HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��' 8 4 Permit Number: O
Building Permit
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
DEC 18 2018
Permitting Department
isi9tnt!@IlCh CGIIP y, FL
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: g I
Address: 2 LOS GATOS BY
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e •t• LUciecounty
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks iFront 20'4" Back: 32'8" Right Side: 22' Left Side: 16'
DETAILED DESCRIPTION OF WORK: I
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: III
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Z✓ HVAC
UI IUFFIIUU Uf1UUF LI 11D
Gas Tank ❑Gas
tJUI nII L—GI]ULM do
Piping _Shutters
apply:
Z Windows/Doors
Z✓ Electric ❑✓_Plumbing
❑Sprinklers
11Generator
ZRoof
Total Sq. Ft of Construction: 2.124
S
Ft. of First Floor: 2,124
Cost of Construction: $ �6
i L/73-CP Utilities:12Sewer
ESeptic
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: CGC03569
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: BradenBBraden
Add res5: 4+t coconutAve.
City: Stuart State: FL
Zip: 34eee Phone: (772)287-e25e
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City: _
Zip:
Name: _
Address:
E COMPANY: _ Not Applicable
Phone:
City:
Zip:. Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
.SIR
St. Lucie County makes no representation that is granting a permit will authorize thedpermit holder 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 fallowing 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/ss Leee/Agent Signature o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ACT_ Loa ci ;r COUNTY OF . , "C r E
The forgoIng,instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 7 Lclayof DL=cc Y)�3eX 201 —by this= dayof 6&Ce-X'J .20 LE by
aJ4T-I'+J01,U L Y« (,uu/N /VE In A7 _JHeU L YLF {/�YNA1l
(Name of person acknowledging ) (Name of person acknowledging)
(Signature of Not Public- State of Florida ) (Signature of Notaryblic- State of Florida )
Personally Known "/�OR Produced Identification Personally Known iyblOR Produced Identification
Type of Identification Produced Type of Identificatio^-U 00^ a - - - -
Commission No.
EXPIRES: October 2, 2020
Revised
Commission No.
DOROTHVANN BASKIN
EXPIRES:October2, 2020
Bonded TAnt Notary Public Underwriters
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