HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �/
Date: I, Permit Number: l q l a- o 3 g I
,„ /'!'D� � �o�a� RECEIVED
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Building Permit Application DEC 17 2018
Planning and Development Services ST. LUCIe County, Pormitting
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: Building v(''1/Vj��,�
nIII
_
I PROPOSED IMPROVEMENT LOCATION: I-UC/A '_ III
Address: 1 LOS GATOS
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 20'4" Back: 20'3" Right Side: 16' Left Side: 13'
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 apply:
Z✓HVAC UGasTank 0GasPiping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,124
Cost of Construction: $ 2 6 Gf `%%3.c>3
S Ft. of First Floor: 2,124
UtilitiesSewer 0Septic
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
it value of construction is 52501) or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name: BredenBBraden
Add ress: 4ir Cownat Ave.
City: Swart State: FL.
Zip:34ase Phone:lrr212e7-B2se
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
_Not Applicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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.
-- I s
_ Signature of Owner/ Lessee/Agent Signature of actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF S7,"ci,�— COUNTYOF ST- lurch
The forUoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this 7 day of �-CC-7n6&7t. , 20 LLby this day of 20 _b_ by
/T/47 w Ly[E (mil/Y.v uE MA77H'C-W LYc.r IA)Yn�n�F
(Name of person acknowledging) I (Name of person acknowledging)
(Signature of Not<YPublic- State of Florida) I (Signature of Nota blic- State of Florida)
Personally Known 4/ OR Produced Identification
Type of Identification Produced
Commission No. 4'i DOROTHY(M ASKIN
n r
i?-"-A ;" MY COMMISSION tf G 030145
L1�m11 GvmaFs. Oetober2,2020
Revised
Personally Known 'FOR Produced Identification
Type of Identification Produced _
Commission No.
030145
2020
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