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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONlam• - � � , ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:, L' �� ,,(`/ Permit Number: O RECEIVED Building Permit Application 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 FED 12 LUIJ ST. Lucie County, Permitting Residential X PERMIT APPLICATION FOR: Building SCAN IFO PROPOSED IMPROVEMENT LOCATION: BY 11 Address: 5 CORTEZ 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 22' Back: 21' Right Side: 15' LeftSide: 15' DETAILED DESCRIPTION OF WORK: " Lot No. Block No. unty MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE NO SLAB TO BE BUILT OFF REAR OF HOME CONSTRUCTIOW NFORIVIATION: III Z✓ HVAC I I ❑ Gas Tank ❑Gas Piping ❑✓ Electric Z Plumbing, ❑Sprint Total Sq. Ft of _Construction: 2,124 Cost of Construction: $ J zT `/. 73. 71 a Shutters Windows/Doors Generator Roof S Ft. of First Floor: 2,124 Utilities: Ft ❑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 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. tom.. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name' e,edenaBradee MORTGAGE COMPANY: _ Not Applicable Name: Address: 4t> camnatAve. Address: City: Stuart State: FL. Zip: 34996 Phone: (772)2e7-8258 City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: 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. Inconsideration 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 commencing work or recording vour Notice of Commencement. _ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S'r �"C t F COUNTY OF S-r, The forgoi g instrument was acknowledged before me this � ay of :1 r4 N �•t.1°rK'`9 , 20 11by (Name of person acknowledging) I r (Signature of Notarylic-State of Florida ) Personally Known ✓ OR Produced Identification _ Type of Identification Produced F.7.7.. OOROT}r!YANN BASKIN Commission No.'•' YCOMMI3�dA#GG 030145 ... _ EXPIRES: October 2,2020 Revised 07/ The forgoing instrument was acknowledged before me this 3o day of � Wuu AI+f 20 t by i'YI �} ilH�W LYL'E J�O YNIv E (Name of person acknowledging) u`Qo r o L,,", iga4' L= (Signature of Nota(yPublic- State of Florida ) NMI Personally Known roduced Identification Type of Identificatioa Prod ced 4i?h°Yqi'••, Commission N ' as DOROTHYANN/ SKKI{{� MISSION r�M145 {<'€ EXPIRES: October 2, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE f COMPLETE l INITIALS