HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST1 BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: oc• U. / Permit Number:
„I RECEIVE®
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 17 2018
Permitting Department
0.5t,,Jy..cyexCounty, FL
PERMIT APPLICATION FOR: Building 5L`BY �II
BY
PROPOSED IMPROVEMENT LOCATION: St. Lucie Cnnnhi
Address: 4 ISLANDIA
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: 22'6" Right Side: 18' Left Side: 18'
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
I CONSTRUCTION INFORMATION: III
HVAC
Gas Tank
E]GasPiping
Li
Shutters
Windows/Doors
Electric
❑✓_
Plumbing
❑Sprinklers
11
Generator
Z
Roof
Total Sq. Ft of Construction: 2,124 So. Ft. of First Floor: 2,124
Cost of Construction: $ '' 25b. M.dO Utilities:Sewer Septic Building Height:
i
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 at construction is $2500 or more, a RECORDED Notice at Commencement is required.
-7
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BrsdenBBraden
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 417 c0000ul Ave.
Address:
City: need State: FL.
Zip: 34996 Phone: o72l287-8258
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 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 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
_ Signature of Owner Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5-1 .1,,Ac,,F I COUNTY OF 5; .111.1C[!
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 7�day of li r CrT+t4£!L , 20/ by this % YYday of UC66 Sax 20 by
/%JA-ffNE-L-j LYGE l/NYrA ,, 12IArr/E-w LYc-& A)YAI,,Je"
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota Public- State of Florida ) (Signature of Notar ublic- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifi,ai'^ _° - Type of Identification Produced
Commission
Revised 07/15/2014
Commission No.
MY COMMISSION 4 GG 030145
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