HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-7• ) Permit Number:
RECEIVED
Building Permit -Applicatiot DEC 17 2m
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 176 County, n tY , FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial eS�terI1:I6�
PERMIT APPLICATION FOR: Building 111
PROPOSED IMPROVEMENT LOCATION:
Address: 25 MAYA
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 20-6" Back: 22' Right Side: 12'3" Left Side: 12'3"
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: • III
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
AclaitionalWorKtOrienerformed under tis permit — CheCK
❑✓ HVAC Gas Tank ❑Gas Piping
an
apply:
_ Shutters
Z Windows/Doors
❑✓ Electric ❑✓_Plumbing
[:]Sprinklers
❑Generator
R1 Roof
Total Sq. Ft of Construction: 2,124
Cost Construction: ` $ ? s�,
S
Y73, pd ' Utilities..
Ft. of First Floor: 2,124
❑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.
t..
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Braden & Braden
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 417 cownatAve.
Address:
City: Stuart State: FL.
Zip: 34996 Phone: (772)287-825e
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ 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 County makes no representation that is granting a permit will authorize thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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 your Notice of Commencement.
i s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-r , t%AA c to COUNTY OF Sr "ce
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this_ day of C 67Yt fJ eft 20 La —by this ? day of V ECF�n Ben , 20 /S by
1"Artl`!MJ LYLF �b`/nrnrc- I lilt-p {Fw Lycr lAyli vc-
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not Public- State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission OOROTHYANt(B@SII(JN Commission No. ,•ST?. !i''• DOROTHYA(1fW�KIN
ej''`• a MY COMMISSION N GG 030145 `
p.i :, MYCOMMISSION gGG 030145
, ES:October 2, 2020o. EXPIRES: October 22020
"•�.P��7t? ` Bonded Thm Notary Public UrAenmters s;,S.,•OMed Tllm Notary Public UMenmter
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