Signature of Nota public- State of Florida)
Personally Known- ✓ /. OR Produced Identification Personally. Known OR Produced Identification
Type of Identifica' Type of Identificati
OOROTHYANN BASKIN "%'P'�;
..; • OOROTHYANN ASKIN
Commission No.. .;,t,. YCOMMIS�I�IPG'030145 Commission No a COMMISS(�I��G030145.
_. �• EXPIRES: October2.2020' j t EXPIRES: Oct ober;.2 2020
Annded Thru Notary Public Underwriters - - �s'sc i:4��`. • Ran[rad tag rJmm�. Dnnu., i i.we
Revised 07/15/2014..'