HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. . U
1VUY z V L Iff
B 'Uil g and Code Regulation Division
23001 Virginia AvenueJort Pierce FL 34982 Permitting 0OPart . ment
Phone: (772) 462-1553 Fax: (172) 462-1578 C0 mercial Re id entiAt-Aucle County
PERMIT APPLICATION FOR: 'Other. SCANNED_:
PROPOSED IMPROVEMENT LOCATION:
:Address:-
Legal
F
54HUARTE
Description:. SECTION. 26. TOWNSHIP 36s RANGE 406
.. ..
.... ..
Property
Site Plan
o Project
.... .. .. . . . . .. .. .
3414-501-1701-000/9
Tax IQ #: Lot No.
-Name: 'SPANISH LAKES ONE Block No.-
Name: 2, a,
.. ..
.... ..
Setbacks
.... . .... .. .... .... .. .... . .... . .... .. . .. .. .... .
Front 2?'P" Back: .53'. Right Side: 2T -Left Side: ?0!
DETAILED
OF WORK:,
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE
OWNER/LESSEE:
CONTRACTOR:
Name1WYNN.E buiLDING-CORP.
Name:.-WILLIAM D. BRANTCEY,
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: VVYYNE DEVELOPMENT:CORP.
City. PORT ST. LUCIE - 'State: FL
Address:' 8000 SOUTH US. HWY. 1 SUITE 4,02:
Zip Code: 34952-..' Fax. (772) 878-7656
City: PORT ST. LUCIE State' . �F`L,
Phon . No. (772)878-5513
Zip Code: 34952-.. Fax:- (772) 87877656
:E-Mail:
Phone No. (772) 878-5513.
in. fee simple Ti tie Holder on. next page if. different
E-Mail,:..
-Fill - ,
from the Owner listed above)
State or County License: D I H 10 16128.- 29524
-11,,,jtvqiu of construction is 52500 or more, a RECORDED Notice of Commencement is required.
V
SUPRLEIVIENTAL CONSTRUCTIONIIEN LAUD INFORMATION:'
DESIGNER/ENGINEER: x_ Not Applicable.:. MORTGAGE.COMPANI(: x_. Not Applicable -
:Name: . STEVE.wooDS Name: .. .. ....
Addr ss: Address:
City: State: -City: State: -
zip: Phone: (772),618-5644 Zip: Phone::
FEE SiMPLE TITLE HOLDER: x_: Not Applicable BONDING COMPANY:. x -Not Applicable
Name:: -Name:
Address: Address:
City: City:.
Zip:: "I Phone: Zip: Phone:.
.I certify that no work orinstallation has commenced prior to the issuance .of a permit.
St: Lucie County lakes no representation that is -granting a.permit will authorise the permit holder to build the subjectstructure -
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 l will,'in all respects, perform the work
1n accolydance 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 job -site
before the first inspection. If you intend to obtain financing, consult with lender oe an attorney before
comnIllencing Work or recording our Notice of Commencement.
s.
_ Signature of Owner/ Lessee/Agent Signature of:Contractor/License-Ho[der
STATE OF FLOR STATE OF FLOP*// II•• `
COUNTY OF L u.0 COUNTY OF C-�
The forgoing imtru ent was cknor1liedgel(tfore me The forgoing instr entwas cknowledged efore,me
this day of }}-- 20 _I this day of V. i� 20 by
(Name of person acknowled ng) (Name of person, acknowledging) -
(S ature of Notary Public- State of Florida) (S ature of Notary Publi State of Florida )
IPersonal) Known �O Personally Known OR Produced Identification y R Produced Identification
Type of Identification_ Produced' Type of Identification Produced
77
Commission No.. �g10� Notary F(Q�ieltate of Florida: Commission No.
JUli6 Ninassi Notary Public State of Florida
My Commission GG 038942
Julie Ninassi
my commission GG 038942
�ip�Fld', Expires.10/18/2020". "
Revd ed 07/15/2014.
REVIEWS
:.
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER ..
REVIEW
REVIEW -
REVI
REVIEW
REVIEW..
REVIEW: -
DATE
COMPLETE
9
1 I I
INITIALS
.
E 410