HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numbe'. \SW44 Rl_
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APR 2 3 ?019
Building Permit A Application ST.LUcioQp�11nt�,Pern1lttln9
Planning and Development Services P PePMlttlng
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building SCANNED
KROOS Pa=M'ENITVTOMON �v
Address: 59 MEDITERRANEAN NORTH
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 30' Back: 32' Right Side: 17' Left Side: 40!
DETAILED DESCRdPTlO OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE -
GARAGES
NO SLAB TO BE BUILT OFF REAR OF HOME
V cck C0"6—CXL)3(92--)
illC@,USIT
AdditionalworKtobe errormed under this permit— check all apply: E
ZHVAC Gas Tank E]Gas Piping Shutters ZWindows/Doors
ZElectric 0 Plumbing [:]Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: cy--i S Ft.
Cost of Construction: $ $5,8,000 Utilities:Septic Building Height: of First Floor: 2,484
Sewer
CL) O
_L1 E S S=6
WOMU�@R-
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Address: 8000 South US Hwy. I Suite 402
Company: Wynne Development Corp.
City: Port St. Lucie State: FL
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
Zip Code: 34952 Fax: (772) 878-7656
E-Mail:—
Phone No. (772) 878-55121
Fill in fee simple Title Holder an next page (if different
E-Mail:
State or County License: CGCO21599
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SL)PPLEMEN ALGONSTg0I ION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Braden&Braden
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 CoMnUt Ave.
Address:
City: Stuart State: FL.
Zip: 349e6 Phone: (772)287-e2e8
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.
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
commencing; work or recordine vour Notice of Commencement-
s
_ Signature of Owner/ Lessee/Agent Signature of ContractorlLicense Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF
The forgging instrurgent was acknowledged before me The forgoing instrument was acknowledged before me
this I=day of HAR4 L 20 LTby I this / 7"iday of 4 PR 11— 20 )9 by
M it 71-YFLJ L YC- ,� !N Y1,J N C / X" /A-7'I��E T.t-� L `�C-E (/y //J A, i
(Name of person acknowledging) I (Name of person acknowledging)
n I t 1 /2� YJ o�— _ i`r9 L0't"
(Signature of Notaryblic-State of Florida ) (Signature of Notaq Public -State of Florida )
Personally Known _
Type of Identification
Commission
Revised 07/
�OR Produced Identification Personally Known ✓ OR Produced Identification
Produced __ Type of Identificatiodacmd
`COMMTSSI 5!HY 40'30145 Commission No.
EXPIRES: October 2, 2020
OOROTHYANN BASKIN
COMMISS(,Ve9gG 030145
EXPIRES: October 2, 2020
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