HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL
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Building �2-Application..,:.. SE4.. J13
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--Plannlng and Development Services .. .... .
. I , --BulLdin�gand'Code Reg ulati_6n biVision
1'. Lube'County, Permitting.:
2100 IrginiaAvenue,'Fort Pierce FL 34982-.,
Phone: (772) 4624553 - Fax-, (172)462-157905111171er ialX,.
PERMIT APPLICATION FOR:-'
Building —
A- CAMDIEM
PROPOSED —IMPROVEMENT LOCATION: VVY'l lv
LUCje
:A - d, RIPOSA 23MA Co My
Legal. Description:. SECTION.26 /TOWNSHIP 36s RANGE 40e
3 JL - .. ....
414-50 1701-000/9
Property Tax I I? Lot No:
Site Plan-Nao: SPANISH LAKES'ONE' Block No.
Projec�-rn
: Narne�
. .... .. .... .. .... .. .. .... ...
Setbacks - Front: 29 B'ack:-.27'.RightSide: 15' 16ft'Side:: 15!'
S' C P
FPETAILED'ID.ER I l TION OF WORK
MOBILE -HOME REPLACEMENT::'SINGLE -FAMILY RESIDENCE 3 BEDROOM] 2 BATH[ -11/2
NO. SLAB TO BE. BU I . LTOFF . REAR.OF.HOME
CONSTRUCTiCIN] N FORMATION:
J
ACIER11.6nal.worK
to be performed- . under
HVAC. Gas Tank,.:.
this,pprrnit.— c1heCk
Gas Piping
aII,=qppIy,:
7.
Shutters..'
's
Wind6w./Doors
ElectricZP'lumbing.
Sprinklers
Ge� nerator
. .. . . . .
. Roof.
a
:Total Sq.
Ff of Construct�ibn- ?,484':
S, Ft: of First:Floo".r:: 2.,484'. :-
Cott of
Construction::
Utilities. Sewer Septic
. . . . . . .
Building, Height:.
OWNER/LESSEE:
CONTRACTOR:
W:
Names
Addre
City:-
Zip Code-
Phi
on
:E-Mail:
--Fill in_
from
ftwe Building Corp.
Name: WafthewLylemynne'
Company: Wpne:DevQIoprr)ent Corp, -
Addre s: . 8000 South US:Hwy.. 1 Suite 402
C Stbt6I-FL.. -
City: Port,St., Lucie.%...'
.2ip,Co&-34952-.: - Fax:- (772)-878-:7656
Phone':No.:(772) 878-551:3.
E--Mai1.:._'
State or County License: CGCO3599
Iss: 8-000 South US Hwy. 'I Suite'402
_7
Port -St. Lucie, :-State FL.
-.34952 :(772) 870-7656-
.,Fax-
o. (772) 878-5513-
v.
fee , s , imple,TiIt le , Hold , ei , on next page (#.different.
the Ow'nerliste'd abbvLa)
If valu of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.. .... .. .... . ... . .... . .... .. .... .. .... .. .... .. .... .. .... . ....
M.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: = Not -Applicable :
MORTGAGE.COMPANY: ' . _ Not Applicable .... .
.:Name:!. Braden & Braden.
Name:
Address: 417 Coconut Ave:
Address:-.
.City:, sivart- State: FL.
City: State:
Zip: 34996 Phone: (772)287-8258
Zip: Phone::
FEE.SIMPLE TITLE HOLDER:. _ Not Applicable
Name'
BONDING COMPANY:. _Not Applicable .: .
Name:
Address:.
Address:
city::I ; . :.
city:: . ..
Zip: Phone: .
Zip: i . .. Fhone:: �
.I certify that.no work or. installation has. comme'nced.prio*r to the issuance.of a permit.,
St. Lucie) Counttyy makes.no representation that is granting a -permit will authorize the permit'holderto 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 consideratiomof the granting of this requested permit,• I do hereby agree'that I will; in all respects; perform the work
in accoNance 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 in your paying twice for
improvements to your -property. A.Notice.of Commencement must be recorded and posted on the jobsite
before the first:inspection. If ' u intend to Obtain financing, consult with lender or an attorney before.
rnmmPnring work nr rerording vour Notice of Commencement...
•
s•
Sign tore of Owner/ Lessee/Agent
SignatUre,of Cra ontctor/License Holder, •: '.
STATE OF FLORIDA =
STATE OF FLOR DA .
COUNTY OF
COUNTY OF �. C_ Ix
The forgoing instrurriernt Was acknowledged before me
The forgoing instrument was acknowledged before.me
�t' 7 'by
this Zeday of :E�777) g€x . 20 jg-Lby
i
this day of 7v18Ea , 20
�7Hr%/EZJ /V r
(Name of person acknowledging)
(Name -of person. acknowledging)
(Signature of Nota of Florida)
(Signature of Notary blio- State of Florida )
1�ublic--State
Personally Known. 4/ OR Produced Identification
Personally Known . of OR Produced Identification
.Type of Identification Produced
Type of Identifica '
" P,-D.OROTHYANNBASKIN.
�;
Commission No .�' '' MMISSIC ��030145.
,.F.""��°r T+� DOROTHYANNBASKIN
Commi.ssio.n'No. MY - 030145
�.0
EXPIRES: October 2,2020
,• EXPIRES; October 2; 2020
• • o:••' unaerwrlters
;„� Bonded ThN Notary Public umwA dters
Revd
ed-07/15/2014
REVIEWS:
FRONT:
ZONING
'SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE: -
COUNTER..
REVIEW
REVIEW
REVIEW
REVIEW-
REVIEW.
..REVIEW'.. -
DATE.
.
.COMPLETE
(,
N ITIALS: