HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �A SCANNED Permit Number: _\ �\O 5 -d S i
BY RECEIVED
St. Lucie County
14
Building Permit Application MAY 2 2 2019
Planning and Development Services ST. 6uele 6eun€y, Parmitting
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: Other
I PROPOSED IMPROVEMENT LOCATION:
Address: 9 GRANDE VISTA
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 25' Back: 40' Right Side: 13' Left Sider 24'
DETAILED DESCRIPTION OF WORK:
REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE
Lot No.
Block No.
CONSTRUCTION INFORMATION: III
❑✓ HVAC ❑ Gas Tank
Z✓ Electric D Plumbing
Total Sq. Ft of Construction: 1,620
Cost of Construction: $ 12,960.00
Piping ❑_Shutters ❑Windows/Doors
nklers ❑ Generator ❑ Roof
S Ft. of First Floor: 1,620
Utilities:Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: ERIC WYNNE
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
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: STEVE WOODS
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone: (772)618-5644
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x 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. Ifyou intend to obtain financing, consult with lender or an attorney before
-
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_ Signature of Owner/ Lessee/Agent g gnatdre of'Contractor/Lice.n older'
STATE OF FLORIDA
COUNTY OF S-, ( � - —
The forgoing instrument was acknowledged before me
this ,�ay of Mcc.. 20 ftby
(Name of person acknowledging)
(Signature of Notary Public- State of ida )
Personally Known FOR Produced Identification
Type of Identification Produced
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this��day of yh av:. 20 `g by
(Name of person. acknowledging)
�'4'!2e �
ignature of Notary Pu lic- State�,o� Florida)
Personally Known - OR Produced Identification
Type of Identification Produced
Commission No.
(Seal)
Commission No.
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REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
COMPLETE
INITIALS