HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
DEC 12 201�
Building Permit Application
Plane ing and Development Services Permitting
Department
Building and'Code Regulation Division St :Lucie Coj,int„
2300iVirginiaAvenue, FortPierce FL 34982
Phone; (772) 462.1553 Fax:. (772) 462-1578' .. Commercial- Reside.ntlal X
PERMIT -APPLICATION FOR: Other
-PROPOSED IMPROVEMENT LOCATION:
Address: 73 EL CAMINO REAL . aStLude:COUnty
•
Legal Description: SECTION.26 / TOWNSHIP 3.6s / RANGE 4.0e
Property Tax ID # 3414-501-1701-000/9 Lot No.
- Site Plan Name: SPANISH LAKES'ONE Block No.,
.Proje t Name:
Setbacks . Front23': Back: 44' Right Side: 24'3" Left Sidec 12'3"
.
D'fTAILRrDESCRIPTION OF WORK:
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO -CODE
CONSTRUCTION INFORMATION:
'Additional work to be e orme� - under this permit.— c ec a apply:
�✓ HVAC Gas Tank Gas Piping Lj Shutters. Q Windows/Doors
❑✓ Electric 1 Plumbing OSprinkle.rs Generator Roof
:Total q._Ft of Construction: 1,620 S . Ft. of First Floor:: 1,620
Cost 0f Co structions 12,960.00
n $ Utllitles: Se . r Septic Building Height;
OWNER/LESSEE:
CONTRACTOV
'Name
Address:
City:
ZipCgd
Phone)
E-Mail:
Fill in
from tIhe
JWYNNE. 8uiLDING CORP..
Name: ERIC WYNNE
Company: WYYNE DEVELOPMENT CORP. ..
Address: 8000 SOUTH US HWY. 1. SUITE 402 .
.Stat
y: e. .
Zip Code: 34952 Fax (772) 878-7656
Phone No. (772) 878-5543
E-Mail: -
State or County Licenser DIH1016128 -� . .
8000 SOUTH US, HWYA, SUITE 402
PORT ST. LUCIE - .. State: FL'.
3952 x(772) 878-7656
No: (772) 878-5513'
fee simple .Title Holder on next. page (if different'
Owner listed above)
It value of construction is $Z500 or more, a RECORDED Notice of Commencement is required.
"SUPPLEMENTALCONSTR'UCTION L1EN;LAW INFORMATION;
DESIGNER/ENGINEER: x Not -Applicable
MORTGAGE -COMPANY; - x . NotApplicable
.Name: sTEVE.w000s.
Address:
Name: -
Address:
City: I State:
City: State:
Zip: I Phone: (772)518-5W
Zip: Phone::
FEE.S�MPLE
x-. Not Applicable
TITLE
BONDINGCOMPANY:.' xx :Not Applicable
Name:
Addre'sse-
City:
,HOLDER:
Name: -
Address:
City:..
.. Phone:.
Zip: Phone:
Zip:.^I
I certi that no work or installation has commenced prior to the issuance of a permit.:
St: Lucie Counttyy makes no representation that is granting a:permit will authorize the permit holder:to build the subject:structure
which 'sin conflict with any applicable Home Owners Association rules, bylaws or -and covenants that -may restrict or prohibit such
structre. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. -
In con!ideration of the granting of this requested permit, I do hereby agree that I will- in all respects, -perform the work
.in acc Irdance'with the approved plans, the Florida Building Codes and St: Lucie County Amendments. -
The following building permit applications are exempt from undergoing a full concurrencyreview: room additions,
accessory structures, swimming pools;.fences; Walls, signs,: screen rooms and accessory -uses to a.nother.non4esidential use.
WARNING TO: OW,NER: 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 recordinR-.your Notice of Commencement. .
s .
_ Signature
of Owner/ Lessee/Agent
Signature of Contractor/License Holder.
STATE OF FLORIDA
COUNTY OF 5= i,.uc ce
_
STATE OF FLORIDA
COUNTY OF ST LK ��o'
Th'e for o ng.instrumerit was acknowledged before: me " -
'
The forgoing instrument was acknowledged before -me
-this day �F�FM BF32 I `1.
this ay of c 6 �c . 20 0—by
of , 20 by'
(Name' of person acknowledging)
(Name of person acknowledging
(Signature of No Public- State of Florida)
(Signature of Nota ubliao- State of Florida )
Personally
Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of
Identification. Produced.
Type of Identification Produced
Comm
'ssion No..
. �M��P:e •., DOROTHOMBASKIN
Commission No.'
,. " P^•,
• DOROTH ASKIN.
