HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �j 1
Date: )c�. 1-7• I$ Permit Number:
. _ SCANNED
BY RECEIVED
Buildig�lermi'�pplicati n DEC 17 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 I ''CI phC0 U n t , FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial I�rlCYdr Y
PERMITAPPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 16 ALHAMBRA SOUTH
Legal Description: SECTION,26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 20'6" Back: 26'6" Right Side: 24' Left Side: 20„
DETAILED DESCRIPTION OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY -RESIDENCE - 2 BEDROOM / 2 BATH' / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME (/
CONSTRUCTION INFORMATION:
Itlona wor to e e orme un ert ispermlt—c ec a apply:
Z✓HVAC LJGasTank ❑Gas Piping _Shutters .Windows/Doors
Electric O Plumbing ❑Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: 2.124 !//S Ft. of First Floor: 2,124
Cost of Construction:$ 15�0� yl3 •6p. Utilities:Sewer[]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
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
Zip Code: 34952 Fax: (772) 878-7656
E-Mail:
Phone No. (772) 878-5513
Fill in fee simple Title Holder on next page (if different
E-Mail:
State or County License: CGCO3599
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Braden&Braden
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:417CDwnutAve.
Address:
City: Stuart State: FL
Zip: 349e6 Phone: p72>287-8258
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 Court makes no representation 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 ano 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,
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 vour Notice of Commencement.
S
_ Signature of Owner essee/Agent Signature of C or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr, "cte' COUNTY OF Si 1-m c.i
The forgoing instcgTent was acknowledged before me The forgoing inst ument was acknowledged before me
thisZNdayof DeCF>n-= ,20/jLby thislyAdayof 6u�YJ7B 20/d by
014PTH&U) L ycF GuL/nrwc Meg m-irw Lyc-F I.Uy"
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida ) (Signature of Nota Public- State of Florida )
Personally Known �OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
# GG 030145
Revised 07/1
Commission No.
My COMMISSION # GG 030145
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