HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Datel Permit Number:.
- -RECEIVED.. .
Building Permit Application NpV2 0 2018 .
Planning and Development Services
Building and Code Regulotion Division ST. Lucie County, Permitting ':
23001IVirginia Avenue, Fort Pierce FL 34982
Pho 'e: (772) 462-1553 Fax; (172) 462-1578 C0171mercial. Residential X - . -
PERMITAPPLICATION FOR:, Other.:
REPLACEMENT MOBILE HOME: SET UP- AND ;TIE DOWN TO CODE
I
CONSTRUCTION INFORMATION:
-Additiona work -to be nertormed . under this permit.— check a apply:
0 VAC. Gas Tank Gas' Piping Shutters Windows/Doors
❑ _a
ZElectric. �✓ Plumbing - Sprinklers El Generator - . g Roof
:Total Sq.- Ft of Construction: 1,380 S . Ft. of First Floor::1,380
.. 11;040.00
Cost of Construction: $ Utilities: Sewer - S.eptic-Building Height:
OWNWLE.SSEE:
CONTRACTOR: �m •'��
'Name WWNNE.BUILDING 'CORP.. .-
Name: WILLIAM.D.BRANTLEY
Address: 8000 SOUTH US HWY. 1. SUITE 402
Company: WYYNE DEVELOPMENT=CORP. .:
City: PORT ST.. LUCIE .- State: FL
Address: 8000 SOUTH US. HWY. 1. SUITE 40.2
Zip Code:,.34952.-- . Fax: (772) 878-7656 ..
City;' PORT.ST.. LUCIE State: FIL
o: (772) 878-551
3452Phone.
poe:: Fax: (772) 87877656
E-Mail';
Phone'No.:(772) 878-551:9
Fill in.fee simple Title Holder on next. page (if different.
E-Mail: .
from the Owner listed above)
State or County License: DIH1016128 - 29524
iT vaiue or construction is :�&suu or more, a r LLUKULU Notice or commencement is required. '
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NER/ENGINEER: x Not Applicable
Name': STEVEw000S
Address:
City: State:
Zip:' .Phone: (772) 618-5644
FEE SIMPLE TITLE HOLDER: x- Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone::
BONDING COMPANY: X Not Applicable
Name: _
Address:
City:_
Zip:
Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County mikesnorepresentation 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 I 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,
-
accesso;ry 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 you intend to obtain financing, consult with lender or an attorney before
commencing work or recording -your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE, OF FLO
COUNTY OF ) 1_ I�
The forgoing instrument was acknowledged fore me
this QQ day of Ike (~ % 20 Lby
L,� o Idu r, n
(Name of person acknowled in& )
(SWhature of Notary7OR
:State of Florida )
Personally Known Produced Identification _
Type of,ldentification Produced
Notary Pu S of Florida
Commission No. a
ulie Nin�
y a` My Commission GG 038942
Revised 07/15
s
Signature of Contractor/License Holder
STATE OF FLORID►
COUNTY OF �,
The forgoing instr ent was ckrrn11 owledged efore.me
this day of b� c c- 2( aby
zJ
(Name of p rson acknowledging),
(Sig ature of Notary ZR
State of Florida )
Personally Known Produced Identification
Type of Identification Produced
Commission No. ;ow1_Notary Pub(SeQk� of Florida
flhJulie Ninassi
My Commission GG 038942
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
DATE I
COMPLETE
INITIALS
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