HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ),,2• 0. ) & Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
r
DEC 17 2018
Permitting Department
si&ntWpoje County, FL
PERMIT APPLICATION FOR: Building III
PROPOSED IMPROVEMENT LOCATION: S01. 111
Address: 172 MEDITERRANEAN NORTH
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front 30' Back: 34' Right Side: 16' Left Side: 15'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 3 BEDROOM / 2 BATH / 1 1/2
GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: III
ZHVAC L Gas Tank
Z✓ Electric 0 Plumbing
Total Sq. Ft of Construction: 2,484
Cost of Construction:$ )�F993• 60
nii— cnecKau appry;
Piping _Shutters Windows/Doors
nklers Generator ��I— Roof
S Ft. of First Floor: 2,484
Utilities:n Sewer D Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Address: 8000 South US Hwy. 1 Suite 402
Company: Wynne Development Corp.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 8000 South US Hwy. 1 Suite 402
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIG ER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:; Braden a Braden. Name:
Address:417Cow nut Ave. Address:
City: Styart State: FL. City: State:
Zip: 34896 Phone: (772)287-8258 Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not
Name:l Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced.prior to the issuance of a permit.
St. Lucie, CounN makes no representation that is granting a permit will authorize the ermiYholder to build the subject structure
which is In confflict with any applicable Home Owners Association rules, bylaws orangcovenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration 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 folloiwing 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 you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
s
_� vil
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Ei-, �— COUNTY OF <.
The forgoing instrument was acknowledged before me The forgoing inst ument was acknowledged before me
this day of I:FG�cY►L3r�. 201�by thisiY` day of F &R - 20 L-L by
_M4-7-ti4r(>LYcE (UVM'Vr 10!r&7TAfP74) LYGF GUYnrvE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida ) (Signature of Nota ublic- State of Florida )
Personally Known _
Type of Identification
Commission NOf _•1ta
Revised 07/
0"�'OR Produced Identification
MY COMMISSION # GG 030145
Bonded Thru Notary
Personally Known OR Produced Identification
Type of Identification Produced ---
,p;?og.,, DOROTHYANN BASKIN
Commission No. ? i MY coW884ON#GG 0301
EXPIRES: October 2, 2020
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