HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 SCANNED permit Number: \C 105' 035l
BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services MAY 14 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucle County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resident)a
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 12 HERMOSA
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 20W Back: 25' Right Side: 15' Left Side: 13'
I DETAILED DESCRIPTION OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
Z✓ HVAC Ij Gas Tank
Z✓ Electric ❑✓_ Plumbing
Total Sq. Ft of Construction: 2,124
Cost of Construction: $ $58,000
Gas Piping LJShutters Windows/Doors
Sprinklers 11 Generator Z Roof
S Ft. of First Floor: 2,124
Utilities:12 Sewer 0 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BradenaBraden
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:4+7cownatAve•
Address:
City: stied State: FL
Zip: 34996 Phone: 1772>287-625a
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 .ofa 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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF S—f-, Lmc_re COUNTY OF S--, , wcre'
The foreoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this / s day of ✓1'1. PW 20 ] i by this _L day of /h ?9:t� 20 / `� by
LY(_F /,)J /"JNGr JYI1*7r)4CW LYCE &)y"Af6
(Name of person acknowledging) (Name of person acknowledging)
--�YJIYtA-1'r"'a war ICJQ.a�1P�.-- r� (iTiv.iv+ &41L
(Signature of Not Public -State of Florida) (Signature of Notary blic- State of Florida )
Personally Known JL OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
Revised 07/
Commission No.
EXPIRES:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE -
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS