HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALLAPPLICABLE INFO' MUST BE COMPLETE_ D FOR APPLICATION TO BE ACCEPTED
Date: Permit-Number:..a.�. = . U�-•
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Building Permit Application .
Planning and Development5ervices
-Building and Code Regulation Division
S j'. Luele County i. Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 .
Phone: (772) 4624553: Fax:. (772) 462-1578 :C0111111erdal. ReSidEant . X
PERMIT APPLICATION "FOR:.' Building
SCANNED -
PROPOSED IMPROVEMENT LOCATION: BY
:Address:- 61 EL GAMING REAL ". : •. St LUC12 G0dnty-.--'
Legal Description.. SECTION-26 /.TOWNSHIP 36s / RANGE 40e.
Property Tax ID #: 3414-501-17. -00019 ." Lot - No. "
Site Plari"Name: SPANISH LAKES ONE Block No.
Project Name: . .
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Setbacks _ Front:23'Back: 45'Right Side: 21' -Left Side:: 21''
F6 OF WORK:,
MOBILE.HOME REPLACEMENT::SINGLE FAMILY RESIDENCE 2 BEDROOM/ 2 BATH / GARAGE
NO SLAB TO BE. BUILT -OFF: REAR OF HOME
CONSTRUCTION INFORMATION:
Additional.work .to . e e orme under ert is permit. —'check -a apply: :.
HVAC. Gas Tank _ Gas Piping. _ _ Shutters Windows' Doors
❑✓_Plumbing
Electric . Sprinklers Generator- Roof
TotalliSq:_Ft of Construction: 2,108 5 , Ft: of _First Floor::2,1.08
Iof
Cost Construction: $ �`�5'tirOb Utilities: Sewer. Septic- Building Height: =
mall lie of.construction is $2500 or more,. a RECORDED Notice of Commencement is required.
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OWNER/LESSEE:
CONTRACTOR:
-Name Wynne. Building Corp. : •
Name: Matthew"Lyle Wynne
Address: 8000 South US Hwy. 1 Suite 402 -
Company: UVYnne:Development Corp,
City:i" Port St. Lucie. - 'State: FL"
Zip Code: 34952 :.. Faxr(7.7.2) 878-7656
Address:.8000 South � US Hwy.. 1 Suite 402
City: Port St,. Lucie.':.. State: FL..
Phone.No: (772),878-5513 �
Zip Code: 34952 ' Fax: (772) 878-7656
E-Mail:
.Fill in fee simple Title Holder on.next.page (if.diff, Brent_
Phone-No.:(772:) 87875513
E-Mail-:.
State or County License:- CG 359
from the Owner listed above) �
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: :. _ Not Applicable
MORTGAGE. COMPANY: .. _ Not' Applicable .
:Name:. Braden $ Braden. :..
Na rile:..
Address: 417 Coconut Ave:
Address:: .
City.. sfuart State: FL.
-City: -State:
Zip: 34995' _ Phone--(772)287-825a
�.
Zip: Phone::
. TITLE HOLDER: Not Applicablo
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BONDING COMPANY:. Not Applicable ._
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NameIMPLE
I-
Name:.
Address:.
Address:
City:: - —
City:. .. . .
Zip: Phone:
:'Zip: .. Phone::
I certifythat no work or. installation has.commenced prior to the issuarice.of a permit. -
St. LucieICounty makes no representation that is granting a -permit will authoriiethe'permit holder to build the subject structure
which is in confflict*ith any applicable Home Owners Association rules, bylawscr and covenants that rnay-restrict or prohibit such -
structure. Please consult with your Home.Own.ers 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
:inaccordancewith_the ipp.roved:plans;the Florida Building Codes and St. Luci6County.Arhendments.
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The foliowing-building permit: applications are exempt from undergoing a full coricurrency review: room additions, .
accessory structures, swimming pools; .fences, walls, signs: screen rooms and accessory uses to another.non4esidential use.
WARNING TO. OWNER:. Your failure -to Record a Notice of.Commencement may result in -your -paying twice for
improv'em6hts to your: property. A.Notice.of,Commencement must be recorded and posted on the jobsite
:bef6ee th-e-first inspectiofl. If;you-intend to obtain financing, consult with lender or:an.attorney before
commenClna Work or recor ina-Your Notice of Commencement.'.:
S•ignattire' of Owner/ Lessee/Agent
Signature. :Cbntractor/License Holder.
STATEIOF FLORIDA
STATE OF FLORIDA .
COUNTY O.F 5 : Est c� c
COUNTY OF: •5-r : L-u c l c` .
The forgoing instrument was acknowledged before rite
The forgoing instrument was acknowledged before-nte
g g • g-
.this )��day of O�� 3.i 2- ,' 20 l8 by
this day of GT'Z� $ EJL , 20 % by
: ��6� W, .Lvr✓c yam€
LVCF GvVovN
(Name bf person acknowledging).
(Name -of person. acknowledging)
".. /C..
(Signature of Nota P blic--State of Florida)
(Signature of Nota blic- State of Florida
) . /..
Person
Personally Known. ✓ - OR Produced Identification: - .
.
Personally Known OR Produced Identification 7.7
Type of Identification Prod
Type of Identification Produced .
DOi30THYANN BASKIN :
Commission No = ?U��'• 030145
MMISSIO(¢it13�..
-
"�? 'V OTHYANtV
Commission No ,•°�. + �Yf: DORM N .:
^ �.
EXPIRES: October.2, 2020
;;,� Public Undervrtiters
.; MY COMMISSION # GG 030145
: =
• , ; Thru Notary
;a,? EXPIRES 0
m BondedThruNotery:Public.Underwrilers .
Revised 07/15/26'14.
•REVIEWS:
FRONT: ..
ZONING _
SUPERVISOR.
PLANS
VEGETATION
- SEA TURTLE .
MANGROVE: -
COUNTER.:
REVIEW
.: REVIEW:.
REVIEW..
REVIEW-
-REVIEW..
REVIEW ._
DATE . .
INITIALS. -
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