HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: ) ;?Y. p- %-7. 1 Permit Number: O /dh - 10334�
Building Permit Applicatio
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
RECEIVED
DEC 17 2018
Permitting Department
siltnUefe-CD-mty, FL
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: SCANNED
Address: 66 GOLF DR. By
Legal Description:
SECTION 26 / TOWNSHIP 36s / RANGE 40e St. Lucie Countv
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front 20'4" Back: Right Side: 12'4" Left Side: iTB"
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:
itiona wor to e e orme under tispermit—checka appy:
I HVAC �GasTank E]GasPiping _Shutters .Windows/Doors
Z✓ Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 2.124
Cost of Construction: $ -
S Ft. of First Floor: 2,124
Utilities:ll Sewer ElSeptic
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:
DESIGNER/ENGINEER: _ Not Applicable
Name: BradeosBraaen
MORTGAGE COMPANY: _ Not Applicable
Name -
Address: 417 cownut Ave.
Address:
City: Stuart State: FL.
Zip: 34996 Phone: (772)287-8258
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 County 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 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 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
commencine work or recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
s
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF <—, k .A G[E I COUNTY OF Si- Lu cr e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,�dayof 1hFC67 nBrx-, 201�by thisZ`-dayof aF"GEMBe"yi20 by
Akrewrw L-/EC ✓Yl grwrw Lyc.E LuyNNE
(Name of person acknowledging) (Name of person acknowledging)
�n (1-'n, )3 ot.� r'a4-Q.,
(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 No.
EXPIRES: October 2. 2020
Revised 07/1
Commission
GG 030145
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