.;. MY COMMISSION # GG 030145
,
f;' MY COMMISSION # GG 030145
rya; EXPIRES: October 2, 2020
Revised
;;; _ °.•' Bonded Thru Notary Public Underwriters
_
07 15
%; f�, s , .�'
;, Bonded Thru Notary Public.Underwriters
REVIEWS
FRONT. ..
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE:
COUNTER - .
REVIEW
REVIEW.
REVIEW .
REVIEW
REVIEW--'
REVIEW
DATE
COMPLETE
INITIALS.
.
ALL IPPLICABLE'INFO' MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 a� Permit'IN,gilIM4
- NOV 20 2018
_ Building Permit Applicat
Lucie Cou�PPrM
Plan I ing and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462=1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION: By
Address: 73.EL CAMINO REAL Bt LUCI@ County
Legal (Description:. SECTION 26 /.TOWNSHIP-36s / RANGE 40e
PropelrtyTax ID # 3414-501-1701-000/9 . Lot No.
Site Pl6n Name: SPANISH LAKES ONE Block No.
.Project Name:
Setbacks Front231 Back: 44' Right Side: 24'3" Left Side: 123"
DETAILED DESCRIPTION OF WORK:
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE
CONSTRUCTION INFORMATION:
Addit .work to be performed, . under this permit — check -all that apply:
VAC Gas Tank ~"' E]Gas Piping _ Shutters Q Windows/Doors• :
Electric ✓❑_ -Plu'mbing . E]Sprinklers E]Generator' g Roof
Total q. Ft of Construction:, 1;620 5 . Ft. of first Floor: 1,620
Cost of Construction:=$ 12,960.00 Utilities:.0Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: WILLIAM D. BRANTLEY
Address: 8000 SOUTH US HWY. 1 SUITE 402
i
Company: WYYNE DEVELOPMENT_CORP. ,
Address: 8000 SOUTH US HWY. 1 . SUITE 402
City: RORT ST. LUCIE - State: FL,
Zip Code: 34952:.. Fax: (772) 878-7656
City: PORT ST. LUCIE State: FL .
Phone No: (772) 878-5513
Zip -Code: 34952 Fax:- (772)-878-7656
E-Mail: I
Phone No. -(772) 878-5513
I
Fill in.fee simple Title Holder on next page'( if different
E-Mail: .
from the Owner listed above)
State or County License. DIH1016128'- 29524
if vawe of construction is 525OU or more, a RECORDED Notice of Commencement, is required.
SUPPLEIUIENTAL CONSTRUCTION:LIEN LAW INFORMATION: • ,e
DESIGNER/ENGINEER: - _ : x Not Applicable
MORTGAGE COMPANYr .. x-. Not Applicable . .
_
:Name:-srevE.w000s -
Name:
Address:
Address:
City:. State:
City: State:
Zip: I Phone: (772)618-5644
Zip: -Phone:
FEE S�MPLE TITLE HOLDER: x_ Not Applicable
BONDING COMPANY: - X .'Not Applicable
Name:
Name:
Address:.
Address:
City:
City:.
Zip:. Phone:
Zip: Phone:-
I certi 'that no work or installation has commencedprior to the issuance of a permit.
St. Lucie CoUnty" makes no representation that is granting a.p.ermit 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 accirdance with the approved:plans, the Florida Building Codes and St. Lucie County:Arhendments.
: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 inyour.:paying twice for .:
improvements to your: property. A Noticeof-Commencement must be recorded and posted on the jobsite
before the first inspection. If.you intend to,ob'tain financing, consult with Fender oe:an.attorney before
commencing work or recording.Vour Notice of Commencement.
I. s
_ Signature of Owner Lessee/Agent Signature of Contractor/License Holder
= STATE OF FLO STATE OF FLO(D4 `
COUNTY OF COUNTY OF
The f r oin instru rent was ackp �vled ed efore me The forgoing Instr ent was a kno led a efore me
this day of V ' u 20 &by this day of 1.20 0 by
IQ�%i c%1
(Name of person acknowledgig) (Name of person. acknowledging )
. ..
(S ature of Notary Publ' - State of Florida) (Sig ure of Notary 761riState of Florida
Personally Known OR Produced Identification Personally Known R Produced Identification
Type of Identification Produced Type of Identification Produced .'
n Notary Pu to of Florida P Notary Publti( p s f Florida
Commission No. Commission No.
ulie Ninssi-Julie Ninassi
e My Commission GG 038942My Commission GG 038942
or
Reviled 07/15/.20 4
REVIEWS
.
'FRONT:
ZONING . _
SUPERVISOR
PLANS
VEGE.TATION.:
_SEA TURTLE
MANGROVE
COUNTER.
REVIEW
REVIEW,
RE'
REVIEW
-REVIEW_-
•REVIEW-.
DATE
1
COMPLETE
(
aai
INITIALS
iz l$