HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f /J
Date: _ —1 % _ t%` '/— — — Permit Nu / % �� ` �%- -�
RE EI FED
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
JAN 0 9 2019
Permitting Department
5 SjexCounty, FL
PERMIT APPLICATION FOR: Other SCANNED
PROPOSED IMPROVEMENT LOCATION:
St. Lucie Go
Address: 10 MARGARITA LANE
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 Front117 Back: 36'
DETAILED DESCRIPTION OF WORK:
Right Side: 151" LeftSide: 27'10"
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE
I CONSTRUCTION INFORMATION:
Lot No.
Block No.
✓ZHVAC Lj Gas Tank Gas Piping U Shutters ❑ Windows/Doors
R] Electric Z Plumbing Sprinklers []Generator 0 Roof
Total Sq. Ft of Construction: 924 S Ft. of First Floor: 924
Cost of Construction: $ 7,392.00 Utilities:n Sewer El Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: WILLIAM D. BRANTLEY
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYYNE 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: DIH1016128 - 29524
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
ti
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: STEVEWOGDS
Address:
City: State:
Zip: Phone: (T72)618-5644
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
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 accessoryuses 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.
_ Signature of Owner Lessee/Agent
STATE OF FLO I
COUNTY OF �. A
LIZ(�F,
The f oing instrument was acknowledged before me
this y day of 20 )by
t \
person
(Signature of Notary
•Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Signature. of Contractor/License Holder
STATE OF FLOIlTt LG C lR COUNTY OF
The forgoing mstr ment was acknowledgedbefore me
this_7 r)=l dayof(a � .20 /yby
(Nameof person acknowledging)
(Signature of Notary Publiy-State of Florida )
Personally Known �// OR Produced Identification
Type of Identification Produced
Commission No. Notary PubN&r of Florida Commission No. _T - - - r - - - UAW-' - ,
Ulie Ninassl ry Public f Rodda
y My Commission GG 038942 4 JUile NlnasSi
a M Commission GG 038942
or Expires 10/16 20
Revised 07/15/2 4
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
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DATE
1
COMPLETE
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