HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p z
Date: ' a •)T /W Permit Number:
RECEIVE®
Building Permit Applicati n DEC 1 g 2ols
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 9Iy� p
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial fiUdditeoM County, FL
PERMIT APPLICATION FOR: Building �lll
IAI
PROPOSED IMPROVEMENT LOCATION: O QV
Address: 3 LOS GATOS
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax I D #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front20-4" Back: 21.2"
Right Side: 13' Left Side: 21'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM 12 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: III
Lr IHVAC 1:1Gas Tank E]GasPiping I:jShutters Windows/Doors
Z✓ Electric 0 Plumbing ❑Sprinklers U Generator' Z Roof
Total Sq. Ft of Construction: 2,124 S Ft. of First Floor: 2,124
Cost of Construction: $ 6 V73.oa Utilities:�5ewer 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
Ir vame or construction Is pz!)uu or more, a KtcoKDtu Notice of commencement is required.
u
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _ Not Applicable
Name: Braden&Braden
Address: 417 Comnut Ave.
City: stuart State: FL.
Zip: 34996 Phone: (772)287-8258
FEE SIMPLE TITLE HOLDER: Not
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not
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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S , . i..t,r ctr I COUNTY OF S'-1"e t F
The forgoing inst ument was acknowledged before me The forgoing instrument was acknowledged before me
thisZ day of T C CE'Y+ *JC_X 20 LE by this Z�day of 20 l_ by
—Injq-ttwei�1 L4Lt= WY, -we /"477dE-W LYCf `f%YNV,`
(Name of person acknowledging) (Name of person acknowledging)
ADAQ.rQJAA. /�, *P'-, ia'n� &J'
(Signature of Notzd Public- State of Florida) - (Signature of Notkh Public- State of Florida )
Personally Known LIXOR Produced Identification Personally Known -"'� OR Produced Identification
Type of IdentificatioM,IN_ I t Type of Identification Produced
IliMY COMMISSION#GG 030145
Commission No. :."`_' 3Y+$ SKIN
— EXPIREiS@ ber2,2020 Commission No. •"•• �•'•; OOROiHY(
`,gn,,,,,,:•`' Bonded Thor Notary 11 UMe w#ers COMMISSION # GG 030145
EXPIRES: October 2. 2020
Revised 07/15/2014
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