HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date: Permit Number:
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Building Permit
Planning and Develop..entimmes
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
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JAN 2 8 2019
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PERMIT APPLICATION FOR: Other BY
PROPOSED IMPROVEMENT LOCATION:,
Addracc• TMARGARI.TALANE
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 17'5" Back: 30'4" Right Side: 15' Left Side: 2T
DETAILED -DESCRIPTION OF WORK:
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE
CONSTRUCTION INFORMATION:
itiona wor to e erformed under tispermit-check all appy:
ZHVP Gas Tank ❑Gas Piping n_Shutters ❑Windows/Doors
Z✓ Electric ❑✓_ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1,508 S Ft. of ,First Floor: 1,508
Cost of Construction: $ 12,064.00 Utilities: Sewer []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: FIL
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) 8784656 '
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: srevEw000s
MORTGAGE COMPANY:
Name: -
x_ Not Applicable
- `-
Address:
Address:
City: State:
Zip: Phone: (772)61a-5644
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:.
BONDING COMPANY:
Name:
x . 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 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
commencine work or recordine vour Notice of Commencement.
_ Signature of
STATE OF FLOI1 n, . STATE OF FLOR A
COUNTY OF LGj f X L COUNTY OF
The fo ing in r ent was a kn wledge before me
this Ydayo - 20 4by
IC ek) �Ie 1An0L
(Name of person acknowledge g )
(Unature of Notary
,Public- State of Florida )
Personally Known '" OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/1
The for instr m nt was ack owledggff before me
this day of 20 j� by
(Name of person acknowledging)
(SiVature of Notary Publi tate of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
de of Florida { Commission No.
GG 03e942 {S
Florida
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